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Claims Examiner

3 months ago

Myrtle Point, United States Collabera Full time
Job Title: Claims Examiner
Location: REMOTE
Duration: 7+ months
Pay range: 18-20/hr.

Job Description
  • This is a Claims Examiner for Travel Insurance Claims
  • Active New York state adjuster's license required; multiple state licenses encouraged.

Responsibilities:
  • Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
  • Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
  • Resolve complex, severe exposure claims, using high service-oriented file handling.
  • Pay and process claims within designated authority level.
  • Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
  • Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
  • Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
  • Confer with legal counsel on claims requiring litigation.
  • Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
  • Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.

Qualifications/Education:
  • Bachelors Degree.
  • Active New York state adjuster's license required; multiple state licenses encouraged.
  • Proficiency in analytical, document management, and database query software.
  • Proficiency in MS Office applications.
  • Two to four years of work-related experience.
  • Exceptional attention to detail.
  • Excellent customer service and communication skills.
  • General knowledge of state and national laws and regulations.
  • General understanding of medical and legal terms.
  • Experience in a claims production environment with set goals and quality scores that must be obtained.



If interested kindly share your resume at Jigyasa.issar@collabera.com