Claims Examiner

1 week ago

White Plains, United States The Jonus Group Full time

We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managing and adjudicating complex insurance claims, ensuring accuracy, efficiency, and adherence to company policies and regulatory guidelines. The ideal candidate will possess a strong background in claims processing, exceptional analytical skills, and a commitment to delivering superior customer service.

Salary/Benefits

  • $80k-$85k
  • Health, Vision, Dental, and FSA
  • 401(k) with competitive company matching
  • 24 PTO Days
  • 10 Paid Holidays

Job Description

  • Adjusts and resolves moderate to complex claims that includes all phases of litigation
  • Accurately documents claim files with all relevant claim documentation, correspondence, and notes in compliance with company policies and applicable regulatory authorities
  • With minimal supervision, drafts coverage letters, including reservation of rights and denial letters
  • Reviews and analyses claim documentation and legal filings to set timely and accurate a reserves and notify the manager if upward segmentation is needed
  • Identifies emerging exposures and claims trends

Requirements

  • A JD from an ABA accredited law school may be considered as a supplement to claims handling experience Advanced knowledge of claims analysis and adjusting practices
  • B.A./B. S degree from an accredited College or University preferred
  • 3-5 years of claims handling experience.
  • 3rd party property (non-auto)
  • Please have Litigation and Coverage experience

Hybrid Offices

  • Atlanta
  • Chicago
  • Manhattan
  • Phoenix
  • White Plains

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