Claim Adjuster
4 weeks ago
Description
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Claim Adjuster
Contract: New York, New York, US
Salary: $20.00 Per Hour
Job Code: 349418
End Date: 2024-06-14
Days Left: 17 days, 3 hours left
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Title: Claim Examiner
Location: Remote
Pay range: $19-$20/hr
Duration: 6 Months
Job Description:
- Claims processing experience required.
- Adjuster license in New York State is required.
- Must be in EST or CST Time Zone.
- Work is remote EST Hours.
- 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:
- Licensing requirements vary by state.
- 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.
- Claims
- Claims Examiner
- Adjuster
- Adjuster New York
- New York Adjuster
- All state
- Recruiter
- Phone
- Shivraj Borah
- shivraj.borah@collabera.com
Apply Now
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