Claim Adjuster

4 weeks ago


New York, United States Collabera Full time

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.
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:
  • 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.
Desired Qualities:
  • General knowledge of state and national laws and regulations.
  • General understanding of medical and legal terms.
Job Requirement
  • Claims
  • Claims Examiner
  • Adjuster
  • Adjuster New York
  • New York Adjuster
  • All state
Reach Out to a Recruiter
  • Recruiter
  • Email
  • Phone
  • Shivraj Borah
  • shivraj.borah@collabera.com


Apply Now

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