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Claims Processor
2 months ago
Associate will receive reports of claims and provide claims documentation to customer in a quick and efficient manner. Associate will interact with customers to obtain and review necessary documentation to support claim files. Associate will make determination of approval or denial within parameters of authority and will escalate and engage others as appropriate.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Review inland marine claim files and ensure completion of necessary details.
- Interact with claimant to obtain necessary information.
- Transfer claims data into Velocity management system.
- Review claim for coverage, complete evaluation per claim handling guidelines and send necessary correspondence to customer.
- Field questions from clients on individual claims both written and oral
- Report and/or assist clients in reporting claims to claim third party adjustor (TPA)
- Provide assistance with requests for policy and coverage information.
- Prepare narrative for internal parties and/or carriers as necessary, describing status of all or selected claims.
- Respond in a timely manner to all requests from clients, carriers, and other partners to ensure an excellent customer experience.
- Bachelor's degree in Business and/or related field or equivalent education and/or experience.
- Working knowledge of insurance industry and claims best practices.
- Strong customer service focus.
- Proficient in Microsoft Office software.
- Ability to use word processing and database software in an automated work environment.
- Ability to work independently with minimal instruction and little direct oversight.
- Strong organizational and time management skills as well as the ability prioritize work to meet time sensitive deadlines.
- Demonstrated professional with effective negotiation skills.
- Firm fluent grasp of English language with excellent verbal, written and interpersonal skills.
- Ability to make quick decisions and apply sound reasoning to deliver consistent quality claims outcomes.
The preceding job description has been designed to indicate the general nature and level of work performed by Associates within this classification. It is not designed to contain or be interpreted, as a comprehensive inventory of all duties, responsibilities, and qualifications required of Associates assigned to this job.
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