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Insurance Claims Examiner

2 months ago


Independence, Missouri, United States First Catholic Slovak Union Full time

Job Summary:

The Insurance Clerk will be responsible for handling various aspects of insurance policies, including calculations, correspondence, and customer service. This role requires strong analytical and communication skills, as well as the ability to work accurately and efficiently in a fast-paced environment.

Key Responsibilities:

  • Policy Administration: Calculate premiums, refunds, commissions, adjustments, and new reserve requirements, using insurance rate standards.
  • Claims Processing: Check computations of interest accrued, premiums due, and settlement surrender on loan values.
  • Customer Service:
  • Collect initial premiums and issue receipts.
  • Compare information from the application to criteria for policy reinstatement and approve reinstatement when criteria are met.
  • Compose business correspondence for supervisors, managers, and professionals.
  • Correspond with the insured or agent to obtain information or inform them of account status or changes.
  • Policy Maintenance: Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and the effects of changes.
  • Interview clients and take their calls in order to provide customer service and obtain information on claims.
  • Modify, update, and process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.
  • Communication: Notify the insurance agent and accounting department of policy cancellation.
  • Obtain computer printout of policy cancellations or retrieve cancellation cards from file.
  • Record Keeping: Organize and work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or canceled.
  • Process and record new insurance policies and claims.

Requirements:

  • Strong analytical and communication skills
  • Ability to work accurately and efficiently in a fast-paced environment
  • Attention to detail and organizational skills
  • Ability to work with computer systems and software