Senior Claims Examiner

1 week ago


Lansing, Michigan, United States Accident Fund Holdings, Inc. Full time
Job Summary

We are seeking a highly skilled and experienced Claims Examiner to join our team at Accident Fund Holdings, Inc. As a Claims Examiner, you will be responsible for examining and investigating insurance claims to determine their validity and extent of coverage.

Key Responsibilities
  • Examine and investigate insurance claims to determine their validity and extent of coverage
  • Conduct thorough investigations, including gathering evidence and interviewing claimants and witnesses
  • Make informed decisions regarding claim settlements and denials
  • Communicate with claimants, insureds, and other stakeholders to provide updates and resolve issues
  • Maintain accurate and detailed records of claims and investigations
  • Collaborate with other teams to ensure seamless claim processing and resolution
Requirements
  • Bachelor's degree in a related field, such as insurance, business, or a related field
  • Seven years of progressively more responsible experience in a claims environment, with a focus on complex and high-touch claims
  • Strong analytical and problem-solving skills, with the ability to make informed decisions
  • Excellent communication and interpersonal skills, with the ability to build strong relationships with stakeholders
  • Ability to work independently and as part of a team, with a focus on collaboration and teamwork
  • Proficiency in computer software and systems, including claims management systems
Preferred Qualifications
  • Certification or progress toward certification in claims or a related field
  • Bilingual skills, with the ability to communicate effectively with diverse stakeholders
  • Experience working in a fast-paced, dynamic environment, with a focus on meeting deadlines and delivering results
What We Offer

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and experienced Claims Examiner looking for a new challenge, we encourage you to apply for this exciting opportunity.



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