Claims Examiner Specialist

3 weeks ago


Englewood, Colorado, United States Jobot Full time
About the Role

We are seeking a highly skilled Claims Examiner to join our dynamic team at Jobot. As a Claims Examiner, you will play a critical role in reviewing and analyzing claims to determine coverage, liability, and damages.

Key Responsibilities
  • Claims Evaluation: Conduct thorough investigations to determine coverage and liability, ensuring all claims are handled in accordance with company policies and regulatory requirements.
  • Documentation and Reporting: Accurately document claim investigations, findings, and decisions, preparing comprehensive reports for internal and external stakeholders.
  • Customer Interaction: Communicate effectively with policyholders, claimants, and legal representatives, providing clear and concise explanations of coverage, claim status, and settlement options.
  • Fraud Detection: Identify potential fraudulent claims and conduct thorough investigations to mitigate risk, collaborating with the Special Investigations Unit (SIU) as necessary.
  • Negotiation and Settlement: Negotiate fair and equitable settlements with claimants and their representatives, ensuring timely and accurate processing of claim payments.
  • Continuous Improvement: Stay current with industry trends, regulations, and best practices, participating in ongoing training and development to enhance expertise in specialty claims.
Requirements
  • Bachelor's degree in Business, Insurance, or a related field.
  • Minimum of 5 years of experience in claims examination, with a focus on specialty insurance products.
  • Strong analytical and problem-solving skills.
  • Excellent written and verbal communication abilities.
  • Proficiency in claims management software and Microsoft Office Suite.
  • Ability to work independently and as part of a team in a fast-paced environment.
  • Exceptional attention to detail and organizational skills.
  • Professional certifications such as AIC, CPCU, or similar are a plus.
About Jobot

Jobot is a leading provider of specialty insurance products, serving small businesses in a specific niche market. We offer a competitive salary and performance-based incentives, comprehensive health, dental, and vision insurance plans, 401(k) retirement plan with company match, generous paid time off and holiday schedule, and employee wellness programs and resources.



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