Claims Examiner

2 days ago


Jacksonville, Florida, United States Jobot Full time
Claims Examiner Job Description

At Jobot, we're seeking a seasoned Claims Examiner to join our dynamic team. As a Claims Examiner, you'll play a crucial role in analyzing and resolving a variety of insurance claims.

Key Responsibilities:
  • Evaluate and investigate insurance claims promptly and accurately, ensuring all necessary documentation is available and determining the company's liability.
  • Negotiate settlements with claimants, attorneys, and other carriers, utilizing excellent communication and negotiation skills to achieve fair and efficient resolutions.
  • Document claims handling process thoroughly and accurately, maintaining detailed records of each case, including notes on investigation, negotiation, and settlement processes.
  • Provide excellent customer service, interacting with individuals who are going through difficult times and offering empathetic, patient, and efficient service.
  • Stay up-to-date on changing regulations, laws, and policies in the insurance industry, proactively continuing education and adapting to these changes.
Requirements:
  • A minimum of five years of experience in Casualty Claims, Claims Handling, or as a Claims Analyst, with a strong understanding of the claims process and ability to manage complex cases.
  • Strong analytical skills, with the ability to review a case, identify key details, and make accurate and fair decisions based on this information.
  • Excellent negotiation skills, with the ability to communicate effectively and persuasively.
  • High level of organization, with the ability to manage multiple cases at once and maintain accuracy.
  • Strong knowledge of insurance regulations, laws, and policies, with the ability to adapt to changes quickly.
  • Proficiency in computer software, including Microsoft Office and claims management systems.
  • A bachelor's degree in a relevant field (such as Business or Finance) is preferred, with relevant professional certifications (such as the Claims Law Specialist or Senior Claims Law Associate designations) also a plus.

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