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Claims Examiner
2 months ago
We are seeking an experienced Claims Examiner to join our dynamic team. As a Claims Examiner, you will 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.
- 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, and relevant professional certifications (such as the Claims Law Specialist or Senior Claims Law Associate designations) are also a plus.