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Claim Adjuster - REMOTE, United States - Collabera
Description
Title:
Claim Examiner
Location:
Remote
Duration: 6 Months
Job Description:
Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
Resolve complex, severe exposure claims, using high service oriented file handling.
Pay and process claims within designated authority level.
Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
Confer with legal counsel on claims requiring litigation.
Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.
Qualifications/Education:
Claims processing experience required
Adjuster license in New York State is Required
Licensing requirements vary by state.
Proficiency in analytical, document management, and database query software.
Proficiency in MS Office applications.
Two to four years of work related experience.
Exceptional attention to detail.
Excellent customer service and communication skills
Desired Qualities:
General knowledge of state and national laws and regulations.
General understanding of medical and legal terms.
If Interested Kindly share your resume at
