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New York City

    Claims Examiner –Remote - New York, United States - Generis Tek Inc

    Generis Tek Inc
    Generis Tek Inc New York, United States

    1 week ago

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    Description

    Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty at email address can be reached on #

    We have Contract role for Claims Examiner –Remote for our client Garden City NY. Please let me know if you or any of your friends would be interested in this position.

    Position Details:

    Claims Examiner –Remote-Garden City NY

    Location : Remote in CST or EST

    Duration : 6+ months (contract role)

    Pay Rate : $18/hr. on W2

    Job description:

    Claims processing experience required

    Adjuster license in New York State is Required

    Must be in EST or CST Time Zone

    Work is remote EST Hours

    Responsibilities:


    • 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:


    • Licensing requirements vary by state.


    • Proficiency in analytical, document management, and database query software.


    • Proficiency in Microsoft 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.

    To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty at email address can be reached on #

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