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    TPA Claims Examiner - Concord, United States - Schifrin, Gagnon, & Dickey, Inc. (SGD, Inc.)

    Schifrin, Gagnon, & Dickey, Inc. (SGD, Inc.)
    Schifrin, Gagnon, & Dickey, Inc. (SGD, Inc.) Concord, United States

    3 weeks ago

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    Description

    Are you a detail-oriented and enthusiastic claims professional? Join our team at SGD as a TPA Claims Examiner, working remotely. You will play a crucial role in evaluating insurance claims and facilitating the resolution process for our clients. This position requires excellent communication skills, experience with handling auto/commercial auto liability and transportation claims, and the ability to work efficiently under pressure. If you find satisfaction in investigating all avenues to reach the best possible resolution for claims, and our clients, this position is for you


    Responsibilities

    As part of your role, you will be responsible for a range of tasks, including but not limited to:


    • Investigating, evaluating, and resolving commercial auto liability and transportation claims
    • Thoroughly documenting investigations, evaluations, recommendations, and action plans
    • Drafting professional letters, memos, and comprehensive reports
    • Reviewing independent adjuster reports for accuracy and compliance
    • Ensuring the continuous settlement of claims in alignment with industry best practices and adherence to all state and federal regulations
    • Strategizing and taking decisive actions to achieve the best possible outcomes for each claim
    • Demonstrating exceptional organizational abilities, effective communication skills, and proficiency in analytical thinking, writing, negotiation, and follow-up
    • Ensuring full compliance with state and federal laws, Department of Insurance criteria, and the policies and procedures for the company and our clients

    Qualifications

    To excel in this role, the following qualifications and skills are essential:


    • Proficiency in comprehending and applying commercial policy terms and endorsement forms
    • Capability to draft memos for review and approval by supervisor
    • Proven ability to effectively manage a full caseload within a fast-paced environment
    • Outstanding organizational skills, including the maintenance of a robust diary system
    • A minimum of 5 years of experience in commercial auto and transportation claims handling
    • Prior experience with TPAs is advantageous
    • Proficiency in Microsoft Office products (Outlook, Word, Excel, Teams), ClaimCenter/Guidewire, and ImageRight
    • Possession of an Adjuster License in the following states: CA, NV, AZ, WA, UT, OR, and AK, or at your own residence state
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