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    Claim Examiner- Remote - Dallas, United States - Select Source International

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    Description

    Job Description

    Investigate, evaluate, and settle claims, using technical knowledge and human relations skills to ensure fair and prompt resolution of cases and contribute to reducing loss ratios.

    • Adjust reserves or provide reserve recommendations in line with corporate policies.
    • Resolve complex claims with high service-oriented file handling.
    • Process claims within designated authority levels.
    • Examine investigated claims, conducting further investigations when needed.
    • Analyze data for settling claims and ensure settlements adhere to company practices.
    • Keep claim files updated with accurate documentation.
    • Collaborate with legal counsel on litigated claims.
    • Interview relevant parties for additional information on claims.
    • Maintain organized claim files and records.

    Qualifications/Education:

    • Licensing requirements vary by state.
    • Proficiency in analytical, document management, and database query software.
    • Proficient in Microsoft Office applications.
    • Two to four years of relevant work experience.
    • Strong attention to detail and excellent customer service skills.

    Desired Qualities:

    • Familiarity with state and national laws and regulations.
    • Understanding of medical and legal terminology.

    Must Have - NY Adjuster License



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