- 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.
- 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.
- Familiarity with state and national laws and regulations.
- Understanding of medical and legal terminology.
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Claim Examiner- Remote - Dallas, United States - Select Source International
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.
Qualifications/Education:
Desired Qualities:
Must Have - NY Adjuster License