Insurance Claims Specialist

Lingo Staffing is looking to hire an experienced Accident Insurance Claims Specialist for a construction supply company located in Wallingford, CT!

Hours : Onsite, Monday-Friday 8am-5pm

Pay : Starting at 25$+ / hour depending on experience

This individual will be responsible for reviewing, processing, and resolving accident / injury-related insurance claims in a timely, accurate, and compliant manner. The ideal candidate will have a strong understanding of insurance policies, claim procedures, and applicable state regulations, as well as excellent communication and analytical skills.

The responsibilities of the Accident Insurance Claims Specialist are :

• Review and analyze accident and injury claims to determine coverage, liability, and appropriate compensation.
• Investigate claims by gathering statements, police reports, medical records, and supporting documentation.
• Communicate with policyholders, medical providers, attorneys, and adjusters to ensure claims are handled efficiently.
• Evaluate medical bills and other claim-related expenses for accuracy and policy compliance.
• Prepare claim determinations, settlement recommendations, and documentation for final approval.
• Maintain accurate and detailed records within the company’s claims management system.
• Ensure compliance with state and federal insurance regulations and company policies.
• Provide updates and reports to management regarding claim status and trends.
• Collaborate with internal departments such as Risk Management and Legal as needed.

Participate in continuous improvement efforts to streamline the claims process.

The requirements of the Accident Insurance Claims Specialist are :

Ability to handle confidential information and manage multiple priorities in a fast-paced environment.

Preferred skills of the Accident Insurance Claims Specialist are :

Background in construction, or manufacturing environments is a plus.

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