Claims Examiner –Remote
Please Contact : To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty at email address Abhinav.
[email protected] can be reached on # 630-576-1925.
We have Contract role for Claims Examiner Remote f or 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 Abhinav.
[email protected] can be reached on # 630-576-1925.