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Claims Examiner –Remote

Generis Tek Inc
Columbus, OH, United States
$18 an hour
Remote
Full-time

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.

18 days ago
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