Claims Examiner / Great Place To Work!
This Jobot Job is hosted by : Jerome Ouvier
Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.
Salary : $80,000 - $120,000 per year
A bit about us :
Client specializes in underwriting, insurance coverage for small businesses in a specific niche market. Insurance policies include GL, PL, Property & Casualty etc.
Why join us?
Competitive salary and performance-based incentives.
Comprehensive health, dental, and vision insurance plans.
401(k) retirement plan with company match.
Generous paid time off and holiday schedule.
Employee wellness programs and resources.
Job Details
We are seeking a highly skilled and detail-oriented Specialty Claims Examiner to join our dynamic team. The ideal candidate will have a strong background in claims examination, with a focus on specialty insurance products.
This role requires exceptional analytical skills, a thorough understanding of insurance policies, and the ability to navigate complex claims with professionalism and empathy.
Key Responsibilities :
Claims Evaluation : Review and analyze claims to determine coverage, liability, and damages. Ensure all claims are handled in accordance with company policies and regulatory requirements.
Documentation and Reporting : Accurately document claim investigations, findings, and decisions. Prepare comprehensive reports for internal and external stakeholders.
Customer Interaction : Communicate effectively with policyholders, claimants, and legal representatives. Provide clear and concise explanations of coverage, claim status, and settlement options.
Fraud Detection : Identify potential fraudulent claims and conduct thorough investigations to mitigate risk. Collaborate with the Special Investigations Unit (SIU) as necessary.
Negotiation and Settlement : Negotiate fair and equitable settlements with claimants and their representatives. Ensure timely and accurate processing of claim payments.
Continuous Improvement : Stay current with industry trends, regulations, and best practices. Participate in ongoing training and development to enhance expertise in specialty claims.
Qualifications :
Bachelor’s degree in Business, Insurance, or a related field.
Minimum of 5 years of experience in claims examination, with a focus on specialty insurance products.
Strong analytical and problem-solving skills.
Excellent written and verbal communication abilities.
Proficiency in claims management software and Microsoft Office Suite.
Ability to work independently and as part of a team in a fast-paced environment.
Exceptional attention to detail and organizational skills.
Professional certifications such as AIC, CPCU, or similar are a plus.
Interested in hearing more? Easy Apply now by clicking the "Apply Now" button.
Probate and Estate Claims Examiner - Hybrid in Colorado, (Mostly Remote)
We are seeking a talented individual for a Senior Assistant Claims Examiner who is responsible for processing all who. May serve as an escalation point for assistant claims examiner. This includes intake, maintenance, claims review and selection, asset investigation, court filings and deadline manag...
Claims Examiner
Claims Examiner / Great Place To Work!. We are seeking a highly skilled and detail-oriented Specialty Claims Examiner to join our dynamic team. Claims Evaluation: Review and analyze claims to determine coverage, liability, and damages. The ideal candidate will have a strong background in claims exam...
Probate and Estate Claims Examiner - Hybrid in Colorado, (Mostly Remote) $20.00 - $25.00 an hour
We are seeking a talented individual for a Senior Assistant Claims Examiner who is responsible for processing all who. May serve as an escalation point for assistant claims examiner. This includes intake, maintenance, claims review and selection, asset investigation, court filings and deadline manag...
Medical Claims Examiner
Review medical claims that are held with a pend or hold code and using our desk level procedures to apply appropriate guidelines for processing the claim. Claims experience is the primary skill needed for the positions. ...
Medical Claims Examiner
Skills:Medical , Claims Adjudication, Claims Processing, Payment Determination, ICD-10, CPT Codes Experience:Experienced3 year(s). Adjudicates medical claims/bills for payment or denial within contract agreement or guidelines/protocol, using knowledge of medical claim/bill payment processing and med...
Auto Liability Bodily Injury Claims Examiner
Auto Liability Bodily Injury Claims Examiner. To analyze and process complex auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims...
Senior Claims Examiner - Workers Compensation
Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Technical claims in...
Claims Examiner
We are seeking a highly skilled and detail-oriented Specialty Claims Examiner to join our dynamic team. Claims Evaluation: Review and analyze claims to determine coverage, liability, and damages. The ideal candidate will have a strong background in claims examination, with a focus on specialty insur...
Medical Claims Examiner/Adjudicator
Skills:Claims Processing, Claims, Diagnostic Procedures, ICD-9, ICD-10, CPT Codes, Data Collection, CPC, Patient Care Coordination, Medical Billing, Medical Software, HIPAA, OSHA, Medical Billing - Denials, EHR/Epic, Microsoft Office, EMR, Medicare Compliance, Claims Adjudication Experience:undefine...
Probate and Estate Claims Examiner - Hybrid in Colorado, (Mostly Remote)
We are seeking a talented individual for a Senior Assistant Claims Examiner who is responsible for processing all who. May serve as an escalation point for assistant claims examiner. This includes intake, maintenance, claims review and selection, asset investigation, court filings and deadline manag...