
Claims Resolution Specialist
19 hours ago
Claims Settlement Expert
We are seeking an experienced Claims Settlement Expert to oversee the entire claims resolution process.
Main Responsibilities:
- Claims Processing: Manage the entire claims lifecycle from reviewing submitted documentation to determining eligibility based on policy terms.
- Data Analysis: Analyze data according to provided SOPs to ensure accurate and efficient claim handling.
- Claim Validation & Investigation: Conduct thorough investigations by collecting relevant data, conducting interviews, and working with adjusters and external experts to verify claim validity.
- Client Communication: Keep policyholders informed on the status of claims and provide clarity on coverage decisions.
- Settlement Negotiation: Negotiate settlement amounts with claimants ensuring that settlements are fair, within policy limits, and compliant with regulatory standards.
Required Skills and Qualifications:
- Strong understanding of insurance policies, claims processes, and regulatory requirements.
- Proven negotiation and conflict resolution skills.
- Ability to analyze complex claims data for fair settlement decisions.
Benefits:
The ideal candidate will have excellent communication and problem-solving skills, as well as the ability to work independently in a fast-paced environment.
About the Role:
This is an exciting opportunity for a highly motivated and organized individual to join our team and contribute to the success of our organization.
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