
Senior Claims Resolution Professional
3 days ago
Insurance Claim Settlement Specialist Job Opportunity
- Job Summary: We are seeking an experienced insurance claim settlement professional to manage the entire claims process from submission to final resolution.
Key Responsibilities:
- Assess and investigate the validity of claims, ensuring timely and fair settlements.
- Handle the entire claims process, from reviewing submitted documentation to determining eligibility based on policy coverage.
- Coordinate with adjusters and external experts to verify claim validity.
- Negotiate settlement amounts with claimants and third parties.
- Maintain detailed records of claims processing activities.
- Collaborate with the fraud investigation team to detect potential fraudulent claims.
Requirements:
- A 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.
- Strong communication skills, both verbal and written.
Preferred Qualifications:
- Certification in claims management or insurance (AIC, CPCU, or equivalent).
- Experience handling sector-specific claims.
- Knowledge of fraud detection and investigation techniques.
Benefits and Opportunities:
- Work with a dynamic team to drive business growth and success.
- Develop your skills and expertise in the insurance industry.
- Contribute to the development of innovative solutions for claims management.
-
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