
Claims Professional
8 hours ago
Job Overview
">- Analyze claims data to assess eligibility and determine the validity of insurance claims.
- Determine claim entitlements in accordance with policy terms and conditions.
- Manage communication with customers, adjusters, and third parties throughout the claims process.
- Negotiate settlements with claimants and ensure compliance with regulatory requirements.
- Maintain accurate and detailed records of claims processing activities.
Key Responsibilities
">- Process claims from receipt to final settlement, adhering to established procedures and standards.
- Investigate claims for accuracy and completeness, identifying any discrepancies or inconsistencies.
- Collaborate with internal teams, including legal and fraud investigation, as needed to resolve complex claims.
- Develop and implement strategies to improve claims efficiency, productivity, and customer satisfaction.
- Stay up-to-date on industry developments, regulatory changes, and best practices in claims management.
Requirements
">- Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field.
- 2+ years of experience in insurance claims handling or settlement.
- Strong understanding of insurance policies, claims processes, and regulatory requirements.
- Excellent negotiation and conflict resolution skills.
- Ability to analyze complex data and make informed decisions.
Preferred Qualifications
">- Certification in claims management or insurance (AIC, CPCU, or equivalent).
- Experience handling sector-specific claims (e.g., health, agriculture, property, or auto insurance).
- Knowledge of fraud detection and investigation techniques.
- Experience with claims management software.
We Offer
">- Competitive salary with performance-based bonuses.
- Comprehensive health, dental, and vision benefits.
- Opportunities for career advancement and professional development.
- Collaborative work environment focused on customer satisfaction.
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