
Claims Resolution Expert
2 days ago
We are seeking an experienced Claims Manager to oversee the entire claims settlement process, from submission to final resolution.
- Key Responsibilities:
- Assess claims, investigate their validity, and ensure timely and fair settlements.
- Analyze data according to provided SOPs to ensure accurate and efficient claim handling.
- Conduct thorough investigations by collecting relevant data, conducting interviews, and working with adjusters and external experts to verify claim validity.
- Negotiate settlement amounts with claimants and third parties, ensuring that settlements are fair, within policy limits, and compliant with legal standards.
- Maintain detailed records of claims processing activities, including assessments, investigation reports, and settlement documentation.
- Identify and flag potential fraudulent claims, collaborating with the fraud investigation team when necessary.
- Key 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.
- Strong communication skills, both verbal and written.
- Attention to detail with excellent organizational abilities.
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