[Remote/WFM] Claims Analyst/Claims Adjuster (Remote)

Unlock your potential with a new role at workwarp as a Claims Analyst/claims Adjuster! Join our team in the heart of Remote and enjoy a dynamic work environment. This position requires a strong and diverse skillset in relevant areas to drive success. We believe in rewarding talent. The total rewards package for this role includes a competitive salary.

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This is a Claims Examiner for Travel Insurance Claims

MUST HAVE: Active New York state adjuster's license required along multiple state licenses

Candidates will be working in Claims Examination Production environment.

Candidates expeirenced with Aon s competitor will be highly preffered so please focus on to look for relevant candudates.

Responsibilities: Â Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio. Â Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies. Â Resolve complex, severe exposure claims, using high service-oriented file handling. Â Pay and process claims within designated authority level. Â Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments. Â Verify and analyze data used in... settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures. Â Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation. Â Confer with legal counsel on claims requiring litigation. Â Contact or interview claimants, doctors, medical specialists, or employers to get additional information. Â Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.

Qualifications/Education:
 Bachelor s Degree.
 Licensing requirements vary by state: Active New York state adjuster's license required; multiple state licenses encouraged.
 Proficiency in analytical, document management, and database query software.
 Proficiency in Microsoft Office applications.
 Two to four years of work-related experience.
 Exceptional attention to detail.
 Excellent customer service and communication skills.
 General knowledge of state and national laws and regulations.
 General understanding of medical and legal terms.

 Experience in a claims production environment with set goals and quality scores that must be obtained.

Job Types: Full-time, Part-time, Contract

Pay: $19.00 - $20.45 per hour

Expected hours: 40 per week

Benefits:
 401(k)
 Dental insurance
 Health insurance
 Paid time off
 Vision insurance

Experience:
 a Claims Examiner for Travel Insurance Claims: 2 years (Required)
 Claims Examination Production environment: 1 year (Required)

License/Certification:
 Active NY and multiple 4,5 state adjuster's license (Required)
 Active NY and multiple state adjuster's license required; (Required)

Work Location: Remote Apply Job!

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