Claims Admin / Examiner

Some responsibilities include Investigation: Gathering information and documentation from various sources, including policyholders, agents, and third parties. Evaluation: Assessing the accuracy and completeness of claims, determining policy coverage, and calculating claim amounts. Resolution: Negotiating settlements, processing claims, and ensuring timely resolution while adhering to company policies and regulatory requirements. Communication: Liaising with clients, agents, and internal departments to provide updates and resolve issues. Documentation: Maintaining detailed and organized records of all claim activities and policy information. Compliance: Upholding company policies and adhering to federal, state, and local regulations. Fraud Prevention: Identifying and reporting suspicious or fraudulent claims.

Responsibilities not listed.

• Prior Claims experience highly beneficial
• Candidates from Insurance (Life or General) or BPO industries will be considered favorably.

• Investigation: Gathering information and documentation from various sources, including policyholders, agents, and third parties.
• Evaluation: Assessing the accuracy and completeness of claims, determining policy coverage, and calculating claim amounts.
• Resolution: Negotiating settlements, processing claims, and ensuring timely resolution while adhering to company policies and regulatory requirements.
• Communication: Liaising with clients, agents, and internal departments to provide updates and resolve issues.
• Documentation: Maintaining detailed and organized records of all claim activities and policy information.
• Compliance: Upholding company policies and adhering to federal, state, and local regulations.
• Fraud Prevention: Identifying and reporting suspicious or fraudulent claims.

Our Claims team ensures that we are delivering exceptional, world-class Claims services to our globally distributed stakeholders within agreed SLAs.