Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Bhakti Lakhote at email address bhakti.lakhote@generistek.com can be reached on # 630-576-1905.
We have Contract role for Claims Examiner -Remote for our client Garden City, NY. Please let me know if you or any of your friends would be interested in this position.
Position Details:
Claims Examiner -Remote- Garden City, NY
Location: Garden City, NY (Remote)
Duration: 3+ months (contract role)
Job description:
Claims processing experience required
Adjuster license in New York State is Required
Must be in EST or CST Time Zone
Work is remote EST Hours
Responsibilities: • 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. • Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies. • Resolve complex, severe exposure claims, using high service oriented file handling. • Pay and process claims within designated authority level. • Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments. • 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. • Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation. • Confer with legal counsel on claims requiring litigation. • Contact or interview claimants, doctors, medical specialists, or employers to get additional information. • Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis. Qualifications/Education: • Licensing requirements vary by state. • Proficiency in analytical, document management, and database query software. • Proficiency in MS Office applications. • Two to four years of work related experience. • Exceptional attention to detail. • Excellent customer service and communication skills. Desired Qualities: • General knowledge of state and national laws and regulations. • General understanding of medical and legal terms.
To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Bhakti Lakhote at email address bhakti.lakhote@generistek.com can be reached on # 630-576-1905.