We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managing and adjudicating complex insurance claims, ensuring accuracy, efficiency, and adherence to company policies and regulatory guidelines. The ideal candidate will possess a strong background in claims processing, exceptional analytical skills, and a commitment to delivering superior customer service.
Salary/Benefits
$80k-$85k
Health, Vision, Dental, and FSA
401(k) with competitive company matching
24 PTO Days
10 Paid Holidays
Job Description
Adjusts and resolves moderate to complex claims that includes all phases of litigation
Accurately documents claim files with all relevant claim documentation, correspondence, and notes in compliance with company policies and applicable regulatory authorities
With minimal supervision, drafts coverage letters, including reservation of rights and denial letters
Reviews and analyses claim documentation and legal filings to set timely and accurate a reserves and notify the manager if upward segmentation is needed
Identifies emerging exposures and claims trends
Requirements
A JD from an ABA accredited law school may be considered as a supplement to claims handling experience Advanced knowledge of claims analysis and adjusting practices
B.A./B. S degree from an accredited College or University preferred