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Form of workJob Description
Position: Claims Examiner
Location: 100% Remote
Duration: 06+ months contract with possibility of extension
Shift timing: Mon- Fri: 8 hrs/day & 40 hrs/week
Pay Rate: $28/hr on W2
Must have Active Claims Adjuster MN Licensure
Job Description:
Duties:
- Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.
- Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.
- Investigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.
- Analyzes claims activity and prepares reports for clients/carriers and management. Establish reserves, using independent judgment and expertise and authorize payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
- Make settlement decisions promptly and equitably and issue company drafts in payments for claims within authority limits.
- Develops subrogation and third party recovery potential and follows reclaim procedures.
- Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews
Skills:
- PAYMENTS
- CLAIMS
- Ability to work independently while assimilating various technical subjects.
- Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
Education:
- Bachelor's degree or equivalent experience required.
- Comprehensive claims investigations/settling experience 1-3 years experience in Claims or similar organization
