Claims Processor

Bert J. van der Werff Agencies of New York LLC, a leading insurance company, is seeking a motivated Claims Processor to join our dedicated team. As a Claims Processor, you will play a crucial role in handling and processing insurance claims accurately and efficiently. Offering a dynamic work environment with opportunities for growth and advancement, we are committed to providing exceptional service to our clients.

• Review and validate insurance claims documentation to ensure accuracy and completeness
• Process insurance claims in accordance with company policies and procedures
• Conduct investigations and gather necessary information to resolve claims and make appropriate decisions
• Communicate with policyholders, agents, and healthcare providers to obtain additional information or clarify claim details
• Collaborate with internal teams to ensure timely and accurate claim processing
• Identify potential fraudulent claims and take appropriate actions to mitigate risk
• Maintain accurate and comprehensive records of all claim activities

Requirements

• High school diploma or equivalent; bachelor’s degree in a relevant field preferred
• Previous experience in claims processing or a similar role within the insurance industry is highly desirable
• Knowledge of insurance policies, procedures, and guidelines
• Familiarity with medical terminology and coding systems
• Strong attention to detail and the ability to analyze complex information
• Excellent communication and interpersonal skills
• Proficient in computer software applications, including Microsoft Office Suite
• Ability to work independently and handle sensitive information confidentially
• Strong problem-solving and decision-making abilities
• Customer-oriented mindset and a commitment to providing exceptional service to policyholders

Benefits

• Health Care Plan (Medical, Dental & Vision)
• Life Insurance (Basic, Voluntary & AD&D)
• Paid Time Off (Vacation, Sick & Public Holidays)