Join us as an Adjustment Examiner, where you will play a vital role in the claims process. Your responsibilities will include assessing claims, communicating with stakeholders, and ensuring adherence to company policies and industry standards.
Responsibilities
Assess and verify insurance claims for accuracy and validity.
Conduct interviews with claimants and gather supporting documentation.
Ensure adherence to compliance requirements and company standards.
Investigate discrepancies in claims to identify potential issues.
Maintain accurate records of claims and related communications.
Provide guidance to clients regarding the claims process.
Prepare detailed reports on claims activity for management review.
Requirements
Education
Bachelor's degree in Finance or Business Administration
Additional certifications in insurance preferred
Experience
2-3 years of relevant experience in claims processing or similar roles
Technical Skills
Claims Processing Software
Data Analysis Tools
Soft Skills
Problem-solving
Teamwork
Certifications
CPCU (Chartered Property Casualty Underwriter)
IAIABC (International Association of Industrial Accident Boards and Commissions)
Languages
English: Fluent
Advantageous
Training and Mentoring Experience: Experience in mentoring new team members is a plus.
Understanding of Regulatory Requirements: Knowledge of the latest compliance regulations in the insurance industry.
Benefits
Comprehensive health insurance
401(k) plan with matching contributions
Generous leave policies
Training and mentorship programs
Wellness programs and initiatives
Company Culture
Innovation: Creativity and innovation are at the core of our business ethos.
Employee Growth: We actively support our employees' professional growth and personal aspirations.
Diversity: We celebrate diversity and encourage unique perspectives.