Claims Examiner Manager
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Job Description
Claims Examiner Manager supporting federal claims management program. Conducting claims intake, investigation, research, documentation, and case administration activities.
Responsibilities:
- Conduct initial intake and review of affirmative claims cases and related documentation.
- Request and obtain police reports, accident reports, medical records, insurance information, and other supporting documentation.
- Identify potential insurance carriers and gather information necessary to support claim development.
- Communicate professionally with claimants, insurance representatives, medical providers, attorneys, and government personnel.
- Draft initial Notices of Claim, standard demand letters, and routine correspondence for supervisory review.
- Maintain accurate electronic case files within the Affirmative Claims Management Program (ACMP) or similar claims management systems.
Requirements:
- 5-7 years of professional experience in claims processing, insurance operations, legal support, customer service, case management, or related fields
- Excellent written and verbal communication skills
- Strong organizational skills and attention to detail
- Proficiency with Microsoft Office Suite (Word, Excel, Outlook, and Teams)
- Ability to conduct research, gather information, and document findings accurately
Benefits:
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
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