L&A Claims Examiner
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Claims Examiner in charge of documenting calls and analyzing claim eligibility. Collaborating with stakeholders to ensure accurate processing of payments and managing claim inventories.
Responsibilities:
- Documenting calls
- Completing follow-up work
- Identifying potential risks such as fraud
- Analyzing incoming documents to determine claim eligibility
- Calculating benefit amounts
- Approving payments
- Resolving claims adjudication issues
- Managing calls with various stakeholders
- Ensuring accurate tax reporting
- Maintaining detailed claim files
- Processing death claims for life or annuity contracts
- Meeting performance targets
- Maintaining claim inventories within guidelines
- Working harmoniously within a team
- Handling multiple computer systems
- Performing mathematical calculations
Requirements:
- Bachelor’s Degree preferred
- High School Diploma or GED or equivalent experience in financial institution operations, customer service, and/or annuity service operations
- Candidate preferred with transaction processing work experience in a similar environment in an Insurance process.
- However, candidate with no experience may be considered for the job.
Benefits:
- For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
Similar Jobs
Bilingual Auto Property Damage Claims Adjuster
Bilingual Auto Property Damage Claims Adjuster at insurtech startup focused on automation and efficiency in claims. Managing claims and providing high-quality customer service to policyholders and claimants.
Claims Examiner
WC Claims Examiner managing workers compensation claims for clients, determining compensability and communicating with stakeholders. Ensuring timely resolution based on industry standards and legal statutes.
Claims Associate – Liability, NY & HI license Prop/Cas
Analyzing reported lower-level liability claims to determine benefits due for a global risk and claims administration leader. Ensuring ongoing adjudication of claims within company standards and industry best practices.
Complex Claims Adjuster – Auto and Property Damage
Transportation Physical Damage Claims Adjuster for insurtech company focused on AI and automation in claims. Handling claims inventory and providing high-quality customer service to policyholders and claimants.
Commercial Complex Claims Adjuster – Auto Damage
Transportation Physical Damage Claims Adjuster responsible for managing claims and customer service at Reserv, an insurtech focused on efficiency in claims processing.
Claims Associate Analyst
Claims Associate Analyst providing analytical support in the evaluation and resolution of insurance claims. Investigating claims, negotiating settlements, and collaborating with various stakeholders for timely outcomes.
General Liability Claims Adjuster
General Liability Claims Adjuster at Reserv insurtech focusing on automating claims processes and ensuring customer satisfaction. Responsible for managing claims inventory and collaborating with teams for optimal outcomes.
Senior Auto & General Liability Claims Adjuster
Senior Commercial Auto & General Liability Adjuster handling medium complexity claims for Amerisure insurance. Collaborating with stakeholders and managing litigated claims remotely.
Commercial Liability Claims Specialist
Handles complex commercial liability claims while working remotely for Erie Insurance. Exercises discretion in investigations and recommendations concerning coverage and litigated claims.
Claims Adjuster – Workers Compensation, Med Only, Indemnity exp
Analyzing mid- and higher-level workers compensation claims to determine benefits due. Managing claims and negotiating settlements while ensuring compliance with company standards and best practices.
Senior Claims Specialist, Professional Liability, E&O, D&O, EPL
Analyzing complex professional liability claims in a remote role at Sedgwick. Managing claims with a focus on customer service and compliance to company standards.
Bodily Injury Transportation Claims Adjuster
Transportation Claims Adjuster providing customer service and managing inventories for auto insurance claims at Reserv, an insurtech focused on automating claims processes.
Transportation Claims Adjuster – Auto Physical and Property Damage
Transportation Claims Adjuster in a tech-driven insurtech focused on automating claims processes. Handling customer inquiries and managing claims in an evolving environment.
Insurance Claims Specialist
Insurance Claims Specialist acting as primary contact for U.S. property claims. Reviewing documentation and ensuring compliance with regulations while working remotely from South Africa.
Senior Complex & Represented Claims Representative
Senior Claims Representative managing complex homeowner claims at a tech-focused insurance company. Providing a fast and friendly claims experience while negotiating with stakeholders for resolution.
Transportation Claims Adjuster – Auto and Property Damage
Transportation Claims Adjuster for Reserv, an insurtech company automating claims. Engaging with customers to resolve claims effectively while managing an inventory and ensuring compliance.
Senior Catastrophe Claims Adjuster
Senior Catastrophe Claims Adjuster resolving complex property claims and negotiating settlements. Join the growing Claims team in a profitable catastrophe-exposed property insurance company.
Claims Specialist II, PIP
Investigate and manage Personal Injury Protection (PIP) Claims while providing excellent customer service at Mercury Insurance. Requires knowledge of claims processes and medical terminology.
Senior Treasury Claims Analyst
Senior Treasury Claim Analyst managing claim payment processes at Prime Therapeutics. Responsible for complex analysis and regulatory compliance in pharmacy and member payments.
Claims Examiner, Auto – Recovery
Claims Examiner processing complex auto recovery claims requiring high exposure litigation expertise remotely for a leading risk management partner.