Position Details

Type Not Specified

Experience entry

Exp. Years 0+ years

Education High School Diploma required; Bachelor's degree preferred

Category Finance & Accounting

About this role

Assist in investigating, evaluating, and resolving low-complexity insurance claims; collaborate with internal stakeholders and comply with regulatory guidelines.

Key Responsibilities

Investigate, evaluate, and resolve low complexity claims
Review claim information for coverage
Adhere to Fair Claims Practices Regulations
Prepare and distribute claim reports
Collaborate with claims vendors and other departments

Technical Overview

Claims handling workflow, MS Office usage, cross-functional collaboration with Underwriting, Finance, Actuarial, IT

Ideal Candidate

The ideal candidate is an entry-level associate claims examiner with strong customer service and analytical skills, capable of investigating low-complexity claims with guidance, and ready to work in a hybrid environment.

Must-Have Skills

High school diploma requiredMust have or be eligible to receive claims adjuster licenseStrong customer service and communication

Nice-to-Have Skills

Bachelor's degree preferredInsurance industry knowledgeCross-functional collaboration experience

Required Skills

Investigate claimsevaluate coveragenegotiate resolutionresolve claimsadhere to Fair Claims Practices Regulationsprepare claim reportscross-functional collaborationMicrosoft OfficeExcelPowerPointWord

Hard Skills

Investigateevaluateand resolve claimsReview claim information to determine coverageEvaluate potential exposuresAdhere to Fair Claims Practices RegulationsPrepare and distribute claim reportsTraining and cross-functional collaborationNegotiate strategies for claim resolutionMicrosoft Office (ExcelOutlookPowerPointWord)Claims vendor managementRisk managementIT collaboration

Soft Skills

Excellent customer serviceExcellent written and oral communicationAnalytical and problem-solvingOrganizational and time managementAutonomyTeam collaboration

Certifications

Required

claims adjuster license

Industry & Role

Industry Insurance

Job Function Investigate and resolve low-complexity insurance claims in a hybrid-work environment

Role Subtype Finance & Accounting

Tech Domains Microsoft Office, Claims management systems

Keywords for Your Resume

associate claims examinermarkelinsuranceclaimsinvestigateevaluatenegotiateresolve claimsFair Claims Practices Regulationsclaims handlingclaim reportsUnderwritingvendor managementMicrosoft OfficeExcelPowerPointWordclaims adjuster licensetravelhybridclaims management systemsunderwriting

Deal Breakers

Lack of claims adjuster license eligibility, Lack of High School Diploma, Not able to work in a hybrid environment

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