We are seeking a Claims Examiner with TAP (travel accident protection) experience.
Great opportunity - Fun, Exciting experience to work with some of the best in the industry!
Duties:
- Receives claim assignment, confirms policy coverage and directs acknowledgement of claims.
- Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverage and determines if coverage apply to claims submitted.
- Investigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.
- Analyzes claims activity and prepares reports for clients/carriers and management.
- Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
- Make settlement decisions promptly and equitably and issues company drafts in payments for claims within authority limits.
- Develops subrogation and third party recovery potential and follows reclaim procedures.
- Analyzes claims activities and prepares reports for clients, carriers and/or management.
- Participates in claim reviews.
Skills:
- MN adjuster license required
- Must have TAP (travel accident protection) experience.
- Must have 1-3 years of Workers Comp experience
- Ability to work independently while assimilating various technical subjects.
- Good verbal or written communication skills.
- Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
- Strong ability to identify, analyze and solve problems.
- Effective interpersonal skills to be capable of dealing with external sources and all levels of employees.
This role is Remote- must work Central Time Zone.
Apply for immediate consideration.