What are the responsibilities and job description for the Claims Examiner- Medical position at Jobot?
Grow your career as a Claims Examiner !
This Jobot Job is hosted by: Lori Nelson
Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.
Salary: $75,000 - $90,000 per year
A bit about us:
Jobot is partnered with a company that has been conducting business in the U.S. market for over a century and we are licensed in all states, DC and Puerto Rico, and write all major lines of Commercial Property and Casualty Insurance. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals.
Why join us?
Just as we invest in our company, we invest in our employees’ careers. We provide our employees a collaborative and rewarding environment within which to gain the knowledge, skills, and experience that lead to a rewarding career. Our products allow our customers to take on opportunity with confidence. In turn, our competitive salaries, attractive benefits, and potential for career growth allow you to take on opportunity with confidence
Job Details
Interested in hearing more? Easy Apply now by clicking the "Apply Now" button.
This Jobot Job is hosted by: Lori Nelson
Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.
Salary: $75,000 - $90,000 per year
A bit about us:
Jobot is partnered with a company that has been conducting business in the U.S. market for over a century and we are licensed in all states, DC and Puerto Rico, and write all major lines of Commercial Property and Casualty Insurance. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals.
Why join us?
Just as we invest in our company, we invest in our employees’ careers. We provide our employees a collaborative and rewarding environment within which to gain the knowledge, skills, and experience that lead to a rewarding career. Our products allow our customers to take on opportunity with confidence. In turn, our competitive salaries, attractive benefits, and potential for career growth allow you to take on opportunity with confidence
Job Details
- Review submitted claims for coverage and determine if a matter is covered under the applicable policy.
- Investigate increasingly complex claims and coverage issues.
- Draft actions plans, including coverage recommendations, for the approval of Claims Managers for complex claims.
- Independently handle claims presently little to no coverage issues.
- Establish and revise claim reserves based on claim developments and counsel liability assessments.
- Draft coverage determination letters, including reservation of rights and denial letters.
- Appoint defense and/or coverage counsel, as appropriate.
- Obtain updates from defense counsel and/or coverage counsel and/or the Insured, as appropriate.
- Update claims diary as needed based on activity
- Authorize settlements based on liability and other considerations within settlement authority provided by Claims Manager.
- Review, approve, and reimburse the Insured for legal, expert/vendor invoices, and settlement.
- Conduct detailed bill reviews to ensure appropriate payment.
- Maintain a claim file by accurately documenting all communications, activity, etc.
- Communicate with brokers or reinsured clients to obtain information necessary for processing claims.
- Attend mediations, arbitration, etc. as needed.
- Assist Claims Manager in drafting claims-handling protocols.
Interested in hearing more? Easy Apply now by clicking the "Apply Now" button.
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