Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)
Recent and Upcoming College Graduates are encouraged to apply, no experience needed. No sales or phone work required.
Delaware Claims Processing Facility has openings in its downtown Wilmington, DE location for Claims Analysts
Qualifications
Ideal candidates will be hard working with a high energy level; the ability to remain focused and recall data is key. This position requires excellent organizational skills, and strong reading comprehension skills. Along with the ability to work independently in a team environment, candidates should be able to grasp new concepts quickly. Comfort in an ever-changing production environment, and Associates or Bachelor’s Degree needed. Must be able to learn and apply new concepts.
Duties
Review Claims in accordance with Review procedures. Take a proactive approach to claims processing and utilize resources to ensure proper handling of all claims. Maintain satisfactory or better quality and productivity standards. Portray a positive claimant focused attitude. Maintain a professional demeanor at all times.
In addition to a pleasant and professional working environment, Delaware Claims Processing Facility offers a competitive salary and benefits package to include transportation allowance, tuition reimbursement, 401-K, hybrid work from home plans and more.
Apply online here or visit our website to learn more about DCPF and what we can offer you www.delcpf.com
Delaware Claims Processing Facility is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.