Handle calls from the Nationwide Toll-Free Service which may originate from any area within the network or from another network-this comprises of about 65% of the position.
March 31, 2021
Manages, controls and negotiates timely and equitable claim payments and settlements in accordance with jurisdictional and fair claims practice requirements and company policy and procedures.
April 02, 2021
Provides direct guidance and assistance to customers regarding processing procedures and explains how their inquiries will be answered if additional information is requested.
April 09, 2021
Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
April 15, 2021
Review and research incoming healthcare claims from members and providers(doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing .
April 20, 2021
Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies.
April 23, 2021
Assist in the department's effort to continuously improve service by identifying and recommending changes or additions to current workflow, practices, processes, procedures, systems, and training.
April 25, 2021