Claims Examiner I
Job Description:
• Conduct initial intake and review of affirmative claims cases and related documentation
• Request and obtain police reports, accident reports, medical records, insurance information, and other supporting documentation
• Identify potential insurance carriers and gather information necessary to support claim development
• Communicate professionally with claimants, insurance representatives, medical providers, attorneys, and government personnel
• Perform basic legal and insurance research utilizing available resources such as LexisNexis, Westlaw, and public databases
• Draft initial Notices of Claim, standard demand letters, and routine correspondence for supervisory review
• Maintain accurate electronic case files within the Affirmative Claims Management Program (ACMP) or similar claims management systems
Requirements:
• Associate's Degree or Bachelor's Degree preferred
• Minimum of 1-3 years of professional experience in claims processing, insurance operations, legal support, customer service, case management, or related fields
• Excellent written and verbal communication skills
• Strong customer service and interpersonal communication skills
• Strong organizational skills and attention to detail
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook, and Teams)
Benefits:
• Health insurance
• 401(k) matching
• Paid time off
• Professional development
• Remote work options
• Conduct initial intake and review of affirmative claims cases and related documentation
• Request and obtain police reports, accident reports, medical records, insurance information, and other supporting documentation
• Identify potential insurance carriers and gather information necessary to support claim development
• Communicate professionally with claimants, insurance representatives, medical providers, attorneys, and government personnel
• Perform basic legal and insurance research utilizing available resources such as LexisNexis, Westlaw, and public databases
• Draft initial Notices of Claim, standard demand letters, and routine correspondence for supervisory review
• Maintain accurate electronic case files within the Affirmative Claims Management Program (ACMP) or similar claims management systems
Requirements:
• Associate's Degree or Bachelor's Degree preferred
• Minimum of 1-3 years of professional experience in claims processing, insurance operations, legal support, customer service, case management, or related fields
• Excellent written and verbal communication skills
• Strong customer service and interpersonal communication skills
• Strong organizational skills and attention to detail
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook, and Teams)
Benefits:
• Health insurance
• 401(k) matching
• Paid time off
• Professional development
• Remote work options