General Responsibilities:
Reviews, evaluates, and processes insurance claims and review recommendations regarding resolution. Review reports prepared by adjusters and validity of the claim. Communicates with agents, claimants, and policy holders.
Required:
Strong work ethic and attention to detail
Ability to prioritize and multitask in a fast-paced environment
Excellent written and verbal communication skills
Team Player Attitude!
Specific Duties May Include Any or All of the Following:
Maintain excellent communication skills
Proficient in deescalating difficult situations
Work collaboratively with other team members
Initial setup of claim from broker/insured to appropriate carrier/TPA
Claim follow ups
Address claim status requests
Complex claim review and explanations for brokers and insureds
Underwriting support to adjusters ensuring they have applicable information and documents for claim investigation
Maintain UIP Claim Procedures
Conduct Quarterly Claim Review meetings with TPAs and or Carrier Claims Team
Carrier Loss runs review/cleanup
Underwriting Alert Notifications for Large Loss Losses
Moratorium Alerts
File and respond (when applicable) to all claim related correspondence and documentation
Performs other duties as assigned
Knowledge of Software Required or Can Learn:
Applied EPIC
Trello
Rating Systems
Avaya
Microsoft Office 365
Please submit your resume below!
Thank you