Claim Examiner-Remote at Generis Tek Inc.

Please Contact : To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Bhakti Lakhote at email address

can be reached on #

630-576-1905

.

We have Contrac t role for Claim Examiner-Remote f or our client Garden City, NY. Please let me know if you or any of your friends would be interested in this position.

Position Details:
Claim Examiner-Remote- Garden City, NY
Location : Garden City, NY (Remote)
Project Duration : 6 months
Pay Rate : $18/hr on W2

Job Description
This is a Claims Examiner for Travel Insurance Claims
Must Have Active New York Adjusters License
Must be local to EST or CST time zone.

Responsibilities:
• Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
• Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
• Resolve complex, severe exposure claims, using high service-oriented file handling.
• Pay and process claims within designated authority level.
• Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments. • Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
• Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
• Confer with legal counsel on claims requiring litigation.
• Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
• Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.

Qualifications/Education:
• Bachelor’s Degree.
• Licensing requirements vary by state: Active New York state adjuster's license required; multiple state licenses encouraged.
• Proficiency in analytical, document management, and database query software.
• Proficiency in Microsoft Office applications.
• Two to four years of work-related experience.
• Exceptional attention to detail.
• Excellent customer service and communication skills.
• General knowledge of state and national laws and regulations.
• General understanding of medical and legal terms.
• Experience in a claims production environment with set goals and quality scores that must be obtained.