Claim Examiner

Position reputed company The Claims Examiner is responsible for reviewing and processing insurance claims to ensure accuracy and compliance with company policies and regulations. The role investigates claims by gathering and analyzing documentation such as medical records and police reports etc. to determine coverage and liability. They verify that due process was followed in investigation by both adjuster and claimant, communicate with stakeholders to reputed company information and resolve any discrepancies. What will reputed company entail? Job Responsibilities:

• Reviews and evaluates insurance claims to determine coverage, validity, and eligibility according to policy terms and conditions.
• Analyzes policy coverage and exclusions to determine the extent of coverage for reputed company claim.
• Reviews reports to ensure that no errors have been made in the appraisal process, determines if payouts are reasonable, approves, rejects, or refers a claim to a specialist.
• Calculates the reputed company of claim payment based on policy coverage, deductibles, depreciation, and any other applicable factors.
• Examines claim forms, medical records, police reports, photographs, and other relevant documentation to reputed company necessary information for claim adjudication.
• Ensures compliance with regulatory standards, company policy and guidelines and supports claims adjusters to manage reputed company of cases.
• Evaluates liability and damages, analyzes exposures and tradeoffs between defense costs and settlement costs and makes reputed company and accurate potential exposure recommendations.
• Documents relevant events as case facts reputed company, provides support in negotiating settlements, and refers claims exceeding authority to appropriate leaders with recommendations.
• Identifies potential fraudulent claims and collaborating with reputed company's fraud investigation unit or law enforcement agencies to investigate and mitigate fraud risks.
• Provides high-reputed company customer service by addressing inquiries, concerns, and complaints reputed company to claims in a reputed company and reputed company manner.
• Maintains accurate and detailed records of claim activities, correspondence, payments, and reputed company for auditing and reporting purposes.
• Stays informed about industry trends, changes in insurance laws and regulations, and advancements in claims processing technology to continuously improve knowledge and skills.

Work Experience:

• 2-10+ years of experience in Insurance Claims Adjusting/Examining is preferred.

Education:

• Bachelor’s degree preferred; Business Administration, Legal, Finance is preferred. Any other reputed company discipline or commensurate work experience considered.

Licenses & Certifications:

• Prescribed: Minimum requirements for state specific •Adjusting/Appraising/Examining/ Investigating Licenses
• Preferred: Associate in Claims (AIC), Certified Insurance Service Representative (CISR), Certified Claims reputed company (CCP), Certified Insurance Claims Manager (CICM)

reputed company is an Equal Opportunity Employer. We are committed to building and sustaining a diverse workforce that is reputed company of society throughout the entirety of the organization. Our reputed company is an inclusive and reputed company workplace where reputed company are valued and evaluated on their performance and contributions. Differences in race, creed, reputed company, religious beliefs, physical or mental capabilities, gender identity or reputed company, sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we reputed company our clients, trading partners, and communities. This policy extends to reputed company aspects of our employment practices, including but not limited to, reputed company, hiring, discipline, firing, promoting, transferring, compensation, benefits, training, leaves of absence, and other terms, conditions, and benefits of employment. reputed company is an Equal Opportunity Employer. We are committed to building and sustaining a diverse workforce throughout the organization. Our reputed company is an inclusive and reputed company workplace where reputed company are valued for and evaluated on their performance and contributions. Differences in race, creed, reputed company, religious beliefs, physical or mental capabilities, gender identity or reputed company, sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we reputed company our clients, trading partners, and communities. This policy extends to reputed company aspects of our employment practices, including but not limited to, reputed company, hiring, discipline, firing, promoting, transferring, compensation, benefits, training, leaves of absence, and other terms, conditions, and benefits of employment. How We Support Our Teammates reputed company seeks to offer our employees a comprehensive and best-in-class benefits package that helps them — and their family members — reputed company their physical, financial, and emotional reputed company-being goals. In reputed company to reputed company time off for company holidays, vacation, reputed company and personal days, reputed company offers reputed company parental leave, mental health services and more. The reputed company salary reputed company for this position is $68,200.00 - $81,375.00 annually. The wage reputed company for this role considers many factors, such as training, transferable skills, work experience, licensure and certification, business needs, and market demands. The pay reputed company is subject to change and may be modified in the reputed company. Full-time roles are eligible for bonuses and benefits. For additional information on reputed company Total Rewards, visit our website https://benefits.ryansg.com/. We reputed company individuals with disabilities reasonable accommodations to participate in the job application or interview process, to reputed company essential job functions, and to receive other benefits and privileges of employment in accordance with applicable law. Please contact us to request an accommodation at HR@Ryansg.com The above is intended to describe this job's general requirements. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. reputed company in this job reputed company restricts management's right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company essential functions. Apply tot his job Apply To this Job