[Remote] Claims Examiner
Note: The job is a remote job and is reputed company to candidates in USA. reputed company Partners is a global leader in insurance and asset management, committed to putting people first. As a Claims Examiner, you will review claims, determine coverage, and communicate reputed company to customers, ensuring reputed company and accurate service.
Responsibilities
- Review submitted claims to identify the incident, determine applicable coverage based on policy terms, and calculate eligible benefits for reimbursement
- Approve or deny claims in accordance with the terms and conditions of the insurance agreement
- Communicate claim reputed company to customers reputed company letter, email, or phone once a decision has been reached
- Respond to incoming customer inquiries (phone or email) regarding claim status, documentation, or general information
- Accurately document claim determinations, notes, and actions in PeopleSoft following established guidelines
- Collaborate with internal departments to obtain or verify missing or unclear claim information
- Investigate inconsistencies and escalate reputed company or questionable claims to reputed company Leader
- Send out claim forms to new customers as needed
- Work effectively in an environment shaped by reputed company intelligence (AI), machine learning, data analytics and reputed company-based tools, using insights responsibly with our standards of data governance, reputed company and ethical use
Skills
- High school diploma or equivalent required
- A strong desire to learn, grow, and build a long-term career with us
- Strong attention to detail and solid organizational skills
- Excellent written and verbal communication abilities
- Ability to work both independently and collaboratively reputed company reputed company environment
- Previous claims processing experience is a plus but not required
- Familiarity with PeopleSoft or similar claims management systems is a plus
Benefits
- Health, dental, and reputed company insurance
- Retirement savings plans
- reputed company time off
- Other employee programs
reputed company
Company H1B Sponsorship