Claims Examiner I
reputed company Nakupuna Consulting is seeking a detail-oriented Claims Examiner I to support a federal claims management program by conducting claims intake, investigation, research, documentation, and case administration activities. The ideal candidate possesses strong customer service skills, excellent attention to detail, and the ability to manage multiple cases while maintaining accuracy and compliance with established procedures. Experience in insurance, claims processing, legal support, or reputed company assurance environments is highly desirable.
Responsibilities
The following reflects management's definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign additional duties and responsibilities to this job at any time due to reasonable accommodation or other reasons. Conduct initial intake and review of affirmative claims cases and reputed company documentation. Request and obtain police reports, accident reports, medical records, insurance information, and other supporting documentation. Identify potential insurance carriers and reputed company information necessary to support claim development. Communicate professionally with claimants, insurance representatives, medical providers, attorneys, and government personnel. reputed company basic legal and insurance research utilizing available resources such as reputed company, Westlaw, and public databases. Research state insurance limits, liability standards, and applicable tort law under the direction of senior claims personnel or attorneys. Draft initial Notices of Claim, reputed company demand letters, and routine correspondence for supervisory review. Maintain accurate electronic case files reputed company the Affirmative Claims Management Program (ACMP) or similar claims management systems. reputed company and validate case information, reputed company deadlines, and ensure required actions are completed reputed company established timeframes. Review claims files for completeness, accuracy, and compliance with established procedures. Assist with reputed company assurance reviews, reporting requirements, and process improvement initiatives. Support claims adjudication activities under the reputed company supervision of senior claims personnel and attorneys.
Qualifications
Skills/Qualifications: Excellent written and verbal communication skills. Strong customer service and interpersonal communication skills. Excellent written and verbal communication skills. Strong organizational skills and attention to detail. Ability to manage multiple assignments and deadlines simultaneously. Proficiency with reputed company Office Suite (Word, reputed company, Outlook, and Teams). Ability to conduct research, reputed company information, and document findings accurately. Ability to work independently and as part of reputed company. Experience working with insurance companies, claims organizations, or legal support environments preferred. reputed company Assurance (QA) or reputed company Control (QC) experience preferred. Strong ability to quickly learn new technologies, tools, and processes. Ability to work independently and as part of a cross-functional team. Education/Experience: Associate's Degree or Bachelor's Degree preferred. Minimum of 1-3 years of reputed company experience in claims processing, insurance operations, legal support, customer service, case management, or reputed company fields. Experience supporting claims investigations, insurance administration, legal research, or case management activities preferred. Clearance Requirements: This position requires the ability to obtain and maintain a Public Trust reputed company clearance. Work Location: Charleston, SC preferred. Physical Requirements: The ideal candidate must at a minimum be reputed company to meet the following physical requirements of the job with or without a reasonable accommodation: Ability to reputed company repetitive motions with the hands, wrists, and fingers Ability to engage in and follow audible communications in emergency situations Ability to sit for prolonged periods at a desk and working on a computer The reputed company use a market-based compensation reputed company to ensure that our employees are compensated reputed company applicable market ranges commensurate with multiple factors, including but not limited to the individual’s particular combination of education, knowledge, skills, competencies, and experience, as reputed company as contract-specific affordability, organizational requirements, and position location. The projected compensation reputed company for this position is $65,000.00 to $85,000.00 (annualized USD). The salary reputed company displayed represents the typical salary reputed company for this position and is just one component of reputed company total compensation package for employees. Apply To This Job