22 Jobs in Blue Bell, PA
Intact Insurance Specialty Solutions is Hiring a Remote Claims Examiner (Remote)
Responsibilities
- Makes timely and appropriate contacts, determines and completes appropriate level of investigation to make determination of coverage, assess liability and determine damages for complex and specialized claims.
- Determines coverage, prepares coverage correspondence on appropriate claims, responds to coverage questions raised by insureds and others.
- Determines exposure, establishes adequate reserves and makes timely adjustments as required.
- Selects, assigns and directs activities of internal and external resources as required; including independent adjusters, appraisers and attorneys. Identifies questionable claims and consults with SIU for further direction as appropriate.
- Determines settlement value of the loss and negotiates proper settlement of claims within authority. Provides recommendations for settlement and disposition of claims exceeding authority level.
- Documents clearly and concisely all relevant activity on assigned files and makes recommendations for additional activity as appropriate.
- Anticipates and meets all customer needs (internal and external).
- May provide mentoring or training to other less experienced claim representatives.
- Stays abreast of state license requirements and participates in continuing education as required.
- Maintains a strong professional knowledge of regulatory and legal environments and applies this information effectively.
- Expert claims technical knowledge, and legal climate background is essential for associated business unit.
- Must have superior analytical, negotiation, decision making, problem solving, organizational and presentation skills. Must be a proven self-starter with strong multi-tasking and relationship management skills.
- Must be able to communicate professionally and effectively including expert oral, written and listening skills. Must be able to work both independently and as a member of a team and have the ability to interact with diverse groups of individuals.
- Must maintain a high level of accuracy, and provide follow-through on projects.
- Requires the ability to maintain confidential information. Must be able to work in a fast pace and rapidly changing environment.
- Demonstrated proficiency with computer software including Microsoft Office suite and other Claims tracking tools..
- Must maintain strong professional knowledge of industry trends, legislative issues and the marketplace for associated line of business.
- Bachelor’s degree or equivalent experience required.
- JD may be required depending upon the needs or requirements of a particular business unit.
- Minimum of 5-7 years of highly complex, specialty claims experience.
DivisionIntact Surety Group
LocationSouthfield MI
Location(s)Blue Bell PA, New York City NY, Plymouth MN, Remote, Southfield MI
CountryUnited States
About UsAt Intact Insurance Specialty Solutions we are experts at what we do. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that’s aligned to our targeted customer groups. Today, we help protect over a dozen industries with tailored coverages and services.
Job Summary
Full Time
$69k-88k (estimate)
05/28/2024
06/12/2024
intactspecialty.com
Minneapolis, MN
25 - 50
Related Companies
The job skills required for Claims Examiner (Remote) include Problem Solving, Decision Making, Microsoft Office, Presentation, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Examiner (Remote). That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Examiner (Remote). Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claims Examiner (Remote) positions, which can be used as a reference in future career path planning. As a Claims Examiner (Remote), it can be promoted into senior positions as a Claims Examiner III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Examiner (Remote). You can explore the career advancement for a Claims Examiner (Remote) below and select your interested title to get hiring information.
If you are interested in becoming a Claims Examiner, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Examiner for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Claims Examiner job description and responsibilities
Most medical claims examiners deal with paperwork on a daily basis and they are expected to work on multiple claims per day.
04/03/2022: Springfield, MA
Each claim often comes with supporting documents such as medical records and hospital bills and examiners need to look over each file carefully.
03/08/2022: Manchester, NH
Claims examiners are responsible for approving or rejecting claims or arranging settlements.
01/25/2022: Santa Fe, NM
Examiners may review medical bills or accident reports and they may consult specialists.
01/30/2022: Santa Barbara, CA
The Claims Examiner maintains a full case load of professional liability claims.
01/24/2022: Monroe, LA
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Claims Examiner jobs
Keep reading to learn more about a claims examiner role.
03/28/2022: Oklahoma City, OK
Candidates should know that having a critical thinking and outstanding decision-making give examiners the logic and reasoning to evaluate and resolve claims.
04/05/2022: Tulsa, OK
Most employers require or strongly prefer medical claims examiners that have some medical background such as a postsecondary diploma.
03/11/2022: San Antonio, TX
To determine whether a claim should be rewarded, an examiner must be aware of the red flags associated with fraudulent claims and possess detailed analysis skills.
01/30/2022: Bellingham, WA
To begin a career as a medical claims examiner, one must first learn certain knowledge and skills that will help them execute the duties of the job.
02/17/2022: Lawton, OK
Step 3: View the best colleges and universities for Claims Examiner.
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