Senior Claims Examiner - (Hybrid - Remote)

Kalispell, Montana

Posted in Consultancy

This job has expired.

Job Info

Senior Claims Examiner

What can you expect?

  • This position is a highly visible position in our flood claims department where you will be supporting our clients
  • In the first 30/60 days you can expect to have 1-1 training to gain knowledge of the business and how we operate. Learning the systems we use will be essential. You can expect to get acquainted with the team and by 90 days you can expect to be closing claims
  • You would be joining a team of highly motivated and knowledgeable individuals
What is in it for you?
  • Work for a global company with excellent benefits competitive salary and a dynamic culture
We will count on you to:
  • Provides guidance and reviews (complex) escalated claims in order to determine coverage and what policies will be impacted by a claim and provides resolution where possible, otherwise refers claim to Claims Advocate to ensure the proper processing of claims.
  • Reviews incoming documentation and new claims notifications of a complex nature or for large and/or complex clients, informs all relevant parties of any potential problems or contentious claims, and refers to Claims Advocates as needed in order to ensure the proper protocol is followed.
  • Maintains regular contact with a portfolio of complex and/or large clients to build trust, internal expertise and ensure departmental accountability.
  • Takes calls from policyholders and agents answering questions or addressing any concerns they may have. This includes handling inbound and outbound calls to and from policyholders and agents, listening to policyholders and agents needs and addressing their requests.
  • Liaises with clients for claim-related issues or client service concerns to resolve complex issues with insurers on claims notifications, updates, information requests, queries, acknowledgements or other issues, keeping all relevant parties informed, as appropriate, of any potential problems, contentious claims or general claims trends.
  • Participates in internal and external audits as appropriate, where applicable, provides feedback & recommendations for improvements to help the department improve its operations, particularly in geographies with a variety of large and complex clients.
  • Mentors, trains and provides guidance to colleagues as required to improve the knowledge base of the department.
  • Provides guidance in resolving issues with non-paying insurers for outstanding settlements to retain relationships and expected outcomes for those filing for claims.
What you need to have:
  • A minimum of 5+ years of experience
  • Customer service experience
  • A good understanding of legal contracts
  • Strong problem-solving skills
  • Able to obtain information from multiple sources and assimilate data.
  • Excellent verbal and written communications.
  • Strong attention to detail.
  • Proficient in Microsoft Suite

What makes you stand out:
  • Prior flood claims or insurance claims experience
  • A college degree
  • Bilingual in English and Spanish.

This job has expired.

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