Claims Examiner I

Claims SpecialistClaims SpecialistFull TimeRemoteMid LevelTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn

Location

South Carolina

Posted

81 days ago

Salary

$65K - $85K / year

Seniority

Mid Level

Associate Degree2 yrs expExperience acceptedEnglish

Job Description

Claims Examiner I

Nakupuna Companies

• Conduct initial intake and review of affirmative claims cases and related documentation • Request and obtain police reports, accident reports, medical records, insurance information, and other supporting documentation • Identify potential insurance carriers and gather information necessary to support claim development • Communicate professionally with claimants, insurance representatives, medical providers, attorneys, and government personnel • Perform basic legal and insurance research utilizing available resources such as LexisNexis, Westlaw, and public databases • Draft initial Notices of Claim, standard demand letters, and routine correspondence for supervisory review • Maintain accurate electronic case files within the Affirmative Claims Management Program (ACMP) or similar claims management systems

Job Requirements

  • Associate's Degree or Bachelor's Degree preferred
  • Minimum of 1-3 years of professional experience in claims processing, insurance operations, legal support, customer service, case management, or related fields
  • Excellent written and verbal communication skills
  • Strong customer service and interpersonal communication skills
  • Strong organizational skills and attention to detail
  • Proficiency with Microsoft Office Suite (Word, Excel, Outlook, and Teams)

Benefits

  • Health insurance
  • 401(k) matching
  • Paid time off
  • Professional development
  • Remote work options

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