Claims Examiner II

Claims SpecialistClaims SpecialistFull TimeRemoteSeniorTeam 10,001+Since 1939H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

3 hours ago

Salary

$120K / year

Seniority

Senior

Associate Degree3 yrs expEnglish

Job Description

Claims Examiner II

Brown & Brown Insurance

• Handle lost time and medical only claim assignments. • Maintain a claim inventory as deemed appropriate by management, approximately 50 open claims at any given time. • Verify, research evaluate and make recommendations on appropriate coverage on each claim, using discretionary judgment. • Make timely contact with members, injured workers, agents, providers, attorneys, etc. • Investigate claim with phone interviews/emails and obtain appropriate documentation. • Evaluate exposure and adjust reserves as required. • Conclude claim processing in accordance with company standards. • Meet with members, agents, injured workers, attorneys, etc. as deemed necessary. • Provide training and act as a mentor for members and other claims personnel. • Complete special projects as assigned by the Claims Leader. • Travel to annual workers compensation conference and/or attend educational seminars. • Pursues a course of personal, professional development.

Job Requirements

  • Minimum education required
  • Proficient with Microsoft, Windows, Excel, IVOS, etc.
  • Exceptional telephone demeanor
  • Ability to maintain a high level of confidentiality
  • 3 – 5 years’ experience in similar position
  • Associate’s or Bachelor’s degree in business, financial related discipline, or Human Resources (preferred).

Benefits

  • Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
  • Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
  • Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services
  • Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more.

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