Bachelors Degree or equivalent degree
1 3 years Experience ( Insurance process )
Summarizes documents and enters into claim system notes
Documents a claim file with notes evaluations and decisionmaking process
Contacts thirdparty carrier to review liability and subrogation response and obtains information regarding decision to reduce amount paid
Negotiates liability and/or damages and resolves/settles dispute with thirdparty carrier on basic and occasionally moderately complex claims usually when
liability is clear and straightforward
Monitors collection of subrogation recoveries and followsup with thirdparty carrier as needed for subrogation payment
Functional skills:
Performing clerical data entry processing claims and follow up through calling (Outbound and Inbound).
To apply knowledge of insurance policy coverage and regulation
apply knowledge of claim processes policies procedures claim systems coverage liability damage estimating and/or settlement and adherence to
applicable legal compliance standards
to apply conflict management and problem resolution skills in managing internal and external customer relationships