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Title

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Claims Specialist

Description

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We are looking for a detail-oriented and experienced Claims Specialist to join our team. The successful candidate will be responsible for reviewing insurance policies to determine coverage, preparing insurance claim forms, calculating claim amounts, and submitting claims for payment. They will also be responsible for negotiating settlements with claimants, attorneys, and other insurance carriers. The ideal candidate will have a strong understanding of insurance policies and procedures, excellent negotiation skills, and the ability to manage multiple tasks simultaneously. They should also have strong analytical skills, excellent communication skills, and the ability to work well under pressure.

Responsibilities

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  • Review insurance policies to determine coverage.
  • Prepare insurance claim forms and calculate claim amounts.
  • Submit claims for payment and negotiate settlements.
  • Communicate with claimants, attorneys, and other insurance carriers.
  • Manage multiple tasks and work well under pressure.
  • Maintain accurate and up-to-date claim files.
  • Stay current with changes in insurance policies and procedures.

Requirements

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  • Bachelor's degree in Business Administration or related field.
  • Minimum of 3 years of experience in insurance claims or related field.
  • Strong understanding of insurance policies and procedures.
  • Excellent negotiation and communication skills.
  • Strong analytical skills and attention to detail.
  • Ability to manage multiple tasks and work well under pressure.
  • Proficiency in Microsoft Office Suite.

Potential interview questions

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  • Can you describe your experience with insurance claims?
  • How do you handle high-pressure situations?
  • Can you explain a time when you had to negotiate a settlement?
  • What strategies do you use to stay organized and manage multiple tasks?
  • How do you stay current with changes in insurance policies and procedures?