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Title
Text copied to clipboard!Insurance Claims Specialist
Description
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We are looking for an experienced and dedicated Insurance Claims Specialist to join our team. This professional will be responsible for reviewing insurance policies to determine coverage, preparing insurance claim forms, calculating claim amounts, and transmitting claims for payment or further investigation. The ideal candidate should have excellent communication and negotiation skills, as well as an in-depth knowledge of insurance policies and regulations. They should also be able to manage multiple tasks and deadlines in a fast-paced environment, and work effectively both independently and as part of a team. The Insurance Claims Specialist will also be responsible for maintaining accurate records of claims, communicating with policyholders about the status of their claims, and resolving any issues or discrepancies that arise during the claims process.
Responsibilities
Text copied to clipboard!- Review insurance policies to determine coverage.
- Prepare insurance claim forms.
- Calculate claim amounts.
- Transmit claims for payment or further investigation.
- Maintain accurate records of claims.
- Communicate with policyholders about the status of their claims.
- Resolve any issues or discrepancies that arise during the claims process.
- Negotiate claim settlements with claimants and insurance companies.
- Coordinate with legal counsel in cases of legal action.
- Stay updated with changes in insurance policies and regulations.
Requirements
Text copied to clipboard!- Bachelor's degree in Business Administration or related field.
- Proven experience as an Insurance Claims Specialist.
- In-depth knowledge of insurance policies and regulations.
- Excellent communication and negotiation skills.
- Strong organizational and multitasking abilities.
- Ability to work effectively both independently and as part of a team.
- Proficiency in Microsoft Office Suite.
- Attention to detail and problem-solving skills.
- Ability to handle sensitive and confidential information.
- Certification in Insurance Claims is a plus.
Potential interview questions
Text copied to clipboard!- Can you describe your experience with insurance claims processing?
- How do you handle a difficult claimant?
- Can you explain a time when you had to handle a particularly complex claim?
- How do you stay updated with changes in insurance policies and regulations?
- Can you describe a time when you had to negotiate a claim settlement?