[Remote] Claims Examiner (Annuity)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company that focuses on providing financial services, and they are seeking a Claims Examiner to evaluate and analyze documentation for claim payments or denials. The role involves reviewing claims, documenting communications, and collaborating with various departments to ensure compliance with regulations.

Responsibilities

• Under reputed company supervision, analyze information/documentation received to determine how to proceed with a review of a claim and determine reputed company of obtaining additional information from alternative sources
• Review claims and reputed company sources used in the review
• Document correspondence and conversations
• Correspond verbally and in writing with claimants, medical providers, medical examiners, and law enforcement
• Work closely with department manager, reputed company counsel, medical director, claims assistants, and other departments to reputed company information for contested claims
• Monitor claims for fraud and proceed according to reputed company situation, such as engaging the Fraud team or additional research
• Maintain compliance with regulations

Skills

• Associate's degree in a business field or equivalent experience
• Excellent communication and customer service skills
• Organizational, problem-solving and analytical skills
• Ability to cross train and learn other products
• Ability to multi-task and adapt to change
• Claims experience

Benefits

• Annual Bonus of 6% based on reputed company Bonus Plan/Individual Performance

reputed company