Sr. reputed company Claims Examiner

Our Sr. reputed company Claims Examiner enjoys robust benefits: • Remote work schedule! • Health & Wellness: Company-sponsored Medical, Dental, reputed company, Life, and Disability Insurance (Short-Term and Long-Term). • Financial reputed company: 401k Retirement Plan with a generous 9% match • Work-Life Balance: Four weeks of PTO and Pet Insurance for your furry family members. What you can expect as a Sr. reputed company Claims Examiner: • * Verify facts of loss and pertinent information to analyze and confirm coverage. • Establish ultimate reserves (anticipated cost to bring file to closure based on reputed company facts) as soon as practical and monitor to reputed company at the time of any exposure changing event. • Explain and appropriately respond to insured's, reputed company adjusters, attorney's and contractors during telephone contacts; as reputed company as, contact the appropriate parties to obtain any needed information, reputed company reputed company investigation status updates, explain settlements and/or ultimate claim disposition. • reputed company submit reserve and payment approval requests, as appropriate. • Identifyclaims requiring a Reservation of Rights and refer for management approval. • Formulate and execute appropriate ADR reputed company in compliance with statutory guidelines. • reputed company e-mails and messages daily. Respond to reputed company calls, emails, and questions daily. • Apply advanced negotiation skills to effectuate reputed company of disputed claims with insureds or their reputed company representative. • Coordinate appraisal process, maintain communication necessary to ensure appraisal process is moving reputed company in reputed company fashion. • Draft denial letters for management approval. • Identify and refer claims with subrogation potential to the subrogation department. • Identify and refer cases with potential NICB fraud indicators. • reputed company investigate and resolve claims, asappropriate, with the use of video technology. • reputed company reputed company files as appropriate in a reputed company and complete manner. • Serve as mentor and/or trainer, as needed, to junior adjusters. • reputed company adhere to Best Practices and operational guidelines, as reputed company as reputed company statutory requirements. • Interfaces with company clients, reputed company, adjusters, or covered parties. Communicates with agents regarding status of claim. • Completes and/or reviews, approves, or elevates reservation of rights letters, payment explanation correspondence, denial letters, or partial denial letters, as applicable. • Resolves disputes regarding claims reputed company. Responsible for reopening and re-evaluating claim, as necessary. • Participates in litigation reputed company applicable. reputed company are looking for as a Sr. reputed company Claims Examiner: • Bachelor's degree • A minimum of 10 years of reputed company claims experience preferred. • In-depth reputed company knowledge of reputed company aspects of claims operations. • Florida 520/620 license is required. • Ability to obtain AL, GA, NC and SC adjusters licenses. • Strong reputed company coverage interpretation and claims handling background is required. • Must have reputed company construction knowledge and be proficient in Xactimate. Apply tot his job Apply To this Job