Job Summary
A financial indemnity company has a current position open for a Remote MD Telephone Claims Representative I II Sr.
Individual must be able to fulfill the following responsibilities:
- Establish an investigative plan & initiate investigation by gathering facts and evidence with all interested parties
- Evaluate and adjust claims within limit of authority and summarize claims in excess of authority and submit to manager for approval
- Evaluate settlement alternatives by reviewing regulatory compliance and fair claims practices; make decisions on best option
Applicants must meet the following qualifications:
- Bachelor’s Degree or in-lieu of degree equivalent education, training and work-related experience
- Successfully completes Claim Representative trainee program, or equivalent external training program
- Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)
- High degree of initiative, mature judgment, and discretion
- Obtain/Maintain appropriate licensing or educational requirements
- Demonstrate proficiency in file audits to agreed standard of efficient claims quality