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POSITION: Claims Examiner - Garden City, Long Island, New York (25 minutes from Queens, NY)
COMPENSATION & BENEFITS: Company offers a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization.
Claims Adjuster licenses are required within 4 months of hire date and we will help you along the way. Training and costs associated with the coursework and licensing examinations, if any, will be paid by the company. This industry has a lot of nooks and crannies in which you can specialize. As you continue to grow your knowledge of the industry, you will analyze and settle insurance claims in accordance with plan provisions.
COMPANY INFO
Company is a leader in the provision of customized travel insurance and protection programs from helping clients gain access to capital after natural disasters, to creating access to health care and retirement for millions. Company’s travel, tour, flight and cruise insurance plans can include benefits such as: Trip Cancellation, Trip Interruption, Travel Delay, Emergency Medical, Assistance, Evacuation, Baggage (loss, damage, theft and/or delay of travel belongings). Merchandising expertise includes: Online Travel Agency, Flight Insurance, Car Rental Insurance, Cruise and Package Travel Insurance plans, Cruise Line Insurance and Cruise Protection Plans, Tour Operator Guest Protection Programs.
POSITION REQUIREMENTS
Prior Home, Auto, Medical claims experience can be considered: Previous CLAIMS EXAMINER EXPERIENCE required with 1 to 3 years of CLAIMS ADJUDICATION EXPERIENCE (would prefer 3 to 5 years but will consider at least 1 year of CLAIMS EXAMINER EXPERIENCE)
Current CLAIMS ADJUSTER LICENSES preferred; otherwise, you will be required to obtain this license within 4 months of hire date. Company provides 3 weeks of training and covers costs associated with the coursework and licensing examinations
Need someone who can make decisions and not just handle day to day transactions; we really want more decision making people vs. strictly transactional
Solid verbal communication skills and strong written communication skills with the ability to draft correspondence that is clear, concise, and effective; must be able to write well, review information, and handle phone calls with the customer
Sound computer skills, including knowledge of (MS Office, Internet searches, Email correspondence programs)
Ability to manage time effectively and focus on multiple projects concurrently
College preferred, or equivalent work experience
POSITION RESPONSIBILITIES
Compare data on claim forms against insurance plans to determine insurance coverage as well as completeness and validity of claims
Proactively resolve claims as expeditiously as possible and approve claims, when appropriate
Review and analyze detailed medical records
Calculate reimbursement of benefits according to the schedule of coverage
Generate claim reports, as directed by each account
Develop your training skills by functioning as a resource for newer examiners and assist with training new examiners and customer service representatives
Flex your communication skills by fielding challenging phone calls and draft special correspondence
Liaison with Marketing/Customer Service departments
Full Life Cycle Recruiting, Talent Acquisition, Technical Recruiting, Executive Search, Internet and Social Networks Recruiting, Permanent Placement, Temporary Staffing, Candidates Sourcing…