Job Description We are seeking a detail-oriented and motivated Claims Examiner to join our clients Operations Claims team.
In this role, you will be responsible for reviewing, evaluating, and adjudicating insurance claims while ensuring accuracy, compliance with policy terms, and timely resolution. The ideal candidate thrives in a fast-paced environment, communicates confidently with customers and partners, and aims to resolve claims at the first point of contact whenever possible.
Key Responsibilities Review and process a variety of insurance claims to ensure accurate payment in accordance with policy terms and service-level timelines Analyze claims using internal systems and policy documentation to make sound adjudication decisions Accurately document claim reviews, decisions, and activity in company databases Initiate stop-payment requests and reissue payments as needed Conduct outbound calls to clients or service providers to obtain missing or...