Claims Operations Expert
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About The Position
Handle low severity claims promptly, efficiently, and cost-effectively. Ensure quality and compliance in claim processing. Oversee and train processing teams, assign tasks and provide feedback. Maintain and update global Standard Operating Procedures for claims processing. Maintain all required claim handling licenses and manage books of low severity claims. Ensure timely and accurate processing of claims documents. Manage claims from first advice to settlement effectively. Analyze documents for any necessary financial adjustments. Review client inquiries about open billing/invoices. Communicate with internal and external customers and other insurance companies via telephone, meetings, and written correspondence to obtain specific information needed for claim processing. Perform other related duties and handle claims accounts as directed. Provide management, support, and guidance to processing teams. Monitor and provide understanding for multiple Bordereau processes for current and runoff business. Communicate effectively with managers, supervisors, colleagues, and establish strong virtual teams via telephone and computer networks. Train other Claims Analysts or Examiners as needed. Complete special projects as assigned.
