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Claim Examiner - US

Generis Tek, Inc.
Garden, NY Full Time
POSTED ON 2/28/2025
AVAILABLE BEFORE 5/24/2025

Please Contact : To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Bhakti Lakhote at email address bhakti.lakhote@generistek.com can be reached on # 630-576-1905.

We have Contrac t role for Claim Examiner-Remote f or our client Garden City, NY. Please let me know if you or any of your friends would be interested in this position.

Position Details :

Claim Examiner-Remote- Garden City, NY

Location : Garden City, NY (Remote)

Project Duration : 6 months

Pay Rate : $18 / hr on W2

Job Description

This is a Claims Examiner for Travel Insurance Claims

Must Have Active New York Adjusters License

Must be local to EST or CST time zone.

Responsibilities :

  • Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
  • Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
  • Resolve complex, severe exposure claims, using high service-oriented file handling.
  • Pay and process claims within designated authority level.
  • Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
  • Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
  • Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
  • Confer with legal counsel on claims requiring litigation.
  • Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
  • Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.

Qualifications / Education :

  • Bachelor's Degree.
  • Licensing requirements vary by state : Active New York state adjuster's license required; multiple state licenses encouraged.
  • Proficiency in analytical, document management, and database query software.
  • Proficiency in Microsoft Office applications.
  • Two to four years of work-related experience.
  • Exceptional attention to detail.
  • Excellent customer service and communication skills.
  • General knowledge of state and national laws and regulations.
  • General understanding of medical and legal terms.
  • Experience in a claims production environment with set goals and quality scores that must be obtained.
  • To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Bhakti Lakhote at email address bhakti.lakhote@generistek.com can be reached on # 630-576-1905.

    About Generis Tek : generis tek is a boutique it / professional staffing based in Chicagoland. we offer both contingent labor & permanent placement services to several fortune 500 clients nationwide. Our philosophy is based on delivering long-term value and build lasting relationships with our clients, consultants and employees. Our fundamental success lies in understanding our clients' specific needs and working very closely with our consultants to create a right fit for both sides. we aspire to be our client's most trusted business partner.

    Salary : $18

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