What are the responsibilities and job description for the Claims Processor position at George Hills?
Description
The Claims Processor (CP) is a vital member of the Claims Adjusting team for a large, dedicated client. The Processor handles the setup of General Liability and property claims in our claims management systems, assists assigned claims adjusters with initial research and investigation, and provides a summary review of reports.
Primary responsibilities include :
- Conduct an initial investigation of the claim.
- Verify and enter data into the claims systems.
- Research and gather evidence. Obtain, review, and evaluate records, police, medical, etc.
- Correspond with or interview medical specialists, agents, witnesses, or claimants for accuracy and consistency with the claim as reported.
- Investigate, analyze, and determine the extent of the insurance provider's liability concerning personal, casualty, or property loss or damages, and attempt to settle with claimants.
- Comply with accepted guidelines regarding reserving practice and authority levels while properly setting the reserve and adjusting as appropriate.
- Examine, process, calculate, and pay claims ensuring filings, documentation, and reports, etc.
- Prepare timely reports for clients.
- Mail processing.
- Additional client-related administrative tasks as assigned.
Requirements
Education and Experience
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