Insurance Claim Specialist - Remote

<div><p>An Insurance Claim Specialist is responsible for managing investigating and processing insurance claims to ensure timely and accurate settlements. This role requires strong analytical skills, attention to detail, and in-depth knowledge of insurance policies, claims procedures, and industry regulations.</p><h3>Key Responsibilities</h3><ul><li>Review and analyze insurance claims to determine coverage eligibility.</li><li>Investigate claim details by gathering documentation, interviewing relevant parties, and liaising with insurance adjusters.</li><li>Ensure all claims comply with regulatory guidelines and company policies.</li><li>Communicate with clients, providers, and stakeholders to resolve claim-related queries.</li><li>Maintain accurate claim records and update claims management systems.</li><li>Prepare detailed claim reports and recommend settlement options.</li></ul><h3>Required Skills&Qualifications</h3><ul><li>Proven experience as an Insurance Claim Specialist or in a related role.</li><li>Strong knowledge of insurance industry standards and claims processing procedures.</li><li>Excellent communication, negotiation, and customer service skills.</li><li>Ability to analyze data and make informed decisions.</li><li>Proficiency in claims management software and Microsoft Office Suite.</li></ul><h3>Educational Requirements</h3><ul><li>Bachelor's degree in Business Administration, Insurance and Risk Management, or a related field.</li><li>Certification in Claims Handling or Insurance Adjusting is a plus.</li></ul></div>#J-18808-Ljbffr