Claims Examiner Manager

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Perform initial assessments and evaluations of affirmative claims cases along with associated documentation.

• Request and secure police reports, accident documentation, medical records, insurance details, and other necessary supporting materials.

• Identify possible insurance providers and collect information needed to enhance claim development.

• Engage professionally with claimants, insurance representatives, healthcare providers, attorneys, and government officials.

• Prepare initial Notices of Claim, standard demand letters, and routine correspondence for supervisory approval.

• Ensure precise electronic case file maintenance within the Affirmative Claims Management Program (ACMP) or comparable claims management systems.

⛳️ Requirements

• 5-7 years of relevant experience in claims processing, insurance operations, legal support, customer service, case management, or similar fields.

• Outstanding written and verbal communication abilities.

• Strong organizational skills with a keen eye for detail.

• Proficient in Microsoft Office Suite (Word, Excel, Outlook, and Teams).

• Capable of conducting research, gathering information, and accurately documenting findings.

🏝️ Benefits

• Health insurance

• 401(k) matching

• Flexible work hours

• Paid time off