Liability Claims Associate

📋 Description

• Analyze reported lower-level general liability claims to ascertain the benefits owed.

• Ensure ongoing claims adjudication aligns with company standards and industry best practices.

• Manage lower-level liability and/or physical damage claims under close supervision.

• Provide support to other claims representatives, examiners, and leads for larger or more complex claims as needed.

• Process general liability claims to determine compensability and benefits owed.

• Oversee reserve accuracy and submit necessary documentation to the state agency.

• Communicate claim actions and processing updates with claimants, clients, and relevant medical contacts.

• Ensure claim files are thoroughly documented and that claims coding is accurate.

• May handle routine payments, prescriptions, and status reports for lifetime medical claims and/or defined period medical claims.

• Foster and maintain professional relationships with clients.

⛳️ Requirements

• High school diploma or GED is mandatory.

• Licenses as required.

• A minimum of one (1) year of general office experience or a comparable mix of education and experience is needed.

• Experience in the claims industry is preferred.

• Jurisdictions: Nationwide Licensing: NY or HI licensing is preferred.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunities for career development and advancement.

• A diverse and comprehensive benefits package that includes medical, dental, vision, and 401K from day one.