
Senior Claims Coordinator
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in Texas.
• Oversee the complete claims process from the initial submission to the final resolution.
• Accept claims, assess documentation, confirm coverage, and execute payments.
• Evaluate finalized claims for precision and adherence to standards.
• Ensure compliance with insurance regulations, industry norms, and company policies.
• Address escalated or intricate claims issues and facilitate settlement decisions within authorized limits.
• Identify opportunities for workflow enhancements and improve customer satisfaction.
• Evaluate risks associated with claims processing and enforce fraud prevention strategies.
• Engage with policyholders, claimants, and other stakeholders to address queries and resolve problems.
• Maintain precise records of claims, correspondence, and documentation.
• Collaborate with teams from underwriting, legal, and finance.
• Aid investigations by collecting evidence, interviewing pertinent parties, and coordinating with external agencies or experts.
• Provide direction, training, and support to ensure efficient and accurate claims management.
• A Bachelor’s degree in Legal, Finance, Business Administration, or a related discipline, with at least 1 year of relevant experience.
• Any other related field of study or equivalent work experience will be considered.
• Preferred qualifications include: Associate in Claims (AIC), Certified Claims Professional (CCP), Certified Insurance Service Representative (CISR), or Certified Insurance Counselor (CIC).
• Paid company holidays.
• Paid vacation days.
• Paid sick days.
• Paid personal days.
• Paid parental leave.
• Mental health services.
• Bonuses for full-time positions.
• Comprehensive benefits package.
• Reasonable accommodations for individuals with disabilities.
Metro Public Adjustment, Inc.
WVU Medicine
WVU Medicine
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