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Commercial Lines Claims Specialist

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General Description: Assist in claim administration functions for clients of the business.

Responsibilities:

  • Basic knowledge of claims function and processes.
  • Ability to effectively communicate with internal and external customers and adjusters.
  • Basic understanding of at least one line of coverage relative to claims management, strategies, resolution techniques and coverage forms.
  • Basic technical/administrative capability to report basic claims and use basic features of carrier/TPA claim management systems.
  • Participates in claim advocacy and negotiation, including claim denial review, reservation of rights review, and claim reporting.
  • Assists in analyzing claims based on a best practice outline and partners with members of the technical resource team.

Knowledge, Skills and Abilities:

  • Strong written and oral communication skills.
  • Ability to work well in a team environment.
  • Must have a capacity for analytical thinking and strong problem-solving skills.
  • Strong organizational skills required.
  • Entry-level negotiation skills required.
  • Ideal candidate will have a minimum of one year of claims administration experience.
  • College degree preferred but high school diploma or graduate equivalent degree required.
  • Proficient in MS Office suite of products.

Job ID:

20093

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