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Claim Examiner-New Haven, CT

Staffing the Universe

Claim ExaminerLocation: New Haven, CTDuration: 2 Months (EXT Possible)Visa: GC or USCPosition Responsibilities:Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.Contribute to collaborative environment by consistently demonstrating teamwork, high motivation, behavior and effort to achieve goals and objectives.Provide accurate and timely expense and loss assessments on Medical Only claimsTimely and appropriately communicate with internal and external customersConsistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage, loss assessment, and case management.Ensure the establishment, documentation, and execution of appropriate strategies to bring early resolutions to assigned claims.Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines and completion of reporting forms.Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner.Competencies/Technical Skills:Prior experience handling medical only workers compensation claims is a plus but are willing to train individuals who possess other claim, billing or medical experienceA personal commitment to superior performance that adds value to our company and our customers.An ability to work effectively with a wide variety of people.An aptitude for evaluating, analyzing and interpreting information.Superior telephonic skillsExcellent organizational skills a must.The ability to multi-task along with proven time management skills.An ability to work well in teams.Demonstrated critical thinking and decision making ability.Excellent verbal and written communication skills.

Vacancy posted 4 days ago
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