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For your reference, we have included the original job posting below.
Claims Examiner Sr Assistant - KS - NFIP
Job Number:
26921955
Company Name:
CSC
Job Location:
OVERLAND PARK, KS US
Job Category:
Information Technology
Claims Examiner Sr Assistant - KS - NFIP
Title: Claims Examiner Sr Assistant - KS - NFIP Location: KS: KANSAS-OVERLAND PARK Key Skills - Obtains or receives loss reports from agents and insureds and makes assignments to appropriate adjusting staff. Responds to telephone and written inquiries regarding status of claims assigned. Within payment authority, may issue approved payments or supplements. Works with Examiner to assure that task are assigned and completed timely. Performs other duties as assigned. Property Insurance industry experience highly desired.
Essential Job Functions
* Enters insurance claims received electronically or in written form.
* Answers incoming customer calls regarding claim processing. Documents claim and associated history.
* Evaluates available information to validate claims. Verifies policyholder information, policy effective dates, premium status, and verification of claim eligibility.
* Sends claim form to claimant.
* Investigates simple to moderately complex claims and determines level or resolution if appropriate; advises claimant of status; assists in negotiating settlement and resolution of claim.
* Identifies need for additional information; contacts appropriate source to obtain needed information. Verifies beneficiary or claimant information if claim is warranted. Identifies payment amount and obtains required management approvals for payment. Processes payment.
* Completes special projects or performs other duties as necessary.
Basic Qualifications
* High school diploma or G.E.D.
* Fellowship of Life Health Claims (FLHC) Certification preferred
* Four or more years of auditing, accounting, contracts or information technology experience
* Experience working with insurance and/or medical terminology
* Experience working with appropriate claims processing procedures and documentation
Other Qualifications
* Good analytical and problem solving skills
* Good interpersonal skills to interact with team members
* Good communication skills to communicate with clients
* Good data entry skills
* Negotiation skills to interact with claimant
* Ability to keep sensitive and confidential material private
