Claims Examiner -id-387

Hello there! Are you a detail-oriented individual with a strong analytical mindset? Are you looking for a challenging role in the insurance industry? Look no further, because Reinsurance Group of America is seeking a skilled Claims Examiner to join our team. In this role, you will be responsible for reviewing and analyzing insurance claims to determine coverage and compensation. The ideal candidate will have a background in insurance claims and possess excellent communication and problem-solving skills. If you are ready to take on a new and exciting opportunity, we want to hear from you!

 

Review and analyze insurance claims to determine coverage and compensation.

Communicate with policyholders, insurance agents, and other parties involved in the claims process.

Utilize strong analytical skills to accurately assess claims and make appropriate decisions.

Investigate and gather necessary information to make informed claim decisions.

Adhere to company policies and procedures while handling claims.

Maintain accurate and organized records of claims and related documentation.

Work closely with other team members to resolve complex or escalated claims.

Keep up-to-date with industry trends and changes in insurance policies and regulations.

Provide exceptional customer service and support to policyholders throughout the claims process.

Collaborate with other departments, such as underwriting and risk management, to identify potential areas of improvement in claims handling processes.

Identify and report any potential fraudulent or suspicious claims.

Meet and exceed performance metrics and goals set by the company.

Stay current on industry best practices and changes in insurance laws and regulations.

Continuously improve processes and procedures to ensure efficiency and accuracy in claims handling.

Foster a positive and collaborative work environment within the claims team.

Where is this job?

This job is located at Chesterfield, MO, USA

 

Job Qualifications

Bachelor’s Degree In A Relevant Field: A Strong Educational Background In Fields Such As Insurance, Finance, Or Business Administration Is Typically Required For A Claims Examiner Position At Reinsurance Group Of America (Rga).

 

Prior Experience In Claims Handling: Candidates Should Have At Least 2-3 Years Of Experience In Insurance Claims Handling, Preferably In A Reinsurance Or Insurance Company.

 

Strong Knowledge Of Insurance Policies And Procedures: Claims Examiners Must Have A Thorough Understanding Of Insurance Policies, Regulations, And Industry Standards To Accurately Assess And Process Claims.

 

Excellent Analytical And Problem-Solving Skills: Claims Examiners Need To Be Able To Review Complex Claims And Make Informed Decisions Based On Their Analysis. Strong Critical Thinking And Problem-Solving Skills Are Essential For This Role.

 

Strong Communication And Customer Service Skills: As A Claims Examiner, You Will Be Interacting With Various Stakeholders, Including Clients, Brokers, And Internal Teams. Therefore, Effective Communication And Customer Service Skills Are Necessary For Success In This Role.

 

Required Skills

Data Analysis

 

Time Management

 

Negotiation Skills

 

Attention To Detail

 

Customer Service

 

Claims Processing

 

Policy Analysis

 

Medical Terminology

 

Risk Assessment

 

Problem-Solving

 

Fraud Detection

 

Soft Skills

Communication

 

Conflict Resolution

 

Emotional Intelligence

 

Leadership

 

Problem Solving

 

Time Management

 

Creativity

 

Teamwork

 

Collaboration

 

Adaptability

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