Senior Claims Examiner

Jobtailor; Deutschland; Vor Ort; EUR 42.000 - 65.000; Vollzeit

Zusammenfassung

Jobtailor is seeking an Insurance Claims Investigator to scrutinize assigned claims under insurance contracts. You will identify potential fraud for the Special Investigation Unit and assess liability and loss for claimants and insureds with rigorous documentation of all communications with stakeholders.

The role requires a Bachelor's degree or equivalent experience, 3+ years in claims, and relevant certifications (AIC/CPCU).

Qualifikationen

• Bachelor's Degree in related field or equivalent work experience required.
• Three or more years related work experience.
• Interpretation and application of insurance contracts.
• Insurance claim procedures, loss evaluation methods and claim resolution alternatives.
• Insurance related courses such as AIC, CPCU.

Aufgaben

• Investigate assigned claims under insurance contracts.
• Identify and report potential fraud to Special Investigation Unit.
• Analyze, evaluate, and estimate liability of Insureds and loss of Claimants/Insureds for assigned claims.
• Prepare and maintain accurate and timely records of communications with Insureds, Claimants, and other third-parties.
• Obtain and maintain all required licenses and certifications.

Kenntnisse

Claims Investigation

Liability Analysis

Loss Estimation

Claim Resolution

Insurance Contract Interpretation

Ausbildung

Bachelor's Degree in Related Field

AIC

CPCU

Jobbeschreibung

• Investigate assigned claims reported under insurance contracts provided by affiliated Companies.
• Identify and report potential fraud to Special Investigation Unit.
• Analyze, evaluate, and estimate liability of Insureds and loss of Claimants/Insureds for assigned claims.
• Prepare and maintain accurate and timely record of communications with Insureds, Claimants, and other third-parties.
• Obtain and maintain all required licenses and certifications.

Requirements

• Bachelor's Degree in related field or equivalent work experience required.
• Three or more years related work experience.
• Interpretation and application of insurance contracts.
• Insurance claim procedures, loss evaluation methods and claim resolution alternatives.
• Insurance related courses such as AIC, CPCU.

Core Competencies

Demonstrates expertise in investigating insurance claims, evaluating liability, and applying insurance contract knowledge. Proficient in maintaining accurate records and communicating effectively with stakeholders.

Highest-signal resume keywords

• Insurance Claim Procedures
• Loss Evaluation Methods
• Fraud Investigation
• Bachelor's Degree in Related Field
• AIC or CPCU Certification

ATS Optimization Keywords

Hard Skills

• Claims Investigation
• Liability Analysis
• Loss Estimation
• Claim Resolution
• Insurance Contract Interpretation

Soft Skills

• Effective Communication
• Attention to Detail
• Analytical Thinking

Certifications & Qualifications

• AIC
• CPCU

Industry Keywords

• Insurance Contracts
• Fraud Reporting
• Claimants
• Insureds
• Third-Parties