Insurance Claim Specialist - Remote

Info Resume Edge; Paris; À distance; EUR 35 000 - 50 000; Plein temps

Résumé du poste

A prominent insurance company is seeking an experienced Insurance Claim Specialist to manage and process claims accurately and efficiently. The ideal candidate will have strong analytical and communication skills, along with knowledge of insurance policies and claims procedures. This role requires not only attention to detail but also the ability to resolve client queries effectively.

Qualifications

• Proven experience as an Insurance Claim Specialist or in a related role.
• Strong knowledge of insurance industry standards and claims processing procedures.
• Ability to analyze data and make informed decisions.

Responsabilités

• Review and analyze insurance claims to determine coverage eligibility.
• Investigate claim details and liaise with insurance adjusters.
• Ensure all claims comply with regulatory guidelines.

Connaissances

Analytical skills

Attention to detail

Communication skills

Negotiation skills

Customer service skills

Proficiency in claims management software

Formation

Bachelor's degree in Business Administration, Insurance and Risk Management, or a related field

Certification in Claims Handling or Insurance Adjusting

Outils

Claims management software

Microsoft Office Suite

Description du poste

An Insurance Claim Specialist is responsible for managing, investigating, and processing insurance claims to ensure timely and accurate settlements. This role requires strong analytical skills, attention to detail, and in-depth knowledge of insurance policies, claims procedures, and industry regulations.

Key Responsibilities

Review and analyze insurance claims to determine coverage eligibility.

Investigate claim details by gathering documentation, interviewing relevant parties, and liaising with insurance adjusters.

Ensure all claims comply with regulatory guidelines and company policies.

Communicate with clients, providers, and stakeholders to resolve claim-related queries.

Maintain accurate claim records and update claims management systems.

Prepare detailed claim reports and recommend settlement options.

Required Skills & Qualifications

Proven experience as an Insurance Claim Specialist or in a related role.

Strong knowledge of insurance industry standards and claims processing procedures.

Excellent communication, negotiation, and customer service skills.

Ability to analyze data and make informed decisions.

Proficiency in claims management software and Microsoft Office Suite.

Educational Requirements

Bachelors degree in Business Administration, Insurance and Risk Management, or a related field.

Certification in Claims Handling or Insurance Adjusting is a plus.