דרושים Processor ב-United States, California, Hayward

We are looking for an experienced Claims Processor who has the ability to communicate compassionately and effectively to resolve insurance claims. You’ll be responsible for working in partnership with internal teams to resolve claims, assigning claims to appropriate adjusters and handling payments and processing responsibilities as needed. In addition, you’ll work with customers, agents, and repair facilities via phone, email and text as the needs dictate. You’ll also help with pending claims management, sending regulatory letters and issuing payments.

• Reviews and determines payment of minor, undisputed and/or limited authorization claims. Assigns all other claims to appropriate adjuster
• Verifies coverage and damage reports received from vendors and customers for accuracy and consistency with the claim as reported
• Audits bills for detection of possible fraud; refers findings to management for referral to Special Investigations Unit as advised
• Prepares and submits administrative reports as required
• Provides support for unit claims associates and managers
• Deliver outstanding customer service to all internal, external, current, and prospective nationwide customers

• 3+ years directly related work experience in financial and insurance claims processing
• Onsite presence is required every day