Job Summary

The primary purpose of this role is to handle inbound and outbound calls from insurance agents and customers to answer questions and address requests, including claim and policy inquiries, complaints, and irate customer issues. The candidate will check claim status, review policy benefits, and advise customers accordingly. Additionally, the role involves registering and adjudicating claims, conducting investigations, evaluating evidence, negotiating settlements, and determining claim acceptance or denial based on documentation.

Typical claims include liability and low complexity coverage issue disputes.

Job Responsibilities

• Utilize advanced communication, comprehension and customer service skills to handle customer/agent requests and inquiries.
• Utilize acceptable investigation claims handling and settlement techniques that achieve cost‑effective and timely closure results by obtaining, reviewing and analyzing documen...