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- Insurance Claims Manager
Description
The Claims Manager will also analyze patterns and trends in a client's claims history to ensure that our strategies are adjusted as necessary and continue to produce the highest level of results.
This role will:
Educate Clients on Claims Management Procedures
Coordinate Claims Strategy with Clients, Adjusters & Attorney
Analyze Claims & Financial data to provide a summary and strategy to clients
Responsibilities
Provide exceptional customer service by delivering proactive, thoughtful, and professional communication to clients, ensuring their expectations for high-level service are consistently met.
Communicate effectively with all parties involved in insurance claims, including adjusters, attorneys, and medical professionals, to ensure accurate and timely updates while advocating for the best outcomes for clients.
Use strong negotiation and problem-solving skills to tactfully redirect claims processes when necessary, aligning them with the client’s best interests.
Analyze client claims data and overall claim histories to identify patterns, trends, and optimal strategies, leveraging basic mathematical and analytical skills to support decision-making.
Clearly explain claims strategies to clients, demonstrating an understanding of underlying concepts and calculations.
Utilize Salesforce and other tools to manage claims efficiently, access and analyze claims data, and generate reports as needed.
Perform day-to-day tasks using Microsoft Word, Excel, Outlook, Adobe, and other Microsoft Office applications, ensuring accuracy and efficiency in all computer-related activities.
Requirements
Customer Service skills. Clients are used to a very high level of service, and we need the clients to receive proactive and thoughtful communication from our team.
Strong communication skills
Basic Mathematical & Analytical skills
Basic Computer skills.