Claims Adjuster
Baltimore, MD, US, 21202
Job Purpose:
The main task of the role is to settle claims, in accordance with the segregation of duties principle. The Claims Adjuster is responsible for processing claims received (settlement), managing a portfolio of claims and maintaining an appropriate service level. He/she denies, settles, or authorizes payments to routine claims based on coverage, appraisal, and verifiable information. Responsibilities also include corresponding with policyholders, brokers and agents and preparing report of findings of an investigation.
Key Responsibilities:
Market knowledge:
- Knowledge of Claims and Collections processes and systems
- Knowledge of Quality Standards , C&C operational guidelines
- Ability to identify mandatory documents per type of claims / collection
Business expertise
- Bachelor’s Degree in Business Administration or a relevant field.
- 2-3 years experience in claims settlement with insurance company
Required Skills:
- Excellent communication skills in English, both spoken and written
- Strong interpersonal and communication skills.
- Comfortable with numbers; strong analytical skills.
- Strong attention to detail.
- Ability to determine the appropriate course of action in settling claims
- Result oriented & Team player
- Customer centric
Key Requirements:
-
- (Generative) Artificial Intelligence or GenAI or AIData Analysis(Microsoft) CopilotChatGPT
- Data Analysis
- (Microsoft) Copilot
- ChatGPT
- Business expertise
- Basic knowledge of policies, contract law and local insolvency
- Basic knowledge of claims settlement processes and systems
- Understanding of collections process
- Knowledge of quality standards and claims and collection operational guidelines
Nearest Major Market: Baltimore