Senior Claims Examiner
Current· Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.· Resolve complex, severe exposure claims, using high service oriented file handling.· Pay and process claims within designated authority level.· Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.· Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.· Confer with legal counsel on claims requiring litigation.· Present cases and participate in their discussion at claim committee meetings.· Report overpayments, underpayments, and other irregularities.· Investigate accidental life insurance claims. Working with police departments and coroner's to determine cause and manner of death.