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Claims Examiner II
Brown & Brown InsuranceClaims Examiner II at Brown & Brown managing high priority accounts and handling psychological and concussion claims. Serving as a mentor within the Claims Department for personal and professional development.
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
claim managementcoverage evaluationreserve adjustmentdocumentation verificationinvestigation techniquesclaims processingdata analysisproject management
Soft Skills
communicationconfidentialitymentoringinterpersonal skillsjudgmentprofessional developmentcustomer service
Tools & Technologies
Microsoft OfficeWindowsExcelIVOS
Industry Keywords
workers compensationclaims handlinginsurancerisk managementclaims inventory
About the role
Key responsibilities & impact- Handle lost time and medical only claim assignments.
- Maintain a claim inventory as deemed appropriate by management, approximately 50 open claims at any given time.
- Verify, research evaluate and make recommendations on appropriate coverage on each claim, using discretionary judgment.
- Make timely contact with members, injured workers, agents, providers, attorneys, etc.
- Investigate claim with phone interviews/emails and obtain appropriate documentation.
- Evaluate exposure and adjust reserves as required.
- Conclude claim processing in accordance with company standards.
- Meet with members, agents, injured workers, attorneys, etc. as deemed necessary.
- Provide training and act as a mentor for members and other claims personnel.
- Complete special projects as assigned by the Claims Leader.
- Travel to annual workers compensation conference and/or attend educational seminars.
- Pursues a course of personal, professional development.
Requirements
What you’ll need- Minimum education required
- Proficient with Microsoft, Windows, Excel, IVOS, etc.
- Exceptional telephone demeanor
- Ability to maintain a high level of confidentiality
- 3 – 5 years’ experience in similar position
- Associate’s or Bachelor’s degree in business, financial related discipline, or Human Resources (preferred).
Benefits
Comp & perks- Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
- Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
- Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services
- Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more.