Claims Specialist

• Conduct an initial investigation of the claim.
• Verify and enter data into the claims systems.
• Research and gather evidence. Obtain, review, and evaluate records, police, medical, etc.
• Correspond with or interview medical specialists, agents, witnesses, or claimants for accuracy and consistency with the claim as reported.
• Investigate, analyze, and determine the extent of the insurance provider's liability concerning personal, casualty, or property loss or damages, and attempt to settle with claimants.
• Comply with accepted guidelines regarding reserving practice and authority levels while properly setting the reserve and adjusting as appropriate.
• Examine, process, calculate, and pay claims ensuring filings, documentation, and reports, etc.
• Prepare timely reports for clients.

Claims Processor

Claims Processor II

Senior Claims Examiner, Casualty

Claims Representative