Claims Examiner Manager

Nakupuna Companies

Claims Examiner Manager supporting federal claims management program. Conducting claims intake, investigation, research, documentation, and case administration activities.

Posted 6/6/2026full-timeRemote • South Carolina • 🇺🇸 United StatesSeniorLead💰 $80,000 - $95,000 per yearWebsite

About the role

Key responsibilities & impact

Conduct initial intake and review of affirmative claims cases and related documentation.
Request and obtain police reports, accident reports, medical records, insurance information, and other supporting documentation.
Identify potential insurance carriers and gather information necessary to support claim development.
Communicate professionally with claimants, insurance representatives, medical providers, attorneys, and government personnel.
Draft initial Notices of Claim, standard demand letters, and routine correspondence for supervisory review.
Maintain accurate electronic case files within the Affirmative Claims Management Program (ACMP) or similar claims management systems.

Requirements

What you’ll need

5-7 years of professional experience in claims processing, insurance operations, legal support, customer service, case management, or related fields
Excellent written and verbal communication skills
Strong organizational skills and attention to detail
Proficiency with Microsoft Office Suite (Word, Excel, Outlook, and Teams)
Ability to conduct research, gather information, and document findings accurately

Benefits

Comp & perks

Health insurance
401(k) matching
Flexible work hours
Paid time off

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims processinginsurance operationslegal supportcase managementdocumentationresearchinformation gathering

Soft Skills

written communicationverbal communicationorganizational skillsattention to detail