Claims Examiner I

Nakupuna Companies

Claims Examiner I conducting claims intake and investigation while ensuring compliance with procedures. Collaborating with senior claims personnel and maintaining electronic case files.

Posted 6/6/2026full-timeRemote • South Carolina • 🇺🇸 United StatesJuniorMid-Level💰 $65,000 - $85,000 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills

claims processinginsurance operationslegal supportcase managementlegal researchdrafting legal documentsdocumentation reviewdata gathering

Soft Skills

written communicationverbal communicationcustomer serviceinterpersonal communicationorganizational skillsattention to detail

Tools & Technologies

Microsoft Office SuiteLexisNexisWestlawAffirmative Claims Management Program (ACMP)

Certifications & Qualifications

Associate's DegreeBachelor's Degree

Industry Keywords

affirmative claimsinsurance carriersclaim developmentsupporting documentation

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
Perform basic legal and insurance research utilizing available resources such as LexisNexis, Westlaw, and public databases
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

Associate's Degree or Bachelor's Degree preferred
Minimum of 1-3 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 customer service and interpersonal communication skills
Strong organizational skills and attention to detail
Proficiency with Microsoft Office Suite (Word, Excel, Outlook, and Teams)

Benefits

Comp & perks

Health insurance
401(k) matching
Paid time off
Professional development
Remote work options