Project Details

Claims Examiner

Description

Investigate, compile, record and analyze data to
make claim determinations based on the terms of
the policy contract and company guidelines
established.  Communicate with internal staff,
claimants, attorneys, regulatory agencies,
investigators, reinsures, beneficiaries, and
medical professionals to provide background,
status, reasoning and disposition of cases
assigned.  Each level is assumed to have been
built on the responsibilities and competencies
demonstrated by the previous level.