[Hiring] Property and Casualty Claims Examiner @Cynet Systems

Role Description

To process claims and determine benefits due pursuant to credit card or other financial program benefits plans; to make timely payments and adjustments for specified program claims; and to provide superior customer service.

• Processes first party property claims based on basic coverage as defined by client-specific program.
• Makes coverage determinations based on investigation/evaluation.
• Adjudicates proper settlement or denials up to designated authority level.
• Handles high volume of claims, phone calls and correspondence ensuring claim files are properly documented; meets quality and production goals; and meets customer guidelines and deadlines.

• Performs other duties as assigned.
• Supports the organization's quality program(s).

Qualifications

• 1+ years of general office experience or equivalent combination of education and experience required.
• Claims industry experience preferred.

Requirements

• High school diploma or GED required.
• Licenses as required or willingness/ability to move toward obtaining appropriate licensing as required.

Skills & Knowledge

• Knowledge of first party property and casualty claim adjudication as applicable to line of business.
• Good oral and written communication, including presentation skills.
• PC literate, including Microsoft Office products.
• Analytical and interpretive skills.
• Good organizational skills.
• Good interpersonal skills.
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.