Senior Claims Specialist
Integrated Specialty Coverages, LLCSalary not specified
Full Time
Senior (5 to 8 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Home Warranty, Insurance, Financial ServicesIndustries
Requirements
- High School Diploma
- 2+ years’ experience with claim adjudication, servicer repair service management, or service administration of major electronics, major appliances, or other similar products
- Knowledge and demonstrated process improvement skills in claims processing and auditing
- Working knowledge of Service Repair Industry, claim processing environments and team collaboration
- Problem solving skills, with an attention to detail
- Basic Computer skills with Office Software Products
- Ability to multitask
- Critical thinking and negotiating skills
- Ability to effectively communicate to external and internal team members, clients, and management
Responsibilities
- Identify and adjudicate negligent, fraudulent, or inappropriate claims by analyzing the content of claims captured systematically in various audit panels and queues, including frequent customer audits, overseeing team shared email box, team chat, and similar on rotation, and managing multiple email queues
- Ownership and responsibility for specific audit queues or panels
- Conduct individual and batch claims research to determine if claimed amounts meet company and/or business rules
- Identify specific patterns of behavior and report to management with correction action plans, including specific types of agreement violations, specific vendor issues, specific brands, or model issues
- Identify agent or vendor training needs specifically focused on reducing claim errors or negligent claims and provide management with a plan on how to address
- Make decisions on claim payments, with complex claims issues reviewed with senior claims auditor or management
- Perform work that is varied and somewhat difficult in nature, selecting from a variety of established procedures to accomplish assigned tasks
- Work under supervision
- Limited analysis of historical claims associated with trends or patterns identified in various audit panels
Skills
claims adjudication
claims auditing
fraud detection
risk management
claims research
vendor management
service administration
customer audits
data analysis
trend analysis
Assurant
Provides risk management and insurance solutions
About Assurant
Assurant provides risk management solutions that focus on protecting major consumer purchases, particularly in mobile devices, electronics, and smart technology. The company offers insurance products and extended service contracts that help consumers safeguard their investments in high-value items. When a product is damaged or malfunctions, Assurant also provides repair services to restore it efficiently. This approach helps clients minimize financial losses from unexpected events. Assurant generates revenue through the sale of insurance policies, service contracts, and repair services. Unlike many competitors, Assurant emphasizes diversity, equity, and inclusion within its corporate culture, which enhances its ability to serve a diverse customer base. The company's goal is to support consumers and businesses in maintaining their day-to-day operations while protecting their investments.
New York City, New YorkHeadquarters
1892Year Founded
IPOCompany Stage
Financial Services, Consumer GoodsIndustries
10,001+Employees
Benefits
Health Insurance
Hybrid Work Options
Professional Development Budget
Risks
Integration challenges from acquiring iSmash may affect operational efficiency.
Regulatory scrutiny from acquiring American Lease Insurance could pose compliance challenges.
Cultural clashes from acquiring American Financial & Automotive Services may impact operations.
Differentiation
Assurant specializes in risk management for mobile devices and electronics globally.
The company offers insurance, service contracts, and repair services for high-value items.
Assurant's DEI commitment fosters innovation and enhances customer understanding.
Upsides
Increased demand for mobile device insurance due to remote work trends.
5G expansion drives demand for new devices and related insurance products.
Acquisition of iSmash enhances Assurant's tech repair service capabilities.
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