Claim Specialist (Closed)
| Job Title: | Claim Specialist (Closed) |
| Our Client: | A Leading Insurance Company |
| Country: | United States |
| Location: | Irvine, CA |
| Specialisation: | Banking & Financial Services |
| Salary: | |
| Job Reference: | 5105 |
| Contact Person: | Brandon K. PARK Senior Director |
| Contact Email: | brandon.park@cesna.com |
| Job Published: | 2024-07-18 |
Position
Claim Specialist
About Our Client
- The second-largest property & casualty insurance company in Korea.
- Its US Branch, established in 1992, conducts property and casualty insurance business across North, Central, and South America.
Job Summary
-
Job Description
- - Examine homeowners insurance coverage based on claim reports, insurance
- policies, applicable statutes, and case law to determine the claim's eligibility for
- coverage.
- - Review and verify claim payments and case reserves suggested by our Third-Party
- Claim Administrators (TPAs).
- - Effectuate prompt and accurate payments to claimants and manage expenses with
- our Third-Party Claim Administrator.
- - Contact and provide claim-specific guidance/direction to field adjusters when
- necessary.
- - Select, manage, and communicate with our defense legal counsels.
- - Be vigilant for insurance fraud and implement special procedures if fraud is
- suspected.
- - Successfully interact with co-workers and management.
- - Sorting claim data and analyzing trends, with the potential use of tools such as
- Geographic Hazard Maps.
- - Utilizing advanced statistical methods and tools such as R and Python for
- regression analysis and predictive modeling to analyze claim trends.
- - Perform additional duties as assigned by the company
Qualifications
- - Bilingual in Korean and English (Both Written and Spoken).
- - Proficient in Microsoft Excel, PowerPoint, and Word.
- - Bachelor’s degree in Law, Data Science, or a related field (More than 2 years of
- industry experience in (re)insurance companies, Claim TPAs, or U/W agencies is highly desirable.)
- - Highly motivated, active, and precise personality
What's On Offer
- - Dental, Vision, Health, Life/AD&D
- - Paid and sick leave
- - 401K
Apply online or feel free to contact us directly for more information about the opportunity. Due to the high volume of applicant, we regret to inform that only shortlisted candidates will be notified. Thank you for your understanding.
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