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Claims Examiner

The Judge Group Chicago Full-Time
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Our client is currently seeking a Claims Examiner 
Summary: The main function of a Claims Examiner is to investigate, analyze, and determine the extent of insurance company's liability to determine how much compensation is needed/required.
Job Responsibilities: 
Analyze information gathered by investigation and report findings and recommendations. 
Collect evidence to support contested claims in court. 
Examine claims form and other records to determine insurance coverage. 
Examine titles to property to determine validity and act as company agent in transactions with property owners. 
Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims. 
Interview or correspond with claimant and witnesses, consult police and hospital records, and inspect property damage to determine extent of liability. Investigate and assess damage to property. 
Negotiate claim settlements and recommend litigation when settlement cannot be negotiated. 
Obtain credit information from banks and other credit services. 
Prepare report of findings of investigation. 
Refer questionable claims to investigator or claims adjuster for investigation or settlement.
Skills: 
Basic knowledge in insurance industry. 
Excellent written and verbal communication. 
Strong attention to detail. 
Ability to handle multiple tasks with frequent interruptions. 
Knowledge of basic accounting processes and procedures. 
Basic computer skills including Microsoft Office. 
 

Skills required

Claims
Medicare
Medicare Advantage
Medicaid
Medicare Part D
Appeals
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Job ID: 589743

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The Judge Group is a privately owned, leading professional services firm with nearly 50 years of experience in providing technology, talent, and learning solutions. Our services are successfully delivered through a network of more than 35 offices in the United States, Canada, and India. The Judge Group serves more than 47 Fortune 100 companies and is responsible for 7,000 professionals on assignment annually across a wide range of industries.

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