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Claims Examiner, Credit

Fortegra · Jacksonville, Florida, US

Responsible for providing professional customer service to insureds and accounts while adjudicating credit protection and debt cancellation claims. Allocates...

Job description

Responsible for providing professional customer service to insureds and accounts while adjudicating credit protection and debt cancellation claims. Allocates time between claim adjudication and claims customer service, reviewing submitted information, coverage, and documentation in a timely manner. Minimum Qualifications: 2 years’ experience in claims and/or other related claims processes. Customer Service training is imperative since we communicate verbally on the phone and in written correspondence. - High School Diploma or equivalent. - Fraud Awareness training and Claims Experience required. - Insurance Certifications, designations or licenses preferred, not required. Primary Job Functions: The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. - Enter and adjudicate claims by reviewing documentation and determining appropriate action (pay, pend, or deny) in accordance with policy provisions, exclusions, and eligibility criteria. - Dynamically allocating time betwe...