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Accident and Health Claims Examiner
Brown & Brown Insurance. Analyze and research claim issues of moderate to complex difficulty.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing and processing claims, ensuring compliance with policy provisions and industry standards. Proficient in effective communication and documentation practices to support claim resolution.
Highest-signal resume keywords
Claims AnalysisPolicy Provisions ReviewBenefit Payment ProcessingDocumentation ManagementMicrosoft Office Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AnalysisPolicy Provisions ReviewBenefit Payment ProcessingDocumentation Management
Soft Skills
Interpersonal SkillsOral CommunicationWritten Communication
Tools & Technologies
Claim SystemMicrosoft Office
Industry Keywords
CBP PolicyTPA AgreementsSLA Agreements
About the role
Key responsibilities & impact- Analyze and research claim issues of moderate to complex difficulty.
- Comprehend complicated workflows, policy certificates, and policy provisions.
- Review and apply policy provisions in processing claims received.
- Request and obtain necessary documents for claim processing/consideration, including scheduling follow-ups for documentation.
- Release accurate benefit payments in accordance with CBP policy, industry standards, and other applicable TPA or SLA agreements.
- Properly document required information in the claim system, including follow-up information.
- Receive inbound calls within assigned queues and/or as overflow for the CSR team.
Requirements
What you’ll need- High School Diploma or equivalent.
- Ability to function independently within established guidelines.
- Excellent interpersonal, oral, and written communication skills.
- Intermediate skill level in Microsoft Office programs.
Benefits
Comp & perks- Medical/Rx
- Dental
- Vision
- Life Insurance
- Disability Insurance
- ESPP
- 401k
- Student Loan Assistance
- Tuition Reimbursement
- Free Mental Health & Enhanced Advocacy Services
- Paid Time Off
- Holidays
- Preferred Partner Discounts