Infojini Inc · 3 hours ago
Claims Examiner
United States
Contract
Remote
Entry Level
1+ years expInfojini Inc is seeking a Claims Examiner to manage and adjudicate claims. The role involves investigating claims, making settlement decisions, and preparing reports for clients and management.
Information Technology
Responsibilities
Receives claim assignment, confirms policy coverages and directs acknowledgement of claims
Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted
Investigates, evaluates, negotiates and adjudicates first and third-party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required
Analyzes claims activity and prepares reports for clients/carriers and management
Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements
Make settlement decisions promptly and equitably and issues company drafts in payments for claims within authority limits
Develops subrogation and third party recovery potential and follows reclaim procedures
Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews
Qualification
Required
Receives claim assignment, confirms policy coverages and directs acknowledgement of claims
Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted
Investigates, evaluates, negotiates and adjudicates first and third-party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required
Analyzes claims activity and prepares reports for clients/carriers and management
Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements
Make settlement decisions promptly and equitably and issues company drafts in payments for claims within authority limits
Develops subrogation and third party recovery potential and follows reclaim procedures
Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews
Ability to work independently while assimilating various technical subjects
Good verbal or written communication skills
Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action
Strong ability to identify, analyze and solve problems
Effective interpersonal skills to be capable of dealing with external sources and all levels of employees
Bachelor's degree or equivalent experience required
Comprehensive claims investigations/settling experience 1-3 years experience in Claims or similar organization
Company
Infojini Inc
Infojini Inc. delivers innovative IT Services and Solutions to empower startups, Fortune 500 companies, and global enterprises.
501-1000 employees
H1B Sponsorship
Infojini Inc has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (6)
2024 (12)
2023 (11)
2022 (5)
2021 (10)
2020 (21)
Funding
Current Stage
Late StageRecent News
Baltimore Business Journal
2023-11-04
Company data provided by crunchbase