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Insurance Claims Examiner

Remote · Mexico Full-time

Our client is seeking a diligent and detail-oriented Insurance Claims Examiner to join their team in Oklahoma City, Oklahoma, US . This role is vital in ensuring that submitted insurance claims are processed accurately, efficiently, and in accordance with policy terms and company procedures. The Claims Examiner will be responsible for reviewing claims documentation, verifying coverage, investigating discrepancies, and authorizing payments or denials. You will interact with policyholders, agents, and other parties involved in the claims process, providing clear communication and exceptional customer service. Strong analytical skills are required to assess the validity of claims, determine liability, and calculate appropriate settlement amounts. This position demands meticulous attention to detail, a thorough understanding of insurance policies, and adherence to all relevant regulations and compliance standards. The successful candidate will maintain accurate and organized claim files, documenting all findings and actions taken. This role involves a hybrid work model, offering a blend of in-office work at our Oklahoma City, Oklahoma, US location for team collaboration and structured oversight, with the flexibility of remote workdays. A bachelor's degree or equivalent experience in a related field is preferred. Previous experience in insurance claims processing or a similar role is essential. Excellent communication, problem-solving, and organizational skills are a must. If you are a responsible individual with a commitment to fairness and accuracy, and you thrive in a structured yet flexible work environment, this opportunity is for you. Join our client and contribute to their mission of providing reliable and timely claims service to their policyholders. The ideal candidate will be adept at managing a caseload, making informed decisions, and ensuring a high level of customer satisfaction throughout the claims lifecycle, working from our Oklahoma City, Oklahoma, US base.

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