Claims Technician

Position Summary:

Location:

What will your job entail?

Job Responsibilities:
• Analyzes insurance claims to determine coverage, authenticity, and accuracy by assessing claim forms, supporting documents, and policy details.
• Conducts investigations into the circumstances surrounding a claim to verify its validity, gathers additional information from claimants, witnesses, or other relevant parties.
• Ensures that claims are processed in accordance with the terms and conditions outlined in insurance policies.
• Utilizes data analysis techniques to identify trends in claims, such as frequent types of claims, common causes of losses, and potential areas for risk mitigation.
• Communicates with claimants, insurance agents, and other stakeholders to gather information, provide updates on claim status, and address any questions or concerns.
• Maintains accurate system data and documentation by collecting, recording, analyzing, and summarizing information.
• Maintains detailed records of claims processing activities, including correspondence, investigation findings, and payment authorizations.
• Identifies potential instances of fraud or misrepresentation in insurance claims and escalates suspicions to the appropriate department for further investigation.
• Provides support and assistance to claimants throughout the claims process, including explaining coverage, answering inquiries, and facilitating the resolution of issues.
• Ensures compliance with insurance regulations, industry standards, and company policies in all aspects of claims processing.
• Participates in process improvement initiatives aimed at enhancing efficiency, accuracy, and customer satisfaction in claims handling.
Work Experience and Education:
· Bachelor's degree in Legal, Finance, Business Administration, or a related field with 6 months to a year of related experience. Any other related discipline or commensurate work experience considered.
Licenses & Certifications:
• Prescribed: Minimum requirements for state specific Adjusting/Appraising/Examining/ Investigating Licenses
• Preferred: Associate in Claims (AIC), Certified Insurance Service Representative (CISR), Certified Insurance Claims Manager (CICM)

Disclaimer

Ryan Specialty is an Equal Opportunity Employer. We are committed to building and sustaining a diverse workforce throughout the organization. Our vision is an inclusive and equitable workplace where all employees are valued for and evaluated on their performance and contributions. Differences in race, creed, color, religious beliefs, physical or mental capabilities, gender identity or expression, sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we provide our clients, trading partners, and communities. This policy extends to all aspects of our employment practices, including but not limited to, recruiting, hiring, discipline, firing, promoting, transferring, compensation, benefits, training, leaves of absence, and other terms, conditions, and benefits of employment.