Full Time
Claim Specialist – Amazon Work From Home Jobs
Job Description
Job Type: Claims Specialist from home
Location: California work from home
Company: Cigna
Responsibilities:
The chosen applicant will work with the Last Mile Claims team, supporting and reporting to a Risk Manager, with an emphasis on claims management with the potential for adjudication, process improvement, and third-party programs. The following duties are possible, but are not restricted to:
- Claims management for both disputed and non-litigious motor property damage and moderate to complex bodily injury claims.
- Work with business units to put measures in place that will limit complex, expensive claims and keep costs in check.
- Together with internal and external counsel, TPAs, and insurance companies, develop a strategy and action plans for claims.
- Closely collaborate with insurance carrier and third-party administrator (TPA) partners to promote cost containment, simplicity, and continual improvement.
- Work together with internal and external teams to achieve common program objectives.
- Create deft solutions that will significantly affect regular claim processing.
- Effectively inform internal leadership teams and cross-functional teams about proposed risk reduction techniques.
- Make use of subject matter expertise to thoroughly examine claim procedures, pose provocative questions, and create deft answers that will have an effect on program metrics.
- Assist internal audits to verify quality and compliance with client service guidelines and performance standards.
- Create and/or revise standard operating procedures in collaboration with vendors to ensure they support program objectives.
- Make data-driven judgments for process evaluations and recommendations by utilizing and developing metrics.
- Collaborate with other teams to share ideas, drive change, and complete projects.
Essential job duties
- Management of complex, high-value auto property damage and injury claims.
- Work with business units to put measures in place that will limit complex, expensive claims and keep costs in check.
- Together with internal and external counsel, TPAs, and insurance companies, develop a strategy and action plans for claims.
- Closely collaborate with insurance carrier and third-party administrator (TPA) partners to promote cost containment, simplicity, and continual improvement.
- Establish protocols for handling auto physical damage claims by working with internal and external teams.
- Make data-driven judgments for process evaluations and recommendations by utilizing and developing metrics.
- Collaborate with other teams to share ideas, drive change, and complete projects.
Candidates may be hired to work from any of the following locations: USA virtual location
Requirements:
BASIC REQUIREMENTS
- Five or more years of expertise deciding cases involving auto liability and auto physical damage
A thorough understanding of the litigation process and claims management from inception to settlement. 5+ years of expertise arbitrating moderate to complicated bodily injury claims that involve litigation. - A current license as a property and casualty adjuster
FAVORABLE QUALIFICATIONS
- Knowledge of total loss and subrogation procedures • Experience with fleet or commercial auto claims • ARM, AIC, CPCU, or a comparable designation