The Claims Examiner will focus on Stop Loss claim reviews for multiple clients. The focus of their daily activities will be claim reviews and reporting their findings to the client while maintaining key performance metrics.
The successful candidate will work within the Excess Claims Management unit in our Danvers, MA Office and, ultimately, will be responsible for managing client expectations for claims review.
This person will create appropriate reporting documents and correspondence based on review and analysis of data, policies and related information.
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Accountable for delivering recommendations via client claims systems, standardized reporting, individual claimant worksheets and cumulative bordereaux
- Collaboratively working with clients and colleagues providing support in all areas of the review process
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Experience within insurance, reinsurance, healthcare claims, or a claims administration environment.
- Strong analytical skills with the ability to review claims, policies, and supporting documentation accurately.
- Excellent attention to detail and a commitment to delivering high-quality work within agreed service levels.
- Strong written and verbal communication skills, with experience liaising directly with clients and stakeholders.
- Proficiency in Microsoft Office applications, particularly Excel, and experience using claims management systems.
At Davies, we offer a supportive and flexible working environment, alongside a wide range of benefits designed to help you thrive both personally and professionally.
These include 25 days’ holiday plus bank holidays, pension contributions, life assurance, access to wellbeing support including a 24/7 EAP and Digital GP, retail discounts, flexible benefits, volunteering opportunities, and funding for relevant professional qualifications and memberships.
You’ll also have access to learning and development opportunities, inclusive employee networks, and flexible working options to help you build a rewarding career with us.
We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses.
We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management.
Our global team of more than 8,000 professionals operate across ten countries, including the UK & the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research & development, innovation & automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.
