·
Evaluate all claim and policy
information and investigate all details for insured client for various line of
business and ensure applicable coverage of individual
·
Perform interviews and gather
all statements from insured clients, physicians and attorneys for all claim
information and evaluate all facts for policy contracts
·
Investigate and prepare
reports for all denials of claims and settlements and provide update on all
files and recommend reserve changes to all claims
·
Evaluate progress for all
claims and coordinate with team leader for all issues and effective resolution
and develop new methods to handle all claims
·
Administer and settle all
claims effectively and inform all customers and claimants for any denial on
claims
·
Coordinate with team leader
and attorneys and prepare all cases for trials and record all statements of
witnesses and participate in all claim file review and audits
·
Maintain records of all
benefits and resolve all issues in claim processes to minimize risks in claims
processes and maintain records of all shipments and storage
·
Manage and distribute all
incoming mails and perform research on all claim numbers and utilize all
automated computer systems
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