Specialist - Insurance - P&C Underwriting 4A
Core
Review and validate claim information for accuracy, completeness, and adherence to company policies; process and adjudicate claims within defined turnaround times.
Role type
P&C Underwriter
Builds
Claims adjudication and validation
Domain
Insurance (Property & Casualty)
Required skills
Credit Underwriting, Dispute Litigation, Fraud Management, Operational Risk Assessment, Property & Casualty Insurance, Regulatory Compliance Management, Underwriting
Preferred skills
Associate in Claims (AIC), Certified Compliance Officer (CCO), Certified Professional in Healthcare Risk Management (CPHRM), Certified Regulatory Compliance Manager (CRCM), Certified Risk Professional (CRP)
Technologies
None stated
Responsibilities
Review and validate claim information for accuracy, completeness, and adherence to company policies; Process and adjudicate claims within defined turnaround times; Communicate with clients, providers, and internal teams to provide claim status updates; Identify and escalate claim discrepancies or exceptions; Maintain accurate records and documentation of claims processed; Support team workflows by collaborating with peers and other departments; Participate in process training and knowledge-sharing sessions
Seniority
Specialist