Complex Claims Adjuster A&H (f/m/x)
Core
Independent handling of Accident & Health and Property insurance claims, including international cases, coverage verification, and fraud detection.
Role type
Claims Adjuster (Accident & Health & Property)
Builds
Claims resolutions and loss assessments for commercial and personal insurance clients
Domain
Insurance (Accident & Health, Property)
Deliverable
client delivery
Required skills
Insurance policy analysis, fraud detection, medical report evaluation, stakeholder communication, regulatory compliance, documentation management
Preferred skills
International broker negotiation, regression analysis, loss adjuster coordination
Technologies
Internal claims systems, MS Office
Responsibilities
Investigate claim facts by contacting insureds, brokers, lawyers, and medical experts; detect fraud indicators; manage claim dossiers and documentation; attend client and broker meetings; collaborate with underwriting
Seniority
Entry to Mid-level, hands-on IC