Claims Examiner I

🔥 0 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

💵 $65k - $85k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Nakupuna Companies

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🤝 B2B

🏛️ Government

B2B • Government • Logistics

Nakupuna Companies is a Native Hawaiian Organization-owned family of companies that operates across various sectors including mission and business operations, IT services, facilities and infrastructure, environmental services, and logistics. Their primary focus is to provide innovative solutions that address technical and programmatic challenges for government partners while promoting the advancement of the Native Hawaiian community through targeted initiatives and investments. Headquartered in Hawai‘i, they also maintain offices in multiple states across the U. S. , combining the capabilities of large entities with the agility of small businesses.

📋 Description

• Conduct initial intake and review of affirmative claims cases and related documentation • Request and obtain police reports, accident reports, medical records, insurance information, and other supporting documentation • Identify potential insurance carriers and gather information necessary to support claim development • Communicate professionally with claimants, insurance representatives, medical providers, attorneys, and government personnel • Perform basic legal and insurance research utilizing available resources such as LexisNexis, Westlaw, and public databases • Draft initial Notices of Claim, standard demand letters, and routine correspondence for supervisory review • Maintain accurate electronic case files within the Affirmative Claims Management Program (ACMP) or similar claims management systems

🎯 Requirements

• Associate's Degree or Bachelor's Degree preferred • Minimum of 1-3 years of professional experience in claims processing, insurance operations, legal support, customer service, case management, or related fields • Excellent written and verbal communication skills • Strong customer service and interpersonal communication skills • Strong organizational skills and attention to detail • Proficiency with Microsoft Office Suite (Word, Excel, Outlook, and Teams)

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Professional development • Remote work options