What Jobs are available for Claims Adjusting in Kenya?

Showing 158 Claims Adjusting jobs in Kenya

Insurance Claims Adjuster

00500 Ongata Rongai, Rift Valley KES60000 Monthly WhatJobs remove_red_eye View All

Posted 21 days ago

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Job Description

contractor
Our client, a reputable insurance company, is seeking a dedicated Insurance Claims Adjuster to manage and process claims efficiently. This is a field-based contractor role requiring active engagement with policyholders and relevant parties. You will be responsible for investigating insurance claims, determining coverage, negotiating settlements, and ensuring fair and timely resolution for various types of claims, including property, auto, and liability. The ideal candidate possesses strong investigative skills, excellent negotiation abilities, and a commitment to providing exceptional customer service.

Responsibilities:
  • Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing relevant documents.
  • Determine the extent of liability and coverage based on policy terms and conditions.
  • Assess damages and negotiate fair settlements with policyholders and third parties.
  • Coordinate with repair shops, medical providers, legal counsel, and other relevant parties as needed.
  • Prepare detailed damage estimates and claim reports.
  • Ensure claims are processed accurately and in compliance with company policies and regulatory requirements.
  • Maintain organized and up-to-date claim files.
  • Provide clear explanations of policy coverage and claim procedures to policyholders.
  • Identify potential fraud indicators and escalate suspicious claims for further investigation.
  • Manage a caseload of claims, ensuring timely progress and resolution.
  • Attend required meetings and training sessions to stay updated on insurance practices and regulations.
  • Represent the company professionally in all interactions with clients and external parties.
Qualifications:
  • High school diploma or equivalent; a Bachelor's degree is preferred.
  • Proven experience as an Insurance Claims Adjuster or in a similar role.
  • Valid Kenyan Driver's License and a reliable vehicle for field visits.
  • Strong understanding of insurance policies, claims processes, and relevant legal frameworks.
  • Excellent investigative, analytical, and problem-solving skills.
  • Exceptional negotiation and communication abilities.
  • Proficiency in claims management software and MS Office Suite.
  • High level of integrity and ethical conduct.
  • Ability to manage time effectively, prioritize tasks, and meet deadlines.
  • Strong customer service orientation.
  • Willingness to travel within the assigned territory and conduct field investigations.
  • Relevant insurance certifications or licenses are a strong asset.
This contractor role offers an opportunity to utilize your claims adjusting expertise in a hands-on capacity, serving policyholders directly and contributing to the smooth operation of insurance services.
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Insurance Claims Adjuster

20110 Machakos, Eastern KES70000 Annually WhatJobs Direct

Posted 3 days ago

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Job Description

full-time
Our client is seeking a dedicated and detail-oriented Insurance Claims Adjuster to join their expanding team. This is a fully remote position, offering the flexibility to work from anywhere while managing a portfolio of insurance claims. The successful candidate will be responsible for investigating, evaluating, and negotiating insurance claims in accordance with company policies and regulations. You will engage with policyholders, witnesses, and relevant parties to gather information, assess damages or losses, and determine coverage. Accurate documentation, clear communication, and timely claim resolution are paramount. This role requires a strong understanding of insurance principles, excellent analytical skills, and the ability to make sound judgments. You will need to conduct thorough investigations, which may involve reviewing policy documents, obtaining statements, inspecting property, and coordinating with experts when necessary. Building rapport with claimants while maintaining impartiality and adhering to ethical standards is key. The ability to manage a caseload effectively, prioritize tasks, and meet deadlines in a remote work environment is crucial. We are looking for an individual with a high degree of integrity and a commitment to providing exceptional service to our clients during a potentially stressful time. This is an excellent opportunity for a motivated professional to grow within the insurance industry.

Key Responsibilities:
  • Receive, review, and process insurance claims from policyholders.
  • Investigate assigned claims to determine the extent of liability and coverage.
  • Gather relevant documentation, including police reports, medical records, and repair estimates.
  • Interview claimants, witnesses, and relevant parties to obtain detailed information.
  • Conduct site inspections or arrange for independent adjusters as needed.
  • Evaluate damages and negotiate fair and equitable settlements.
  • Interpret policy provisions and apply them to specific claim situations.
  • Maintain accurate and thorough claim files, documenting all actions and communications.
  • Ensure timely and efficient claim resolution in compliance with company guidelines and regulatory requirements.
  • Communicate effectively with claimants, legal representatives, and internal stakeholders.
  • Identify potential fraud and escalate suspicious claims for further investigation.
  • Stay updated on industry trends, legal changes, and best practices in claims adjusting.
Qualifications:
  • Proven experience as an Insurance Claims Adjuster or similar role.
  • In-depth knowledge of insurance policies, claims procedures, and relevant legislation.
  • Excellent investigation, analytical, and negotiation skills.
  • Strong communication, interpersonal, and customer service abilities.
  • Proficiency in claims management software and MS Office Suite.
  • Ability to work independently, manage time effectively, and meet deadlines.
  • High degree of integrity, professionalism, and attention to detail.
  • Bachelor's degree in Business, Law, or a related field is preferred.
  • Relevant insurance certifications are a plus.
  • Adaptability to working in a fully remote environment.
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Insurance Claims Adjuster - Remote Processing

20116 Karagita KES70000 Annually WhatJobs

Posted 7 days ago

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Job Description

full-time
Our client is seeking an experienced and detail-oriented Insurance Claims Adjuster to manage claims processing remotely. This is a fully remote position, allowing you to contribute to client satisfaction and efficient claim resolution from anywhere. The ideal candidate will have a solid understanding of insurance policies, claims investigation, damage assessment, and negotiation. You will be responsible for evaluating submitted claims, determining coverage, negotiating settlements, and ensuring prompt and fair claim resolution while maintaining excellent customer service standards.

Responsibilities:
  • Investigate insurance claims by reviewing policy coverage, conducting interviews, and gathering necessary documentation.
  • Assess the extent of damages or losses sustained by policyholders.
  • Determine liability and coverage based on policy terms and conditions.
  • Negotiate settlements with policyholders and third parties in a fair and timely manner.
  • Authorize payments for approved claims in accordance with company guidelines and policy limits.
  • Maintain accurate and detailed claim files, documenting all actions taken and communications.
  • Communicate effectively with policyholders, providing clear explanations of the claims process and status updates.
  • Collaborate with internal teams, such as underwriting and legal, to resolve complex claims issues.
  • Ensure compliance with all relevant insurance regulations and company policies.
  • Identify potential fraudulent claims and escalate for further investigation.
  • Manage a caseload of claims efficiently, prioritizing tasks and meeting deadlines.
  • Contribute to process improvements within the claims department.
  • Provide exceptional customer service throughout the claims handling process.

Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field, or equivalent experience.
  • 3+ years of experience as an Insurance Claims Adjuster or in a similar role.
  • In-depth knowledge of various insurance policies (e.g., auto, home, property, liability).
  • Proven experience in claims investigation, damage assessment, and negotiation.
  • Strong analytical and critical thinking skills.
  • Excellent communication, interpersonal, and customer service skills.
  • Proficiency with claims management software and standard office applications.
  • Ability to work independently, manage time effectively, and handle a high volume of claims in a remote setting.
  • Relevant insurance licenses and certifications (e.g., Associate in Claims - AIC) are highly desirable.
  • Detail-oriented with a commitment to accuracy and fairness.
This is an excellent opportunity for a skilled claims professional to join a leading insurance provider and work remotely. If you are dedicated to delivering fair and efficient claims resolution, we encourage you to apply.
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Remote Insurance Claims Adjuster - Complex Claims

00200 Ongata Rongai, Rift Valley KES95000 Annually WhatJobs

Posted 9 days ago

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Job Description

full-time
Our client is seeking a meticulous and experienced Remote Insurance Claims Adjuster to handle complex claims across various lines of business. This is a fully remote position, allowing you to manage claims efficiently from any location in Kenya. As a Claims Adjuster, you will be responsible for investigating, evaluating, and negotiating insurance claims to determine the extent of the insurer's liability and the amount of compensation. You will thoroughly review policy coverage, gather evidence, interview claimants and witnesses, and consult with experts as needed to assess the validity and value of claims. Prompt and fair settlement of claims while adhering to company guidelines and regulatory requirements is paramount. This role requires strong analytical and problem-solving skills, with the ability to make sound judgments based on evidence and policy terms. Excellent negotiation and communication skills are essential for effectively interacting with policyholders, legal representatives, and other parties involved in the claims process. You must be adept at documenting all aspects of the claims investigation and resolution process accurately and comprehensively. Familiarity with various types of insurance claims (e.g., property damage, liability, bodily injury) and relevant legal frameworks is highly desirable. Proficiency in claims management software and other relevant digital tools is expected. The ability to manage a caseload of complex claims efficiently and meet established service level agreements in a remote environment is crucial. This is an exceptional opportunity for a seasoned claims professional to leverage their expertise in a flexible, remote work setting, contributing to fair claim resolutions for clients in the **Ongata Rongai, Kajiado** region and across the country. If you are a dedicated professional with a commitment to integrity and efficient claims handling, we encourage you to apply.
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Claims Adjuster

00300 Garissa, North Eastern KES90000 Annually WhatJobs

Posted 19 days ago

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Job Description

full-time
Our client, a reputable insurance provider, is seeking a dedicated and meticulous Claims Adjuster to manage and process insurance claims efficiently. This role is entirely remote, offering the flexibility to work from your home office. The successful candidate will be responsible for investigating claims, determining liability, and negotiating settlements in accordance with policy terms and conditions.

Responsibilities:
  • Investigate insurance claims promptly and thoroughly to determine coverage and liability.
  • Interview claimants, witnesses, and other parties involved in an incident.
  • Gather and analyze evidence, including police reports, medical records, and property damage assessments.
  • Evaluate policy coverage and interpret policy language to ensure accurate claim adjudication.
  • Negotiate settlements with claimants and their representatives in a fair and timely manner.
  • Prepare detailed claim reports, documenting findings, decisions, and settlement recommendations.
  • Maintain accurate and organized claim files, ensuring all documentation is up-to-date.
  • Adhere to company policies, industry best practices, and regulatory requirements.
  • Provide excellent customer service to policyholders throughout the claims process.
  • Identify potential cases of fraud and report them to the appropriate department.
Qualifications:
  • High school diploma or equivalent; a Bachelor's degree in Business, Finance, or a related field is advantageous.
  • Relevant insurance certifications (e.g., ACII, CIP) are highly desirable.
  • Proven experience as a Claims Adjuster or in a similar role within the insurance industry.
  • Strong understanding of insurance policies, claims handling procedures, and legal/regulatory frameworks.
  • Excellent investigative, analytical, and problem-solving skills.
  • Exceptional negotiation and communication skills, both written and verbal.
  • High level of integrity and attention to detail.
  • Proficiency in claims management software and Microsoft Office Suite.
  • Ability to manage a caseload effectively and prioritize tasks in a remote setting.
  • Customer-focused approach with a commitment to providing professional service.
This is a remote position for a Claims Adjuster supporting operations relevant to Garissa, Garissa, KE . We are looking for individuals with a keen eye for detail and a strong ethical compass to join our growing team. If you are adept at assessing complex situations and delivering fair resolutions, apply today.
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Remote Insurance Claims Adjuster

40200 Tuwan KES80000 Annually WhatJobs remove_red_eye View All

Posted 26 days ago

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Job Description

contractor
Our client is seeking a diligent and detail-oriented Remote Insurance Claims Adjuster to manage and process insurance claims efficiently. This is a fully remote position, offering the flexibility to work from your home office while serving clients across various regions. You will be responsible for investigating insurance claims, determining coverage, negotiating settlements, and ensuring compliance with policy terms and regulations. The role requires strong analytical skills, excellent communication, and a thorough understanding of insurance policies and claims procedures. You will play a crucial role in delivering fair and timely resolutions to policyholders. Key responsibilities include:
  • Receiving, reviewing, and investigating insurance claims submitted by policyholders.
  • Analyzing policy coverage, exclusions, and endorsements to determine claim validity.
  • Gathering relevant information and documentation, including police reports, medical records, and repair estimates.
  • Conducting interviews with claimants, witnesses, and other involved parties.
  • Assessing damages and determining the appropriate settlement amount based on policy terms and evidence.
  • Negotiating settlements with claimants and/or their representatives.
  • Documenting all claim activities and communications accurately in the claims management system.
  • Ensuring claims are processed in compliance with company procedures and regulatory requirements.
  • Identifying potential fraudulent claims and escalating them for further investigation.
  • Providing clear and timely communication to policyholders regarding claim status and decisions.

The ideal candidate will possess a Bachelor's degree in Business, Finance, or a related field, or equivalent work experience. Previous experience as an insurance claims adjuster, preferably in a specific line of insurance (e.g., auto, property, casualty), is highly desirable. Knowledge of insurance principles, policy language, and claims handling procedures is essential. Strong analytical, investigative, and problem-solving skills are a must. Excellent written and verbal communication skills, along with negotiation abilities, are critical. Proficiency in claims management software and standard office applications is required. Relevant insurance licenses (or the ability to obtain them quickly) are often a requirement for this role. The ability to work independently, manage a caseload effectively, and maintain a high level of accuracy in a remote setting is crucial. We are looking for reliable and customer-focused individuals committed to providing excellent claims service. The **Kitale, Trans-Nzoia, KE** location is a strategic hub for our client's operations, and we seek dedicated adjusters who can excel in a remote capacity.
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Lead Insurance Claims Adjuster

90100 Gathiruini KES110000 Annually WhatJobs remove_red_eye View All

Posted 24 days ago

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Job Description

full-time
Our client, a prominent player in the insurance industry, is seeking a highly experienced Lead Insurance Claims Adjuster to join their fully remote team. This leadership role is responsible for overseeing a team of claims adjusters, ensuring the efficient and accurate processing of insurance claims, and maintaining exceptional customer service standards. You will play a crucial role in developing claims handling best practices, providing expert guidance, and contributing to the overall success of the claims department.

Responsibilities:
  • Lead and mentor a team of insurance claims adjusters, providing guidance on complex claims and case management.
  • Develop and implement efficient claims processing procedures and protocols to ensure timely and accurate resolution.
  • Review and approve complex or high-value claims, ensuring compliance with policy terms and conditions.
  • Conduct thorough investigations of insurance claims, including gathering evidence, interviewing witnesses, and assessing damages.
  • Negotiate settlements with policyholders and third parties in a fair and equitable manner.
  • Ensure adherence to all relevant insurance regulations and company policies.
  • Train and develop claims adjusters, enhancing their technical skills and customer service capabilities.
  • Analyze claims data to identify trends, potential fraud, and areas for process improvement.
  • Manage the claims backlog and prioritize workload effectively to meet service level agreements.
  • Liaise with legal counsel, external adjusters, and other stakeholders as needed.
  • Contribute to the development of training materials and ongoing professional development for the claims team.
  • Foster a collaborative and high-performing team environment, promoting best practices in claims handling.
  • This position is ideal for a seasoned professional seeking to leverage their expertise in a remote capacity, supporting clients and operations related to Mlolongo, Machakos, KE . The successful candidate must demonstrate strong leadership, analytical, and decision-making skills, with a commitment to delivering outstanding service in a remote-first environment.

The successful candidate will possess a deep understanding of various insurance lines, claims investigation techniques, and settlement negotiation. Excellent communication, interpersonal, and organizational skills are essential for managing a remote team and diverse caseload. A proven ability to handle complex claims and guide others through the process is required.
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Senior Insurance Claims Adjuster

00200 Ongata Rongai, Rift Valley KES90000 Monthly WhatJobs remove_red_eye View All

Posted 28 days ago

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Job Description

full-time
Our client, a prominent insurance provider, is seeking an experienced Senior Insurance Claims Adjuster to manage and resolve complex insurance claims efficiently and effectively. This role requires a deep understanding of insurance policies, claims investigation, and settlement procedures. The ideal candidate will be adept at evaluating damages, determining liability, and negotiating fair settlements for policyholders. You will be responsible for investigating claims thoroughly, gathering evidence, interviewing claimants and witnesses, and reviewing relevant documentation. This involves assessing the validity of claims against policy terms and conditions, identifying potential fraud, and making informed decisions on claim payouts. Your expertise will be crucial in explaining policy coverage and settlement offers to clients in a clear and compassionate manner. The role demands excellent analytical, problem-solving, and negotiation skills. You will manage a caseload of complex claims, ensuring timely resolution while maintaining high standards of customer service and regulatory compliance. A strong understanding of claims management systems and related software is essential. This position requires significant on-site presence to conduct physical inspections, meet with clients, and collaborate with legal and repair professionals. Your commitment to fairness, integrity, and efficient claims handling will be vital to supporting our client's reputation and ensuring customer satisfaction.

Key Responsibilities:
  • Investigate, evaluate, and settle complex insurance claims accurately and efficiently.
  • Interpret insurance policies to determine coverage and liability.
  • Conduct physical inspections of damaged property or accident scenes.
  • Interview claimants, witnesses, and relevant parties to gather information.
  • Review medical reports, police reports, repair estimates, and other supporting documentation.
  • Negotiate settlements with claimants and their representatives.
  • Identify and investigate potential insurance fraud.
  • Maintain accurate and detailed claim files and documentation.
  • Ensure compliance with all relevant insurance regulations and company policies.
  • Provide exceptional customer service and maintain professional communication.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, Law, or a related field.
  • Minimum of 5 years of experience as an Insurance Claims Adjuster.
  • Proven expertise in handling various types of claims (e.g., auto, property, liability).
  • Strong knowledge of insurance policies, legal principles, and claims investigation techniques.
  • Excellent analytical, negotiation, and problem-solving skills.
  • Proficiency in claims management software and standard office applications.
  • Exceptional written and verbal communication skills.
  • Ability to work independently, manage time effectively, and handle a high volume of claims.
  • Strong ethical conduct and attention to detail.
  • Relevant professional certifications (e.g., ACII, CIP) are highly desirable.
This role is based in Ongata Rongai, Kajiado, KE , serving the local community and contributing to the company's core operations.
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Insurance Claims Adjuster - Remote

50200 Bungoma, Western KES130000 Annually WhatJobs remove_red_eye View All

Posted 18 days ago

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Job Description

full-time
Our client, a leading name in the insurance industry, is looking for a diligent and customer-focused Insurance Claims Adjuster to join their expanding, fully remote claims department. This position is ideal for a motivated professional who can manage a caseload of insurance claims efficiently and empathetically, all from a remote work environment. You will be responsible for investigating, evaluating, and settling insurance claims in accordance with company policies and legal regulations. This includes gathering information from policyholders, witnesses, and other relevant parties; analyzing policy coverage; determining liability; and negotiating fair settlements. The ideal candidate possesses a strong understanding of insurance principles and claims processes, excellent investigative skills, and the ability to make sound judgments. Exceptional communication, negotiation, and interpersonal skills are crucial for interacting with policyholders, claimants, and other stakeholders during often stressful situations. You must be highly organized, detail-oriented, and capable of managing multiple claims simultaneously while adhering to strict deadlines. As this is a fully remote role, a high degree of self-discipline, autonomy, and proficiency in using claims management software and remote communication tools is essential. You will play a vital role in upholding our client's commitment to fair and efficient claims handling, ensuring customer satisfaction and trust, all while working from the convenience of your home.

Responsibilities:
  • Investigate, evaluate, and settle insurance claims accurately and efficiently.
  • Gather information from policyholders, witnesses, and relevant documentation.
  • Analyze policy coverage and determine liability for claims.
  • Negotiate claim settlements with policyholders and claimants.
  • Communicate effectively with all parties involved in the claims process.
  • Maintain accurate and up-to-date claim files and documentation.
  • Ensure compliance with all relevant insurance laws and regulations.
  • Adhere to company policies and procedures for claims handling.
  • Identify potential fraud indicators and escalate as necessary.
  • Contribute to process improvement initiatives within the claims department.
  • This is a fully remote position, requiring the ability to work independently and manage a claims portfolio from a home office.

Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field.
  • Relevant professional certifications (e.g., ACII, CPCU) are highly desirable.
  • Minimum of 4 years of experience as an insurance claims adjuster or in a related claims role.
  • Strong understanding of insurance policies, claims investigation, and settlement practices.
  • Excellent investigative, analytical, and problem-solving skills.
  • Superior negotiation and communication abilities.
  • Proficiency in claims management software and standard office applications.
  • High degree of organization, attention to detail, and time management skills.
  • Ability to work autonomously and manage workload effectively in a remote setting.
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Senior Insurance Claims Adjuster

20100 Mwembe KES150000 Annually WhatJobs Direct remove_red_eye View All

Posted 3 days ago

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Job Description

full-time
Our client is looking for an experienced and detail-oriented Senior Insurance Claims Adjuster to join their fully remote claims department. This role is essential in investigating, evaluating, and negotiating insurance claims for a diverse range of policyholders. You will be responsible for determining liability, assessing damages, and ensuring fair and timely settlements in accordance with policy terms and regulations. The ideal candidate will possess a strong understanding of insurance policies, claims handling procedures, and relevant legal frameworks. Excellent investigative, analytical, and communication skills are paramount, especially in a remote setting where clear and concise documentation and virtual client interaction are key. You will manage a caseload of complex claims, requiring keen judgment and a commitment to providing exceptional service to policyholders during their time of need.

Key Responsibilities:
  • Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing police reports and other relevant documents.
  • Analyze policy coverage and determine the extent of liability and the company's obligation.
  • Assess the extent of damages or losses incurred by the policyholder.
  • Negotiate settlements with claimants, policyholders, and legal representatives.
  • Approve or deny claims based on policy provisions and investigative findings.
  • Maintain accurate and thorough claim files, documenting all activities and decisions.
  • Communicate effectively with claimants, internal departments, and external parties throughout the claims process via phone, email, and video conferencing.
  • Stay updated on relevant laws, regulations, and industry best practices.
  • Identify potential fraud and escalate suspicious claims for further investigation.
  • Contribute to the development and improvement of claims handling processes.
  • Mentor and provide guidance to junior adjusters.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field, or equivalent experience.
  • A minimum of 5 years of experience in insurance claims adjusting.
  • Proficiency in claims management software and standard office applications.
  • In-depth knowledge of various insurance lines (e.g., property, auto, liability).
  • Strong understanding of insurance contracts, legal principles, and regulatory requirements.
  • Exceptional negotiation, communication, and interpersonal skills.
  • Excellent analytical and problem-solving abilities.
  • Strong organizational skills and the ability to manage a caseload effectively.
  • Self-motivated and able to work independently with minimal supervision in a fully remote environment.
  • Relevant professional certifications (e.g., adjuster license) are highly desirable.
This fully remote position allows you to leverage your expertise from anywhere. Our client values integrity, efficiency, and compassionate customer service. If you are a seasoned claims professional looking for a challenging and rewarding remote role, we encourage you to apply.
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