Examiner OTAI LA

Job Description

Description

($48,000-$65,000)

Job Summary:

Handle OTAI claims including complex cases and coordinate other OTAI related matters, and undertake special projects as assigned by Manager.

Essential Job Functions:

• Receive notice of OTAI claims in Japanese and English from policyholders, insureds, medical providers, or other parties. 
• Provide necessary explanations and instructions to those parties.
• Review OTAI claim documents presented by policyholders, medical providers, or other parties.
• Review and determine coverage and evaluate the amount of loss being claimed.
• Negotiate and settle claims including complex cases in Japanese and English with various parties concerned.
• Process claims in the OTAI system and issue Statements of Claim.
• Communicate with TMNF-OTAI and other organizations to verify coverage and confer on handling.
• Coordinate OTAI claims with other claim agents as necessary.  Collaborate with claim assistants in managing clerical aspects of OTAI claims handling.
• Responsible for complying with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at Company.