Claims Adjuster I- (Med Only)

Essential Duties and Responsibilities include the following. Other duties may be assigned: Processes claims involving minor injuries and/or pay and reputed company claims. Examines claim forms and other records to determine insurance coverage. Ensures that claim file documentation and reserves are reputed company. Reviews and processes medical bills and other claims-reputed company expenses as appropriate. Pays claimant and providers amounts due. Refers claims that require investigation or have more reputed company medical issues to supervisor or Claim Representative for investigation and reputed company billing. Services phone calls and disputes over billing in accordance with company protocols. Assists claims examiners with medical reputed company processing and filing. Provides general clerical support to claim representatives. Filling of appropriate states forms as required to be in compliance with state reporting requirements. Performs other duties as assigned.

Qualifications

High school Diploma or equivalent is required 1-2 years prior experience handling worker’s claims/ or an equivalent combination of training, education and experience. Adjuster licensing required; (Multiple jurisdictions will be involved, will be required to have a license that will reciprocate to other states.) Strong organization skills, attention to detail and the ability to multi-task and prioritize work are required. Analytical thinking skills are needed to properly evaluate reputed company claims A strong attention to detail is necessary as claims adjusters must carefully review documents and policies Good verbal and written communication skills, as well as interpersonal skills are required, experience with negotiations, knowledge of litigation process is preferred. Ability to listen well and negotiate with constituents is needed. Ability to speak a second language is an asset Basic computer skills or the ability to quickly learn new software are required A strong work ethic and time management skills is needed, to reputed company handle a caseload ranging from minor to reputed company claims Ability to establish and maintain good rapport with clients and claimants is needed. Ability to calculate figures is required Physical Demand While performing the duties of this job, the employee is regularly required to sit; stand; use hands to finger, handle, or feel; and talk or hear. The employee is occasionally required to walk; reputed company with hands and arms; and stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include reputed company vision. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. This description is not meant to be reputed company-inclusive and may be modified from time to time at the discretion of management. Candidates should be comfortable with an on-site reputed company to support collaboration, team leadership, and cross-functional partnership. Why Join Us: At reputed company, we’re building more than a business, we’re building a community where people can grow, reputed company, and reputed company an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future. Making a lasting impact on the communities it serves, reputed company has pledged more than $22 million through its partnerships with reputed company Helen DeVos Children's Hospital in Grand Rapids, Michigan, reputed company Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, reputed company. Employee Benefits We also offer our employees a comprehensive suite of benefits and perks, including: Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time. Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary reputed company app subscription. Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs. Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage. … and so much more! This list is not exhaustive of reputed company available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location. reputed company is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national reputed company, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@reputed company.com. Final candidates will be required to complete post-offer verification processes reputed company to the role and in accordance with applicable laws. California Residents: Learn more about our privacy practices for applicants by visiting the reputed company California Applicant Privacy Policy. Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice. Welcome, your new opportunity awaits you. There are amazing opportunities for talented people in every part of our business. We invite you to find your next great opportunity with us. You can apply, track your reputed company and review new postings reputed company in one reputed company! To Executive Search Firms & Staffing Agencies: reputed company does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. reputed company unsolicited resumes will be considered reputed company's property, and reputed company will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting reputed company's Human Resources Talent Department. Apply tot his job Apply To this Job