Claims Adjuster I - REMOTE from any US based location

Core Responsibilities And Deliverables

• Reviews policy provisions and medical facts, along with any other documentation as needed, to make an appropriate claim decision in accordance with statutory and company requirements.
• Calculates payment of benefits due and processes claims in the appropriate admin system.
• Communicates with beneficiaries, policyholders and/or agents to request additional documentation, or to advise them of procedures necessary to complete claim adjudication and to communicate claim decisions.
• Documents claim file of all actions taken.
• Makes recommendations for process improvements.
• Consults with other areas of the company as the work demands (i.e. Underwriting, SIU, PHS, Legal, etc.).

What You Need

• Bachelor’s degree (preferred) or equivalent to 8 years of work-related experience
• 3 years insurance industry or financial services customer service experience with 1 year claim experience preferred.

What Will Set You Apart

• Ability to provide prompt and high-quality customer service to our policyholders, beneficiaries and agents.
• Basic knowledge of claims administrative procedures.
• Basic knowledge of insurance products.
• Good critical thinking abilities.
• Basic ability to prioritize.
• Basic ability to multi-task and adapt to an ever-changing environment.
• Good knowledge of Microsoft Word, Excel and Outlook.
• Good ability to effectively communicate, both verbally and through written correspondence to our customers.
• Good knowledge of medical terminology.
• Good decision-making abilities.
• Good interpersonal and organizational skills.

Benefits

• Medical, Dental, and Vision insurance
• Performance-based bonus or sales incentive
• 401(k) retirement plan with company match
• Short-term & long-term disability insurance
• Paid time off and 10 corporate holidays
• Paid parental leave
• Company-paid life insurance
• Mental & Financial Well-Being Resources

Pay Range

Pay Range: $19.36 - $29.04 Hourly

Equal Opportunity Employer

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided with reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

Contact Information

Please contact us to request accommodation.

Job ID / Requisition Number

ReqID : JR170374

Job Type

Full time

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