Claims Adjuster III (Remote)

Investigate and perform adjustment of highly complex claims, ensuring proper handling within authority limits and in line with standard procedures and guidelines.

Responsibilities

• Proactively investigate and adjust highly complex claims.
• Verify insurance claims by reviewing requirements, examining documentation, and analyzing calculations; highlight and summarize out-of-line situations and recommend process improvements.
• Complete reports, logs, and audit records.
• Serve as a team leader for lower-level Claims Adjusters, assisting supervisors with training and developing Adjusters I and II.
• Identify problems or trends related to adjustments and initiate corrective action reports.
• Assist with customer service calls to meet corporate goals.
• Improve claims adjustment knowledge by attending training sessions.
• Guide and mentor less experienced staff, potentially leading a team of matrixed resources.

Requirements

• High School Diploma or GED.
• 7 years of claims experience with a complete understanding of all systems, policies, and procedures.

Skills

• Ability to analyze information gathered from investigations.
• Excellent written and verbal communication skills.
• Ability to recognize, analyze, and solve a variety of problems.
• Skill in completing assignments accurately with attention to detail.
• Ability to meet deadlines and handle multiple customer service demands from internal and external customers.
• Effective communication and positive customer service, including handling demanding or challenging customers.

Pay

$44,136 - $80,916. This range considers factors such as scope, responsibilities, work experience, education/training, internal peer equity, and market/business considerations. Compensation decisions depend on individual circumstances, including experience, internal equity, and location.

Benefits

Comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Must be eligible to work in the U.S. without sponsorship.