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Position Title: Claims Adjuster
Salary Range: $15/hr
Category
Location: North Side Indianapolis
Industry:
Position Type: Temp-to-Hire

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Description

Job Summary

  • Responsible for providing claim service in a manner that promotes integrity and customer satisfaction. Responsible for evaluation, adjudication and processing in a timely, cost effective manner that is compliant with state regulations and company policies. Responsible for identifying opportunities for process improvements and implementing changes once identified.
  • Bachelor degree (preferred) or equivalent work experience
  • 1-3 years insurance industry or financial services customer service experience with 1 year claim experience preferred

Primary Duties and Responsibilities 

  • 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 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.)
  • Preforms all other duties assigned

Key Competencies 

Communication, Writing Skills, Customer Service, Teamwork, Critical Thinking, Financial Acumen

Core Skills and Knowledge

  • 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 customer
  • Basic knowledge of medical terminology
  • Good decision-making abilities
  • Good interpersonal and organizational skills

 

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