Claim Adjuster
JOB DESCRIPTION
Combined Insurance, A Chubb company, is seeking a Claim Adjuster to join our fast-paced, high energy, growing company.
We are proud of our tradition of success in the insurance industry of nearly 100 years.
Come join our team of hard-working, talented professionals!
Job Summary:
The Claims Adjuster is a role in a high-energy, fast-paced, changing environment.
The Claims Adjuster is responsible for contacting claimant and /or service providers to request information needed in order to process claim - includes written correspondence and phone calls.
They will evaluate claims based on documentation received including responses from claimant and providers.
Will need to handle multiple priorities simultaneously, be self-directed and meet service level expectations.
The adjuster must demonstrate customer centricity in all aspects of their job by performing actions with empathy and expertise.
Responsibilities:
* Efficiently and accurately adjudicate claims in accordance with the policy terms, established guidelines and regulations.
* Conduct eligibility claim review by evaluating claim submission and comparing to policy benefits.
* Request additional information from policyholders, providers and others as necessary to finalize claim.
* Actively manage inventory and ongoing claim adjudication.
* Effectively communicate with customers using empathy and professionalism via phone and written correspondence.
* Interface with Policyholders and Agents answering a variety of questions through different service channels.
* Develop a broad understanding of our products and systems.
* Meet Department standards for time, service and quality.
* Ability to maneuver between system applications confidently to find information and respond to customer needs in a timely manner.
* Collaborate with other team members and leadership to ensure effective customer service.
* Actively engage in Continuous Improvement initiatives and identify process and efficiency enhancements.
* Participate in required training
* Performs other duties as assigned
Skills:
* Exceptional written and verbal communication skills
* Quality and Customer Centric Orientation
* Excellent organizational skills
* Ability to multi-task in fast-paced environment with attention to detail and prioritize tasks
* Analytical skills and good decision-making skills
* Proficient in MS Office - Outlook, Word and Excel
* Navigation between systems and use of technology is important
* Insurance/Claims Experience
* Windows based PC Knowledge
* Bilingual in Spanish and English a plus
Education and Experience:
* 3 or more years related claims experience required (disability management and critical care desired)
* Experience in a customer interfacing position with progressive responsibility in role
* Knowledge of medical terminology
Competencies:
* Problem Solvi...
- Rate: Not Specified
- Location: Sunrise, US-FL
- Type: Permanent
- Industry: Finance
- Recruiter: Chubb
- Contact: Not Specified
- Email: to view click here
- Reference: 13716
- Posted: 2024-10-18 08:47:52 -
- View all Jobs from Chubb
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