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About the role
Key responsibilities & impact- Educate clients/customers on card benefit insurance programs and procedures.
- Provide accurate, professional service and maintain a customer-focused approach.
- Review claim information and enter data using standard procedures.
- Review submitted documentation for accuracy and completeness.
- Investigate questionable claims in collaboration with management.
- Adjudicate claims and provide settlements in accordance with laws and policy provisions.
- Make claim approval/denial decisions within authority limits or escalate as needed.
- Document all actions and outcomes in the system.
- Strive for high performance in customer satisfaction, efficiency, and quality.
- Maintain positive working relationships with internal and external stakeholders.
- Support multiple client product lines and stay current with industry changes.
Requirements
What you’ll need- 2+ years of prior Claims Adjuster experience
- Active All-Lines (Independent/Company) license and required continuing education hours up to date
- Relentless drive to provide exceptional customer service
- Excellent verbal and written communications skills and ability to draft business-level communications when responding to customers
- Strong listening, problem solving, and negotiating skills
- Strong analytical skills
- Proven organizational and multi-tasking ability with an ability to adapt quickly in a fast-paced work environment
- Detail oriented with a commitment to excellence
- Strong attention to detail and problem-solving skills
- Minimum high school diploma or GED
- Proven ability to work independently with minimal supervision to manage schedules and meet deadlines
Benefits
Comp & perks- Medical benefits begin on your first day
- Tuition reimbursement available after 6 months, up to $5000/annually
- Competitive paid time off, including holidays
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Claims Adjuster experienceData entryClaims adjudicationDocumentation reviewClaim investigationDecision makingCustomer service
Soft Skills
Customer-focused approachVerbal communicationWritten communicationListening skillsProblem solvingNegotiating skillsAnalytical skillsOrganizational skillsMulti-taskingAttention to detail
Certifications
All-Lines licenseContinuing education