Lead Intake and Insurance Verification Coordinator
Centene Corporation
Auto Claims Adjuster
Sedgwick
part-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $25 - $35 per hour
Job Level
Mid-LevelSenior
About the role
- Analyze mid- and higher-level general auto claims to determine scope of damages.
- Ensure ongoing adjudication of claims within company standards and industry best practices.
- Identify subrogation of claims and negotiate settlements.
- Manage mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure.
- Assign reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
- Assess liability and resolve claims within evaluation.
- Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract.
- Manage subrogation of claims and negotiate settlements.
- Communicate claim action with claimant and client.
- Ensure claim files are properly documented and claims coding is correct.
- Maintain professional client relationships.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Secure and maintain the State adjusting licenses as required for the position.
- Four (4) years of claims management experience or equivalent combination of education and experience required.
- Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles as applicable to line-of-business.
- Excellent oral and written communication skills, including presentation skills.
- PC literate, including Microsoft Office products.
- Analytical and interpretive skills.
- Strong organizational skills.
- Excellent interpersonal skills.
- Excellent negotiating skills.
- Ability to create and complete comprehensive, accurate and constructive written reports.
- Ability to work in a team environment.
- Ability to meet or exceed Performance Competencies.
Benefits
- 401k 📊 Resume Score Upload your resume to see if it passes auto-rejection tools used by recruiters Check Resume Score
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementsubrogationnegotiationclaims adjudicationliability assessmentclaims codingcost containment principlesinsurance principlesreport writingperformance competencies
Soft skills
oral communicationwritten communicationpresentation skillsanalytical skillsorganizational skillsinterpersonal skillsnegotiating skillsteamworkattention to detailproblem-solving
Certifications
Bachelor's degreeState adjusting licensesProfessional certification
