Job Description

Job Description

Job Description

We are looking for a Claims Adjuster to join our team. This role involves adjudicating claims, overseeing non-licensed claims processors, and identifying process improvement opportunities in the industry. This is a remote position offering a long-term contract employment opportunity.

Responsibilities:

• Adjudicate claims accurately and efficiently

• Meet or exceed daily claim targets

• Provide guidance and oversight to non-licensed claims processors

• Obtain and maintain advanced adjuster licenses in accordance with state and municipality requirements

• Ensure all claims are processed and adjudicated following standard operating procedures

• Identify and implement process improvement opportunities

• Use your skills in Microsoft Excel, Microsoft Word, and Microsoft Outlook to maintain accurate records and communicate effectively

• Utilize your knowledge of ERP and CRM systems to streamline processes

• Use your decision-making skills to provide final approval authority on claims

• Employ your time management skills to ensure tasks are completed in a timely manner

• Proficient in Microsoft Excel, Microsoft Word, Microsoft Outlook, and Power BI
• Skilled in using About Time, ERP - Enterprise Resource Planning, and CRM
• Experience in Claim Administration and Call Center Customer Service
• Ability to manage calendars and handle time management effectively
• Knowledge of property claims adjusting
• Strong decision-making abilities and process improvement skills
• Familiarity with medical records and standard operation procedures
• Ability to perform onsite duties when required
• Experience in meeting targets and understanding salary structures
• Proficiency in data processing and VLOOKUP
• Knowledge of Pivot Table is a plus

Job Tags

Contract work, Remote job,

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