DIRECT HIRE – CLAIMS ADJUSTER (LIABILITY)
LOCATION – MARLTON, NJ
SALARY RANGE $60K - $65K (Depending on Experience)
Manages mid-level general liability claims by gathering information to determine liability exposure; assign reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
Approves and processes assigned claims, determines, benefits due, and manages action plan pursuant to the claim or client contract.
Communicates claims action with claimant and client.
Ensures claim files are properly documented and claims coding is correct.
May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
Maintains professional client relationships.
Performs other duties as assigned.
Supports the organization’s quality program(s).
Travels as required.
4 years of claims management or equivalent combination of education and experience or successful completion of Claims Adjuster training required. Experience in handling general liability bodily injury claims is preferred.
Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business.
Excellent oral and written communication, including presentation skills.
PC literate, including Microsoft Office products.
Analytical and interpretive skills.
Strong organizational skills.
Good interpersonal skills.
Ability to work in a team environment.
Ability to meet or exceed Service Expectations.
Bachelor's degree from an accredited college or university preferred.
To apply for this position, please submit your resume to email@example.com
-Sedona Staffing Services is an equal opportunity employer.