Office Adjuster - Medical Claims
Network Adjusters, Inc. - Denver
Work at Network Adjusters, Inc.
Overview
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Overview
CLAIMS ADJUSTER JOB DESCRIPTION:
· Handle primarily third-party liability damage insurance claims with varying degrees of complexity and severity under General Liability, Professional Liability, and Employment Liability & Public Officials Liability coverages. This includes but is not limited to, third party property damage, bodily injuries, wrongful employment practices, wrongful acts, and professional liability claims handling.
CLAIMS ADJUSTER RESPONSIBILITES:
· Fulfill specific client requirements including reporting of claim details and analysis.
· Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements.
· Recognize and apply jurisdictional issues that impact the claim (i.e.: negligence laws, financial responsibility limits, immunity, etc.)
· Manage liability and other claim types requiring specialized investigation and utilization of external experts in accordance with local laws.
· Establish and maintain appropriate claim and expense reserves in a timely fashion.
· Document claim file activities in accordance with established procedures.
· Confer with higher level technical claim personnel for guidance and direction to ensure files are handled properly.
· Determine settlement amounts based on independent judgment, application of applicable limits and deductibles.
· Meet all quality standards and expectations based on Best Practices.
· Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution.
CLAIMS ADJUSTER QUALIFICATIONS:
· Minimum of 3 years of claims handling experience in either General Liability, Professional Liability, Employment Liability or Public Officials Liability.
· General software skills including MS Word, Outlook and Excel.
· Solid analytical and decision-making skills in order to evaluate claims and make sound decisions.
· CLAIMS ADJUSTER BENEFITS:
· Training/Development and growth opportunities
· 401(k) with company match / retirement planning
· Paid time off / company paid holidays
· Comprehensive health plans including dental and vision coverage
· Flex spending account
· Company paid life insurance
· Company paid long term disability
· Supplemental life insurance
· Opportunity to buy into short term disability
· Strong work/family and employee assistance programs
About Network Adjusters, Inc.
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for almost seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York and Denver to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results—the proof is in our extensive track record of settled claims and unmatched recovery abilities.
and Covington KY, however, if you meet expected criteria there is opportunity for experienced candidates to work remotely.