Field Claims Adjuster in a hybrid role at ClaimsPro supporting claims in Prince Albert area. Actively adjusting claims and ensuring business development opportunities are maximized.
About the role
- Analyze reported lower-level general liability claims for Sedgwick. Ensure ongoing adjudication of claims within company standards and industry best practices while working in a hybrid schedule.
Responsibilities
- Analyze reported lower-level general liability claims to determine benefits due
- Handle lower-level liability and/or physical damage claims under close supervision.
- Process general liability claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
- Communicate claim action/processing with claimant, client and appropriate medical contact.
- Ensure claim files are properly documented and claims coding is correct.
- Process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
- Maintain professional client relationships.
Requirements
- One (1) year of customer service experience or equivalent combination of education and experience required.
- Claims industry experience preferred.
- Medical Background a plus
- High school diploma or GED required.
- Licenses as required.
- Excellent oral and written communication 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 Performance Competencies
Benefits
- Hybrid schedule - 2 days in-office/3 work from home after 60-day training period
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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