Job Title: Claims Adjuster
Location: Fairfax - VA (Remote)
Duration: 12 Months Contract to Hire
PURPOSE:
Investigate and perform adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level: High School Diploma or GED
Experience: 5+ years claims experience and complete understanding of all systems, policies and procedures.
Preferred Qualifications
Knowledge, Skills and Abilities (KSAs)
Experience with Inter-Plan Teleprocessing System (ITS) Claims.
Ability to analyze information gathered from investigation, Proficient
Excellent communication skills both written and verbal., Proficient
Ability to recognize, analyze, and solve a variety of problems., Proficient
Skill in completing assignments accurately with attention to detail., Proficient
...Open shift is flexible from 830-5:00, 9:00-530, 930-6:00 PM EST Assistant Event/Meeting Coordinator will be responsible for: Database management - manage promotional educational programs within the proprietary system Audience Management review and process...
...As a Pet Host, you are the first impression for the resort. The principle duties are to handle the check-in/out for our furry guests in both daycare and boarding, Help pet parents make reservations including activity packages, daycare, boarding, grooming and all resort...
...Description Position Summary The Patient Advocate plays a dual role in supporting the patient journey across high-touch pathways (e.g., TMS, Creyos, HST, Evoke) and in managing referral pipelines and insurance navigation. This full-time, nonpatient-facing position...
DescriptionPosition at Pilgrim'sMaintenance Superintendent BASIC RESPONSIBILITIES:~Supervises workers engaged in major painting projects, performing structural repairs to masonry, woodwork, and furnishings of buildings, and maintaining and repairing building...
PHD and related teaching experience. nationality prefer Russian Philipino or from other asian countries