Insurance Company located in Lawrenceville is looking for a temporary, possible temp to hire Medical Only Adjuster. Must have GA Workers Compensation License.
- Receives claims, confirms policy coverage and acknowledgement of the claim
- Determines the validity and compensability of the claim
- Establishes reserves and authorizes payments within established reserving authority limits
- Communicates claim status with the customer, claimant and client.
- Adheres to client and carrier guidelines and participates in claims review as needed.
- Assists other claims professionals with more complex or problematic claims as necessary.
- Additional projects and duties as assigned.
KNOWLEDGE & SKILLS:
- Excellent Customer Service Skills
- Excellent written and verbal communication skills.
- Ability to learn rapidly to develop knowledge and understanding of claims practice, relevant statutes and medical terminology.
- Ability to identify, analyze and solve problems.
- Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
- Strong interpersonal, time management and organizational skills.
- Ability to work both independently and within a team environment.
- Bachelor's degree or a combination of education and related experience.
- Minimum of 3 years Georgia Medical Only Claims Experience
- GA experience required
- Licensed as required jurisdictionally
CLICK HERE TO SUBMIT YOUR APPLICATION TODAY!