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
...Job Description A New York City healthcare organization is currently seeking a Speech Language Pathologist to join their growing team in Brooklyn on a Part-time basis. In this role, the Speech Language Pathologist evaluates, plans goals, and treats individuals with...