As a claims adjuster on our team, you’ll work closely with customers, attorneys, and medical providers while making adjustments to medical claims. Ideal candidates for this role will possess medical knowledge and investigative skills, which will be useful while analyzing the cause of injury, the potential for fraud, along with coverage and liability. Additionally, you’ll perform policy research and interpret medical records to ensure payment accuracy. This is a remote position where you’ll be able to work from the comfort of your home.
Duties & Responsibilities
Identify and address wage exposures on medical claims
Review and research wage loss expenses and documentation for payment consideration
Review and interpret policy language when receiving a subrogation demand to determine if reimbursement is owed
Must-have qualifications
Two or more years of college education or relevant work experience
Work or educational experience must include:
Customer service, sales and/or influencing others
Fast paced and changing environment
Multitasking and time management skills
Effectively communicating verbally and in writing
Computer skills
Start Dates: 2/7/2022
Training Schedule: Monday – Friday 8:30am to 5:30pm
Schedule: Monday – Friday 11am to 8pm
Location: Must reside in state of South Carolina. This is a remote position.
Compensation
$21.50-$23.00/hour
Gainshare bonus up to 16% of your eligible earnings based on company performance
An additional 10% when you work evening or weekend hours
Benefits
401(k) with dollar-for-dollar company match up to 6%
Medical, dental & vision, including free preventative care
Wellness & mental health programs
Health care flexible spending accounts, health savings accounts, & life insurance
Paid time off
Paid & unpaid sick leave where applicable, as well as short & long-term disability
Parental & family leave; military leave & pay
Diverse, inclusive & welcoming culture with Employee Resource Groups
Career development & tuition assistance
Onsite gym & healthcare at large locations
Equal Opportunity Employer
Job: Claims
Primary Location: United States-South Carolina-Gaffney
Schedule: Full-time
Employee Status: Regular
Work From Home: Yes
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