Claims Adjuster, Robert Half

Robert Half

Location:
United States, Warminster

Category:
Insurance

Contract Type:
Employment contract

Salary:

Not provided

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Job Description:

A growing company in Warminster is seeking a Claims Adjuster for a long term engagement (will accept candidates looking for full-time OR part-time schedules). This position is 100% on site and will begin immediately. The primary responsibility of this position is the investigation, evaluation, and settlement (through denial, compromise, or payment) of claims arising from physical damage to vehicles, customer property (including higher and more complex cases), and third-party claims involving medium-to-high exposure bodily injury. The role involves reviewing and negotiating service rates, and handling claims. Success in this role requires experience in claims management, as well as a strong commitment to maintaining the integrity of proprietary information.

Job Responsibility:

Investigate, analyze, and resolve claims related to vehicle damage, customer property, and medium-to-high exposure third-party bodily injury
Assess claim value and liability to recommend settlements through denial, compromise, or payment
Ensure timely and accurate investigations, leveraging advanced techniques and knowledge of the insurance process
Apply specialized knowledge and techniques for understanding risks, insurance products, and claims investigation processes
Collaborate with other departments and stakeholders to understand risks under management and manage products offered
Handle complex and high-stakes claims requiring sound judgment and thorough analysis
Communicate effectively with claimants, legal representatives, and stakeholders to manage expectations and maintain professionalism
Address and resolve disputes or escalated issues on complex claims with diplomacy and tact
Explain policy details, coverage limitations, and claim decision rationale clearly and accurately
Ensure the integrity and security of proprietary information throughout claims handling
Adhere to all regulatory and company policies governing the claims process

Requirements:

Minimum of 2 years of experience in a similar role as an Admissions Specialist
Proficiency in using ADP - Financial Services software
Experience with Avaya CMS
Knowledge and understanding of Banner Ads
Familiarity with CMS Platform
Ability to use various computer programs
Experience in answering inbound calls
Understanding and execution of benefit functions
Ability to perform billing functions efficiently
Experience in claim administration
Excellent communication skills, both written and verbal

What we offer:

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
March 25, 2025

Work Type:

On-site work

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Claims Adjuster