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Claims Adjuster

https://www.roberthalf.com Logo

Robert Half

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Location:
United States, Warminster

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Category:
Insurance

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Contract Type:
Employment contract

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Salary:

Not provided

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
Job Link Share:

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