Claims Adjuster

Job Summary

Providing support for claims adjustment activities, the full-time Claims Adjuster will administer claims payments, maintain claim records, and counsel claimants on coverage and benefits while ensuring timely settlement of claims.

Key responsibilities

• Research claims tracers, adjustments, and resubmissions
• Adjudicate or readjudicate claims in a timely manner to meet quality and production standards
• Assist in identifying claims error issues and communicate potential solutions to leadership

Required qualifications

• At least 1 year of experience in a clerical role in a claims or customer service setting, preferably in managed care
• Proficiency in data entry and research skills
• Strong organizational and time-management skills
• Customer service experience
• Familiarity with Microsoft Office suite and applicable software programs