Texas or Florida Licensed Claims Adjuster

Job Summary

A company is looking for a First Party Medical Claims Adjuster.

Key Responsibilities

• Investigate and resolve first-party medical claims across multiple states
• Communicate with claimants regarding benefits, eligibility, and claim procedures
• Evaluate claims for approval or denial based on policy language and state statutes

Required Qualifications, Training, and Education

• High School Diploma or Equivalent
• Active Texas or Florida Adjuster License required
• Experience in customer service and fast-paced environments
• Preferred experience with 1st Party Medical Claims and medical coding/billing
• Familiarity with claims systems like Guidewire and Decision Point is a plus