Claim Adjuster jobs in United States
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Combined, a Chubb Company · 21 hours ago

Claim Adjuster

Combined Insurance, A Chubb company, is seeking a Claim Adjuster to join their fast-paced and growing team. The Claims Adjuster will be responsible for processing claims by evaluating documentation, communicating with claimants and service providers, and ensuring customer satisfaction.

Insurance

Responsibilities

Efficiently and accurately adjudicate claims in accordance with the policy terms, established guidelines and regulations
Conduct eligibility claim review by evaluating claim submission and comparing to policy benefits
Request additional information from policyholders, providers and others as necessary to finalize claim
Actively manage inventory and ongoing claim adjudication
Effectively communicate with customers using empathy and professionalism via phone and written correspondence
Interface with Policyholders and Agents answering a variety of questions through different service channels
Develop a broad understanding of our products and systems
Meet Department standards for time, service and quality
Ability to maneuver between system applications confidently to find information and respond to customer needs in a timely manner
Collaborate with other team members and leadership to ensure effective customer service
Actively engage in Continuous Improvement initiatives and identify process and efficiency enhancements
Participate in required training
Performs other duties as assigned

Qualification

Insurance/Claims ExperienceAnalytical skillsProficient in MS OfficeQualityCustomer Centric OrientationBilingual in SpanishMulti-taskWindows based PC KnowledgeNavigation between systemsExceptional communication skillsOrganizational skills

Required

3 or more years related claims experience required (disability management and critical care desired)
Experience in a customer interfacing position with progressive responsibility in role
Knowledge of medical terminology
Exceptional written and verbal communication skills
Quality and Customer Centric Orientation
Excellent organizational skills
Ability to multi-task in fast-paced environment with attention to detail and prioritize tasks
Analytical skills and good decision-making skills
Proficient in MS Office – Outlook, Word and Excel
Navigation between systems and use of technology is important
Insurance/Claims Experience
Windows based PC Knowledge

Preferred

Bilingual in Spanish and English a plus

Benefits

Health insurance
Dental insurance
Tuition reimbursement
A company-match 401(k) plan
Disability insurance
Life insurance
Employee referral bonuses

Company

Combined, a Chubb Company

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Combined, a Chubb Benefits company, is a leading provider of supplemental accident, health and life insurance products in North America.

Funding

Current Stage
Late Stage

Leadership Team

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Rich Williams
President
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Company data provided by crunchbase