InterMed Cost Containment Services · 8 hours ago
General Liability and Auto Claims Adjuster III
United States
Full-time
Remote
Mid Level
3+ years expInterMed Cost Containment Services has been providing exceptional service in claims administration for 70 years. The Claims Adjuster investigates, evaluates, and adjusts General and Automobile Liability claims, ensuring competent handling of all claims and effective settlement with claimants.
PaymentsHealthcareProfessional ServicesBillingMedical
Responsibilities
Investigate, analyze, and determine the extent of insurance provider's liability concerning personal, casualty, or property loss or damages, and attempt to effect settlement with claimants
Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information
Calculate benefit payments and approve payment of claims within a certain monetary limit
Investigate claims: Assess and estimate vehicle damage
Assist with business or managerial research
Compile information through interviews
Evaluate customer records
Examine evidence to determine if it will support claims
Follow contract, property, or insurance laws
Follow rules of evidence procedures in legal setting
Gather physical evidence
Inspect property to determine damages
Research property records
Search legal records Interviews, telephones, and or corresponds with claimant and witnesses
Evaluate liability exposure: Review insurance applications
Review insurance policies to determine appropriate coverage
Obtain, review and evaluate records, police, medical, etc
Recommend claim action
Properly reserve for the claim
Adjust reserve as appropriate
Comply with accepted guidelines regarding reserving practice and authority levels
Create and maintain records Maintain records, reports, and files which are primarily found on the SIMS and/or Renaissance system
Maintain all cases on an active diary on the SIMS and/or Renaissance system pursuant to established Company criteria
Prepare timely reports to clients
Comply with all reporting requirements/steps set out in the GHC Procedure Manual
Comply with regulatory requirements
Diary spoken or written information
Litigation management support: Collect evidence to support contested claims in court
Keep clients advised
Other duties as assigned
Qualification
Required
Bachelor's degree preferred
At least three (3) years of experience with insurance claims, self-insurance, pooled insurance, or Joint Powers Authorities
Possess comprehensive knowledge relating to the handling of public entity liability claims
At least three (3) years of using Microsoft Windows on a PC including Microsoft Word, Excel, Outlook and PowerPoint
At least two (2) years of using streaming video conferencing including Teams and Zoom with the ability to set and host group meetings with all included functionality
At least two (2) years of using claims management software and/or ability to quickly learn new software systems related to claims management
Excellent written and verbal communication skills
Benefits
Medical
Dental
Vision
PTO
Holidays
401k
Company
InterMed Cost Containment Services
InterMed Cost Containment Services offers network management, utilization review, and medical bill review for workers' compensation.
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase