-
Claims Adjuster
5 hours ago
The FM Global Group Bellevue, United StatesConsults with the insureds and offers FM Global assistance in loss mitigation, salvage, restoration of production and claims preparation. In addition to seeking assistance within FM Global, in consultation with a supervisor, the incumbent is authoriz Adjuster, Claims, Claims Mana ...
-
Claims Adjuster
5 hours ago
Factory Mutual Insurance Company Bellevue, United StatesOverview : · FM Global is a leading property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions. FM Global helps clients maintain continuity in their busi ...
-
Property Claims Field Adjuster
1 week ago
American Family Insurance Times Square, United StatesJob Description Summary · At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of what we do best – protecting and restoring their dreams when they need us most. We're leveraging ...
-
Field Property Claims Adjuster
5 days ago
Liberty Mutual Group Seattle, United StatesYou are here: / US,Seattle-WA,Field Property Claims Adjuster **Field Property Claims Adjuster** · **Field Property Claims Adjuster** · Description & Responsibilities Qualifications Featured Benefits Description & Responsibilities · As a member of the Field Property Claims Team ...
-
Field Property Claims Adjuster
3 weeks ago
Liberty Mutual Insurance Seattle, United StatesPay Philosophy · The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these p ...
-
Field Claims Adjuster
2 days ago
Progressive Insurance Lynnwood, United StatesJoin Forbes' 2024 Best Employer for Diversity · As anauto damage claims adjuster, you'll serve as Progressive's point of contact with customers - directing and making decisions regarding the repair process from beginning to end.Managing your own inventory while working independe ...
-
Field Claims Adjuster
4 weeks ago
Progressive Insurance Kirkland, United StatesJoin Forbes' 2024 Best Employer for Diversity · This position includes a $2,500 starting bonus · As an auto damage claims adjuster, you'll serve as Progressive's point of contact with customers - directing and making decisions regarding the repair process from beginning to end. ...
-
Workers Comp Claims Adjuster
4 hours ago
Diedre Moire Corp. Renton, United StatesWorker's Compensation Claims - Renton, WA · Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp _ . · REMOTE WORK FROM HOME AVAILABLE · Assume responsibility for monitoring claims trends, developing and carrying out action plans to address ...
-
Property Claims Adjuster
4 weeks ago
Liberty Mutual Insurance Renton, United StatesSchedule: Full-Time Salary Range: USD $ $ Job Category: Claims Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects th ...
-
Property Claims Adjuster
2 weeks ago
Liberty Mutual Insurance Renton, United StatesSchedule: Full-Time Salary Range: USD $ $ Job Category: Claims Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects th ...
-
AK Workers Compensation Claims Adjuster
4 weeks ago
The Jonus Group SeaTac, United States Full timeJob Description · : Our client is expanding their Workers' Compensation Department and seeking to add a Temporary Workers' Compensation Claims Adjuster. This position would be responsible for handling Alaska Workers' Compensation Medical Only and minor Lost-time claims from inc ...
-
Property Claims Field Adjuster
4 days ago
American Family Insurance San Francisco, United States PermanentJob Description Summary · At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of what we do best - protecting and restoring their dreams when they need us most. We're leveraging ...
-
Workers Comp Claims Adjuster
2 weeks ago
Diedre Moire Everett, United StatesInsurance Claims Workers Compensation Medical - Everett, WA · Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp _ . · REMOTE WORK FROM HOME AVAILABLE · Seeking track record with active indemnity claims involving time lost from work and m ...
-
Claims Adjuster Trainee
1 week ago
Progressive Insurance Federal Way, United StatesJoin Forbes' 2023 Best Employer for Diversity · As aclaims adjuster trainee, you'll learn how to help customers get back on the road after an accident. This is not a field position which means you'll be building relationships with customers over the phone. In a fast-paced enviro ...
-
Field Claims Adjuster
4 weeks ago
Progressive Insurance Lynnwood, United StatesJoin Forbes' 2024 Best Employer for Diversity · As an auto damage claims adjuster, you'll serve as Progressive's point of contact with customers - directing and making decisions regarding the repair process from beginning to end. Managing your own inventory while working independ ...
-
Field Property Claims Adjuster
3 weeks ago
Liberty Mutual Group Renton, United StatesAre you looking to use your customer service skills in a role where you can see that you are making a difference in people's lives? Do you want a purposeful l career with endless opportunities for growth? As a member of the Field Property Claims Team Claims, Adjuster, Field, Prop ...
-
Field Property Claims Adjuster
3 weeks ago
Liberty Mutual Renton, United StatesPay Philosophy · The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these ...
-
Field Property Claims Adjuster
3 weeks ago
Liberty Mutual Insurance Renton, United States OTHERPay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these posi ...
-
Property Claims Field Adjuster
1 week ago
American Family Insurance Tacoma, United StatesJob Description Summary · At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of what we do best protecting and restoring their dreams when they need us most. We're leveraging o ...
-
Property Claims Field Adjuster
1 week ago
American Family Insurance Tacoma, United StatesAt American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of what we do best protecting and restoring their dreams when they need us most. We're leverag Field, Claims, Adjuster, Proper ...
claims adjuster - Seattle, United States - WPAS Inc
Description
Job Description
Job DescriptionPosition: Claims Adjuster Range No: 1401
Revised Date: 10/2021
Job Purpose
Under limited supervision of the Supervisor this position will apply techniques to process routine and complex claims, analyze expenditures and make recommendations for third-party liability claims.
Job Duties:
Reviews plan documents and procedures to apply plan provisions, limitations and exclusions when making benefit determinations.
Provides customer service to all members, providers and/or Local Union personnel and/or other persons, as necessary, concerning claims processing.
Performs computations and authorizes payment to a maximum of $25,000.00.
Communicates professionally in written or oral format as necessary to request and receive data on incomplete claims and requests investigation when necessary, according to procedures.
Applies knowledge and procedure to third-party liability claim claims.
Exercises professional judgment on daily tasks and seeks approval from supervisor when current or for new or unfamiliar tasks
Maintain a 10 business-day turnaround time on assigned claim responsibilities.
Maintain and update a pending file with follow-ups on correspondence as required.
Ability to meet production and quality goals on a consistent basis as outlined by department management.
Corresponds with providers, insurance companies and/or external vendors on various matters relating to claims.
Routes claims requiring review to the assigned Claim Adjuster Senior II.
.
Demonstrates knowledge of assigned duties as well as the legacy and recently migrated claims processing system.
Performs other related duties as assigned.
Minimum qualifications:
6 months as a Claims Examiner and 6- months as a Claims Examiner within WPAS or
2 years of comparable outside claims processing experience.
Working knowledge of basic office equipment.
Proven track record of positive interpersonal communications with internal and external clients and vendors.
Demonstrated ability to keep calm and positive within all communications.
Proven ability to accurately and timely complete assigned tasks.
Utilize computer, phone systems and reference materials to be able to effectively perform the essential functions of the position.
Previous experience utilizing Microsoft office software
High school diploma or G.E.D
Preferred qualifications
Previous experience processing claims within a TPA environment
2 years of college experience in a related field- do not have to have an associate degree
Physical/Mental requirements:
The physical and mental demands described here are representative of those that must be met by employees to successfully perform the essential functions of this job.
While performing the duties of this job, employees are regularly required to use written and oral communication skills; read and interpret data, information and documents; analyze and solve non-routine and complex office administrative problems; use math and mathematical reasoning; observe and interpret situations; learn and apply new information or skills; perform highly detailed work on multiple, concurrent tasks; work under intensive deadlines with frequent interruptions.
Work environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this class. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees work under typical office conditions.
WPAS is an equal opportunity employer. We celebrate diversity and strive to continually create the most inclusive work environment for all our employees.