Job Description
Location: MN-Eden Prairie
Claims Adjuster – Liability
Eden Prairie, Minnesota
100% Remote
Contract
$30/hr – $30/hr
Our client is looking for a Claims Adjuster – Liability on a 1-month contract in Eden Prairie, MN. Will be working remotely.
Join over 20,000 employees at this global company specializing in technology-enabled claims and risk management solutions. You will be part of a culture that is constantly recognized for progressive, inclusive employment practices, and be part of a bigger movement to simplify complexities in the areas of workers compensation, liability, property, disability, and absence management. You will work alongside some of the smartest minds in the industry who are excited to share their knowledge and to learn from you.
Contract Duration: 1 months Required Skills & Experience
- High School Graduate/GED
- 2 years of claims management experience or equivalent combination of education and experience required.
- Experience with injury/liability/demand reviews/auto.
- Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
- Excellent oral and written communication, including presentation skills.
- PC literate, including Microsoft Office products.
- Analytical and interpretive skills.
- Strong organizational skills.
- Good interpersonal skills.
- Excellent negotiation skills.
- Ability to work in a team environment.
- Ability to meet or exceed Service Expectations.
Desired Skills & Experience
- Bachelor’s degree from an accredited college or university.
- Juris degree
What You Will Be Doing
- Analyze mid- and higher-level general liability claims to determine benefits due. Ensure ongoing adjudication of claims within company standards and industry best practices. Identify subrogation of claims and negotiate settlements.
- Manage mid-level general liability claims by gathering information to determine liability exposure. Assign reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
- Assess liability and resolve claims within evaluation.
- Approves and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract.
- Manage subrogation of claims and negotiates settlements.
- Communicate claim action with claimant and client.
- Ensure claim files are properly documented and claims coding is correct.
- May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
- Maintain professional client relationships.
- Perform other duties as assigned.
- Support the organization’s quality program(s).
- Travel as required.