Inside Claims Adjuster (Trainee) - Weekly Pay

Gojob; Spring Hill (TN); On-site; USD 42,000 - 68,000; Full time

Job summary

Gojob is seeking an Inside Claims Adjuster to join our Tennessee team in Spring Hill. You will handle investigations and timely resolutions of claims, while applying Claims Best Practices to deliver quality outcomes for policyholders and third-party claimants.

You will manage an inventory of minor bodily injury claims, perform BI cashouts, and collaborate with peers and managers to meet unit metrics. Strong communication and negotiation skills are essential.

Qualifications

• Experience in the insurance field is preferred.
• Excellent oral and written communication skills; knowledge of Claims Best Practices, tort laws in states we operate, and DOI regulations including fair claims practices.
• Decision making and problem-solving skills.
• General office skills: faxing, copying, filing; Typing 30 WPM.
• Proficient with Microsoft Word, Excel, Windows, Access; AS 400 system and Internet browsing.

Responsibilities

• Provide quality customer service to policyholders and third-party claimants.
• Prompt investigations, quality file decisions, and convey those decisions to customers, peers, and managers.
• Utilize customer surveys, complaints, and DOI complaints to measure performance.
• Manage and resolve minor bodily injury claims; identify and effectuate BI cashouts using Meds Incurred and Open Meds Release.
• Strong negotiation skills to support unit cashout metrics.

Skills

Communication skills

Negotiation

Problem solving

Customer service

Tools

AS 400 system

Microsoft Word/Excel

Windows OS

Internet browsing

Job description

This person reports to the Unit Supervisor through a Team Leader Adjuster and is responsible for theinvestigation and resolution of most claims that are reported. An inside adjuster is responsible for learning andapplying our Claims Best Practices in the handling of their files to ensure our quality standards are met. Thisincludes great customer service, quality coverage and liability investigations, and timely resolution of files. AnInside Claims Adjuster is expected to handle an inventory of claims up to 125 features or exposures.

Tasks & Responsibilities

The Inside Claims Adjuster is expected to provide quality customer service to both our policyholders and thirdparty claimants alike. This entails prompt investigations, quality file decisions, and conveyance of those decisionsto customers, peers, and managers as needed. Customer service surveys, customer complaints, and DOIcomplaints are tools that will be utilized to measure and provide feedback in this area.This person must be able to effectively manage and resolve minor bodily injury claims. They must also be able toidentify and effectuate BI Cashouts within the team through the use of our Meds Incurred and Open MedsRelease which requires good negotiation skills. Success in this area is measured based on the Individual andTeam’s contribution to the Unit cashout % as captured by the metrics system in Cognos.

Requirements

Experience:Experience in the insurance or related fields is preferred also.Knowledge: Excellent oral and written communication skills. Knowledge of Claims Best Practices, tort laws inthe states we do business in and Department of Insurance regulations, particularly each state’s fair claims practiceact. Decision making and problem-solving skills.General office skills including faxing, copying and filing. Typing 30 WPM.Computer Skills: Microsoft Word, Excel, Windows 95 or above, Microsoft Access, AS 400 system and Internetbrowsing.