Job Details | Specialty Claims Adjuster

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Skills for Chicagoland's Future

Location: ChicagoIL 60601 Document ID: AB052-4US8 Posted on: 2017-05-1905/19/2017 Job Type: Regular

Job Schedule:Full-time
2017-06-18
 

Specialty Claims Adjuster

  1. Handles a high volume of claim traffic, including telephone calls and electronically submitted claims
  2. Gathers appropriate information and details to understand the customer's issues or claim
  3. Approves or denies claims based on the information given by the customer and terms and conditions of the program/contract
  4. Researches and analyzes documents for accuracy regarding the type of claim and program
  5. Educates the customer on policies, procedures and programs
  6. Communicates the need for additional information and explains claim payment or denial, using direct customer contact by phone and/or written correspondence
  7. Documents solutions and other information in computer system
  8. Receives escalated customer calls from customer service representatives regarding claim status; resolves concerns and updates customer on process
  9. Ensures completion of claim by remaining focused on the claim and displaying enthusiasm, sincerity and professionalism when responding to the customer's requests and questions.
  10. Partners with Team Leads or Supervisors to handle escalated calls or claims

"skills for chicagoland's future" skills for chicagoland's future
     
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