Claims Adjuster

1 week ago


Fort Lauderdale, United States The Jacobson Group Full time

Job Type: Direct Hire, Onsite (5 days a week)


Responsibilities:

  • Handle a personal queue of medical claims from start to finish.
  • Verify coverage, maintain accurate records, and interact with providers for additional documentation.
  • Approve claims for payment according to departmental guidelines.
  • Communicate proactively with members, explaining claim processes and statuses.
  • Set up and scan new claims for processing.
  • Provide exceptional customer service via phone, email, and chat.


Requirements:

  • 2+ years of medical claims experience with billers or insurance companies (Property and Casualty experience is not applicable).
  • OR 2+ years of experience in medical workers' comp or bodily injury claims.
  • Current Florida 6-20 All Lines Adjuster License REQUIRED
  • Proficiency with Explanation of Benefits (EOB) forms and Health Insurance Claim Forms (HCFA/1500).
  • High school diploma or equivalent.
  • Strong customer service skills with effective communication and organizational abilities.


Benefits:

  • Health, Dental, and Vision Insurance: Coverage begins on the first of the month after 60 days of employment.
  • 401(k) Program: Available on the first of the month after 90 days of employment, with company matching up to 3% if you contribute at least 6%.
  • Paid Time Off (PTO): 15 days per year, with up to 40 hours able to be rolled over. Increases to 20 days per year after 2 years of service. Includes 3 personal paid holidays per year, which do not roll over.
  • Paid Company Holidays: 8 paid holidays per year, including New Year's Day, Memorial Day, and more.


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