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Claims Office Adjuster

2 months ago


Wilson, North Carolina, United States Ncfbins Full time

Join Our Team

At Ncfbins, we uphold principles of integrity, hire individuals who are dedicated, and provide benefits that evolve with your career. Become a part of the Ncfbins family.

Position: Office Adjuster

Location: Wilson, NC

Department: Claims

Reports To: District Claims Manager

General Overview

An Office Adjuster (OA) is responsible for investigating, assessing, and negotiating settlements for specific categories of claims within an office environment. OAs in our Field District Claims Office handle both casualty and property claims of limited complexity. Those in our Medical Claims District Claims Office focus on resolving claims related to Medical Payments coverage.

Required Qualifications

A bachelor's degree or equivalent work experience is preferred. Strong oral and written communication skills are essential. The ability to conduct business professionally via phone or written correspondence is required, along with effective public interaction, especially in high-pressure situations. A dependable and responsible individual who can work both independently and collaboratively is necessary. Compliance with continuing education requirements set by the N.C. Department of Insurance and Ncfbins is mandatory. Familiarity with medical and legal terminology is advantageous for roles in our Medical Claims District Claims Office. Interest in automotive and home repair, as well as contract analysis, is beneficial for those in our Field District Claims Offices.

Key Responsibilities

  • Verify coverage on loss assignments.
  • Initiate and maintain communication with insured parties and claimants.
  • Establish and update reserves as necessary.
  • Adhere to regulatory guidelines.
  • Assess covered damages using available resources.
  • Investigate losses and apply policy coverage appropriately.
  • Determine legal liability for losses and damages.
  • Facilitate payment or denial of claims.
  • Maintain detailed notes and reports on claims at various stages of processing.
  • Manage and control expenses effectively.
  • Participate in meetings and training sessions on behalf of the company.
  • Perform additional duties as assigned by management.

Qualifications for Senior Office Adjuster

  • Recommendation from the District Claim Manager and Regional Claim Manager.
  • A minimum of five years of experience as an Office Adjuster or in a comparable adjusting role with Ncfbins.
  • Successful completion of all required industry training.
  • Passing scores on assessments related to company contracts.
  • Passing scores on evaluations covering general claims knowledge and company background.

Equal Opportunity Employer

Ncfbins is committed to maintaining a workplace free from discrimination, intimidation, and harassment. All employment decisions are based on merit, qualifications, and abilities, without regard to race, color, creed, religion, sex, national origin, age, physical or mental disabilities, veteran status, or any other characteristic protected by law.