Benefit Adjuster IV-1

2 days ago

Remote, Oregon, United States American Fidelity Full time $60,000 - $120,000 per year

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* Evaluates, process, manages and/or audits claims that require complex to advanced judgement and investigation and a high degree of analysis such as highly complex medical and life claims, contestable claims and problematic claims in accordance with Company policy terms, insurance laws, regulatory requirements, and adjusting/claim management guidelines and provides training to lower level adjusters.

* Provides appropriate verbal and/or written communication to internal and external Customers in a positive and knowledgeable manner to ensure a high standard of Customer service. Meets standards established in department performance metrics for appropriate handling of Customer calls.

* Acts as a direct contact and communicate with internal and external Customers and medical providers in a positive, knowledgeable and professional manner, providing them with direction and assistance in all facets of insurance coverage and needs. 

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