Adjuster Electrical Contacts Job Description Samples

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Risk Adjustment Coders (Cms-Hcc, Hhs-Hcc, Ccc, And Cdi)

RISK ADJUSTMENT CODERS

- Aviacode is looking for a handful of risk adjustment coders experienced in CMS-HCC, HHS-HCC, CCC, and CDI for remote Risk Adjustment coding positions.
Reports to: Coding Supervisor/Manager
Employment Status: Remote Contracted (1099) Position
Position: Remote Contracted (1099) Position
Pay:  TBD.  Varies per project but is comparable to $20+ an hour.
Minimum Hours: You must be able to commit a minimum of 15 hours a week
Maximum Hours:  40+ There is no maximum, you can work as much as you want.
Start Date:  Mid-June to Mid-July, 2017
End Date:  Depends on project, but likely February 2018
PROJECT OUTLINE
  • Complete Code Capture (CCC)
  • Hierarchical Condition Category (HCC)
  • Clinical Documentation Improvement (CDI)
  • Risk Adjustment Validation
  • More details will come as we get closer to the project
RESPONSIBILITIES
  • Providing high quality HCC/CCC/CDI coding across multiple clients.
  • HCC/CCC/CDI coding for 2015-2016 year.
QUALIFICATIONS
  • CPC or CPC-A or equivalent through the AAPC or AHIMA
  • CRC preferred, but not required
  • Must have at least 1 year of active HCC coding experience, or
  • Must have at least 1 year of active CCC coding experience, or
  • Must have at least 1 year of active CDI coding experience
  • Must have at least 1 year of ICD-9 coding experience
  • Must have at least 1 year of ICD-10 coding experience
  • Must have proof of passing an ICD-10 Proficiency or Readiness Assessment through the AAPC or AHIMA
  • Must pass background check and drug screening
  • Must pass the Risk Adjustment coding test
  • Signed contract with Aviacode
  • Must reside in the U.S.
ADDITIONAL INFORMATION
  • This is a CONTRACT position for a SHORT TERM project (June 2017-February 2018)
  • There will be multiple projects available consisting of a mix of HCC, CCC, CDI, RA Validation
  • Must complete a certain number of charts per pay period (varies per project).
  • Must maintain a 95% accuracy rate.
  • Must maintain a 95% completeness rate.
  • You will be paid twice a month on the 10th and 25th. The pay periods go from 1-15 and 16-31.
  • This is a 1099 position.
  • Must have a Windows Based Operating System (MAC is not compatible).
  • Dual monitors highly recommended

INTERESTED?

1. Apply here.
2. Please answer questions and take the assessment by using this link:  https://www.surveymonkey.com/r/2017RAassessment
You will be required to take a 2 part coding assessment when you apply.  Part 1 needs to be done at the time you apply (39 questions).  Part 2 needs to be done within 48 hours (8 charts).
Part 2 Instructions:  https://goo.gl/3mKEAa

OTHER OPEN POSITIONS

See here for other open positions: https://goo.gl/vOns5n

FUTURE OPPORTUNITIES

If you are interested in hearing about future coding opportunities at Aviacode, please take the following surveys so that we will have your information and experience on file.  When we have something available that we feel you would be a good fit for, we will reach out to you to see if you are interested.
Please fill out your E/M related coding experience here:  https://www.surveymonkey.com/r/EMexpSurvey
Please fill out your SURGERY related coding experience here:  https://www.surveymonkey.com/r/SurgeryExp
About Aviacode:
Aviacode is a premier provider of technology-enabled medical coding and auditing services. Our proprietary software and dynamic workflow improves the accuracy and efficiency of medical coding. Healthcare providers who use our accurate and compliant coding services experience optimized reimbursements and fewer denials.
“Aviacode does not discriminate on the grounds of race, creed, color, disability, sex, sexual orientation, national origin, age, religion, Vietnam era Veteran’s status, political affiliation, or any other non-merit factor.”

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Sr. Java Developer - Contact Center COE

Talent Supply is a technology focused recruiting firm with a vast network of resources to connect talented individuals with companies looking for them. Through our efficient recruiters and innovative search strategies, Talent Supply will help you find the right candidate fast. We deliver unique solutions across multiple industries and markets. As a startup, we have devised a surefire recruiting strategy to enable us provide better service for our clients at every stage of their organizational growth. We deliver enviable results for all sorts of positions including technology, engineering, finance, sales, marketing, accounting, legal and operational positions across all industries nationwide. Our commitment to quality has served us for both employees and clients since we started. Talent Supply prides itself on a team of professional recruiters that are available to tackle difficult staffing challenges other firms may face.
Express Script is looking for an experienced hands-on Java/J2EE Sr. application engineer to join our customer engagement team and play an integral role in serving our members & clients. In this role, you will work closely with professionals spanning contact center COE including business product owners, technical product owners, cross functional application development teams and infrastructure teams. 

As part of the Customer Engagement team, you will have an opportunity to work with the latest telephony technologies like Genesys to handle the seamless Omni channel interaction with the customers/members including voice calls - Interactive Voice Response (IVR); Automated Outbound calls (AOM), SMS/Text, E-Mail, and Video Chat & Social Media. Ideal candidates will bring well-rounded skillset capable of spanning business & technical disciplines and be comfortable to design & implement business solution supporting the Express Scripts contact center.

Essential Functions:
  • Work closely with the business teams to ensure the all IVR/AOM requirements
  • Experience in Agile/SCRUM Methodology
  • Hands on experience in administering Outbound campaign in Genesys administrator
  • Development experience on Campaign management such as build, configure and implement in Genesys environment
  • Development experience on Campaign management such as build, configure and implement in Genesys environment
  • Interface with QA and business users on need basis for any issues/challenges
  • Work closely with onsite and offshore team in delivering best in class solution in Contact center space
  • Devise and present solutions to larger audience and get both business/technical buy in
  • Troubleshoot and resolve issues related to AOM products as a result of alerts or customer complaints. This includes identification of root cause and prevention measures.
  • Prevent issues through upgrades, patches of Genesys products, and coordinate upgrades and patches of dependent products.
  • Participate in Implementation and support expansion and new Genesys Initiatives.
  • Participate in 24X7 on call support rotation.

Qualifications:
  • Bachelors in IT discipline and 8+ years’ professional experience
  • Minimum of 10+years of experience working with Java/J2EE technologies
  • 8+ Years of experience in architecting, designing and implementing complex business applications
  • 5+ years of experience with DevOps tools like Jenkins, Docker, GitHub, Jira, Maven etc.
  • 8+ years of experience working with Database technologies (PL/SQL, SQL, Pro*c etc)
  • 5+ years of experience with UNIX/LINUX
  • 5+ years of experience with modern frameworks like Spring, Spring Boot or equivalent
  • 3+ years of experience with implementing cloud native application using Pivotal Cloud Foundry (PCF), Amazon AWS or Azure

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Claims Adjuster - Auto Bodily Injury

Prime opportunity to join a growing branch office at a company which is focused on their employees and offers room for advancement. If you are an energetic, organized Adjuster with 2 plus years of Auto BI experience investigating and settling injury claims this could be the right opportunity for you.

This is a direct hire position located in the east valley area. This client is "A" rated and offers an excellent benefits package which includes:  401K Savings Plan, Rich Health, RX and Dental for you and your dependents, Company paid Life, Accidental Death & Dismemberment, Short and Long Term Disability and a flexible, generous paid days off policy.



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Director, Patient Advocacy / Contact Center

Click here to view full job description and apply if qualified!
Job Description

Our Patient Advocacy Director is responsible for providing strategic direction and management oversight to the Patient Advocacy department (customer service). This position is responsible for managing the customer service department and key metrics while maintaining customer satisfaction and performance on KPI's. Develops and monitors the application of operating systems including policies and procedures, operating structure, and information flow. Ensures the volume of work produced meets product/service standards and exceeds all quality standards. The Director manages a team of managers/supervisors, Leads, and support staff in a collaborative environment by regularly communicating expectations, ensuring departmental performance goals are clearly presented and understood, business unit outcomes are prioritized and attainable, and that all efforts support the drive to deliver outstanding customer service through adherence to quality standards and performance metrics. The Director establishes and maintains a positive work environment that fosters quality and commitment to our customers, as well as, possesses a team-oriented approach in all actions.
Responsibilities
  • Provides direction and support for call center managers/supervisors. Ensures supervisory responsibilities are carried out in accordance with the organization’s policies and procedures. Ensures employees are treated consistently, with respect, and receive timely and appropriate feedback.
  • Accountable for meeting and exceeding all internal and external/contractual/customer KPIs/CPIs
  • Recognizes individual contributions of associates, recognizes individual development needs and supports necessary training and development.
  • Lead the business unit in identifying and organizing team meetings and team member assignments with an emphasis on helping the team establish clear priorities. Communicate these priorities and work with other department team members on potential needed changes, in support of the business unit.
  • Performs necessary disciplinary and personnel actions and maintains all documented records.
  • Develops and implements project plans for system enhancements and procedural changes. Works with the Implementation team to ensure new clients have a positive transition experience.
  • Creates a strong culture of accountability across the assigned department
  • Establishes policies, procedures, and best practices to ensure client metrics and financial goals are consistently met
  • Establishes organization and staffing plans that are flexible and that allow the company to meet growth and client requirements
  • Coordinate strategic efforts with Executive and Operational Departments with regards to client contracting and service level agreements.
  • Coordination, documentation and communication with the various parties are a key responsibility.
  • Implements key initiatives to ensure attrition remains at an acceptable level
  • Develops and aligns workforce strategies to address key business plans and facilitate organizational change initiatives
  • Establishes quality and efficiency standards and ensures that these standards are measured and reviewed on an ongoing basis
  • Reviews data (daily, weekly, etc.) and initiates appropriate actions to ensure financial goals, service level objectives, and contractual obligations are met. Evaluates and reports department performance against budget, standards, and historical data.

Click here to view full job description and apply if qualified!

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Homeowners Claims Field Adjuster

Teamwork. Integrity. Dedication.

Together, we make a difference

If you are a career-minded, service-driven professional looking to join a fast paced organization then you have come to the right place. AAA is a member service organization affiliated with the national AAA network.

With offices across the U.S., we're united by common mission and common values of excellent member service. With more than 13,000 employees in 21 states, we provide legendary service to 15 million loyal members. With a constantly growing membership, we are always welcoming dedicated professionals looking to challenge themselves and build a career within our dynamic organization.

You will find that being part of a very successful team is extremely rewarding. If you are a career-minded, service-driven professional looking to join a fast paced organization then you have come to the right place.

What you’ll do:

When you join the Automobile Club of Southern California as a

Homeowner Claims Field Adjuster , you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members.

As an Claims Representative within our Homeowner/Property Claims department you will:

·

This position handles higher complex homeowner claims matters involving property lines of Insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements.

·

The primary functions include investigation, evaluation, estimating and negotiating complex claims.

·

Involves policy interpretation, coverage identification, exposure analysis and related claims processing procedures/systems.

·

Employs discretion and independent judgment to ensure compliance with state and federal law; and with historical company, technical, and customer service best practices.

·

This position requires leadership skills and may involve mentoring and training of less experienced personnel.

·

Conduct field investigations, evaluate and estimate claim values on very severe damage including total loss fires, earthquakes, landslides, explosions and collapse. Write structural repair estimates in excess of several hundred thousand dollars.

What you bring:

·

Four year college degree or equivalent combination of education and experience required.

·

Experience servicing claims of the highest complexity required.

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Experience in homeowner property, contracting areas preferred.

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Comprehensive understanding, of building repair procedures and issues.

·

Must be proficient with Xactimate estimating program.

·

Proficiency with Microsoft Office and industry-related software preferred.

·

Advanced understanding of insurance principals necessary.

·

Advanced technical knowledge skills among peers required.

·

Strong oral and written communication skills.

·

Strong organizational skills.

·

Strong interpersonal skills.

What’s in it for me? + A career with growth potential. + Our comprehensive and employee centric training facility located in Costa Mesa provides training programs to help employees acquire various skills necessary to do their jobs and to support career development. + The satisfaction of knowing you provide a meaningful service to our insured’s’ who rely on you for assistance.

Remarkable benefits: + Health Coverage for Medical, Dental, Vision + Paid time off including Vacation, Illness and Holidays +

Disability Coverage + Life Insurance, Pension and 401k Savings Plan +

Employee Rewards and Discounts + Career opportunities across multiple business lines and states

“Creating members for life by exceeding our members' expectations through valuable products and legendary service.”

AAA is an Equal Opportunity Employer.

The Automobile Club of southern California will consider qualified applicants with criminal histories for employment pursuant to the

Los Angeles Fair Chance Ordinance.

Job:

Claims

Organization:

CLMS HOMEOWNERS FIELD (00214.05.1000)

Title:

Homeowners Claims Field Adjuster

Location:

California-Los Angeles (CA)

Requisition ID:

15898



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Claims Adjuster - Auto

American Guardian Warranty Services, Inc. is the leading provider of extended repair protection for auto and RV dealers and marketers across the U.S. This individual will report to the Claims Adjuster Supervisor and is responsible for providing exemplary customer service through authorization of vehicle service contract claims for vehicle problems. You will be challenged to solve problems in a fast-paced working environment. This position is responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs and to accurately determine coverage and liability based on the reported fact scenario. You will be measured on your ability to provide accurate benefit and adjustment amounts on claims and reach fair and efficient claims resolutions while managing costs in accordance with policies and procedures.

  • Competencies

  • To perform the job successfully, an individual should demonstrate the following competencies to perform the essential functions of this position.

  • Problem solving—the individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.

  • Interpersonal Skills—the individual maintains confidentiality, remains open to others’ ideas and exhibits willingness to try new things.

  • Oral communication—the individual speaks clearly and persuasively in positive or negative situations, demonstrates group presentation skills and conducts meetings.

  • Written Communication—the individual edits work for spelling and grammar, presents numerical data effectively and is able to read and interpret written information.

  • Planning/organizing—the individual prioritizes and plans work activities, uses time efficiently and develops realistic action plans.

  • Quality control—the individual demonstrates accuracy and thoroughness and monitors own work to ensure quality.

  • Adaptability—the individual adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected events.

  • Dependability—the individual is consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance. * * * Essential Functions: *

  • Answer inbound calls for Recreational Vehicle (RV), Auto, Light Truck and mechanical breakdown claims

  • Provide information about claim processing and explain the different levels of contract coverage and terms

  • Must be able to use good judgment and general repair best practices for claim resolution

  • Accurately establish, review and authorize claims utilizing corporate data entry system

  • Investigate and determine company liability based on cause of failure and vehicle coverage terms offered in vehicle service contracts as cost effectively as possible

  • Use of other available means of evaluation of a vehicle repair claim, such as reading inspection reports and vehicle maintenance records as recommended by the vehicle’s manufacturer

  • Return phone messages and emails within one business day

  • Provide accurate updates on computer files for calls received

  • Make use of problem solving/decision making skills to achieve the highest level of customer satisfaction and resolution of disputes

  • Read, understand and apply contract language

  • Understanding of general automotive repair procedures and processes The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.

  • Benefits:* * * A comprehensive and competitive benefit program is designed to meet the needs of our employees and their families. Benefits eligibility depends on employment classification, location, and other variables. Comprehensive benefits offered include:
  • Competitive Salary

  • Medical Insurance

  • Dental Insurance

  • Vision Insurance

  • Basic Life and AD&D Insurance for Employee

  • Additional Life and AD&D Insurance for Employee, Spouse and Children

  • Long Term Disability

  • Employee Assistance Program

  • 401(k) Savings Plan with Match

  • Monday-Friday work week

  • Position shift is 9am-6pm (including 1 hour unpaid lunch period)

  • Paid Holidays

  • Paid Vacation

  • Paid Sick Days

  • Tuition Reimbursement

  • Requirements*
  • High School diploma or equivalent required

  • Minimum 2-4 years of experience adjusting RV, Automobile or Powersports mechanical claims

  • 2-5 years of experience as an automotive or RV mechanic or service advisor in a dealership service department or independent repair shop

  • Previous experience using vehicle tracking systems or databases is a plus

  • Current ASE certifications a plus

  • A degree or certificate from an accredited service technician program is preferred

  • Highly skilled in diagnosing auto mechanical failures

  • Knowledge of parts and repair costs for vehicles

  • Knowledge of Motorcycles and marine is a plus

  • Demonstrated proficiency with MS Office products (Outlook, Word, Excel) and related software applications

  • Proven call center experience

  • Ability to maneuver through multiple systems within a windows type environment

  • Strong organizational and customer service skills with ability to problem solve and multi-task

  • Detail oriented with a high level of accuracy in data entry skills

  • Ability to maintain confidentiality of sensitive information

  • Excellent written and verbal communication skills An Equal Employment Opportunity Employer and Drug Free Workplace

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Claims Adjuster

Tracking Code 3655 Job Description SIRVA is currently seeking a Claims Analyst to join our team located in Ft. Wayne, IN.

The candidate will be responsible for handling claims which may include government or commercial accounts and consumer customers, in an accurate and timely manner. They will speak with customers, agents, and accounts, to investigate and resolve issues, as well as utilize the service of the repair firm network to provide inspection of the damages. The Adjuster will assess the situation to determine liability by analyzing all shipping documents, contract agreements, Tender of Service, Interline agreements, and Rules and Regulations. Communication of claim settlement may be in either verbal or written form.

Qualified candidates should possess the following: * High School Diploma required, AS or BS degree preferred

  • Minimum 1-3 years in Claims or Customer Service setting

  • Excellent verbal, written, and problem solving skills a Must * PC experience required, including Word and Excel

  • Must be organized and able to multi-task

  • Must enjoying speaking directly to the customer to move toward claim settlement

Responsibilities: Verification

  • Verify and investigate all aspects of the claim to ensure legal liability of the settlement is established and accountable parties are identified and notified. * * Utilize all contract paperwork, contract agreements, repair firm assessments, hauler/agent/helper/account//customer communication in the assessment of liability and the investigation of the claim. Negotiation

  • Determine the value of claimed items, repair options vs. cash-out and pre-existing damage vs. transit related damage. Review carrier liability and propose the settlement offer with the customer.

    Negotiate any disagreements in the initial offer and establish final settlement. All settlements must be within legal carrier liability and meet the contract terms of the move. Maintain Records

  • Keep accurate notes which may include conversations and justification for approvals/denials. Repair Firms

  • Direct repair firms in providing the necessary inspection and repair reports to ensure accurate and timely settlement. Projects

  • Various projects as assigned. SIRVA is a leading partner for corporations to outsource their mobility needs, relocating and moving their executives and staff globally.

    SIRVA offers an extensive portfolio of mobility services across approximately 170 countries providing an end-to-end solution to deliver an enhanced mobility experience and program control and security for customers. SIRVA brings together strong, collaborative people in a dynamic culture of mutual respect, support, and passion for the brand and product. We believe innovation drives winning performance, and we constantly challenge ourselves to be the very best we can in every aspect of our business.

    You will be surrounded by some of the brightest and most driven people in the industry. At SIRVA, you will be in great company! SIRVA is an equal opportunity employer.

    We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. The Federal EEO Law Poster may be found at http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf If you need a reasonable accommodation because of a disability of any part of the employment process, please send an email to Human Resources at HRSIRVA@SIRVA.com and let us know the nature of your request and your contact information. SIRVA has a portfolio of well-known and recognizable brands including Allied Van Lines, north

American Van Lines, SMARTBOX, and Allied Pickfords. For more information please visit www.sirva.com. Job Location Fort Wayne, Indiana, United States Position Type Full-Time/Regular



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Litigation Adjuster - Risk Management

Position Summary: As a Litigation Adjuster in Risk Management, you will be responsible for handling cases and overseeing outside counsel in defending CVS in high exposure, complex general liability, medical malpractice and professional liability cases filed throughout the United States. You will be: - Utilizing technical skills to oversee and manage claims against CVS once a complaint is filed.

  • Handling complex bodily injury claims, malpractice and professional responsibility cases.

  • Analyzing case and internal materials and utilizing resources across CVS to discern key issues and identify the litigation strategy in every case assigned.

  • Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working with and overseeing outside counsel.

  • Participating in meetings and attending mediation and trial as necessary to oversee and assist in the resolution of claims.

Required Qualifications: - 3+ years of legal experience

Preferred Qualifications: - Legal experience with a healthcare company or law firm and/or significant experience overseeing litigated claims for an insurance carrier or corporation.

  • Ability to influence and negotiate with senior leaders and outside counsel.

  • Proficient in Microsoft applications (Word, Excel, Outlook) with a proven ability to learn new software programs and systems.

  • Ability to positively represent the company at mediation, arbitration and trial.

  • Medical malpractice or pharmacy liability claim handling or litigation experience.

  • Ability to work independently and in an environment requiring teamwork and collaboration.

  • Ability to navigate difficult situations with both internal and external groups.

  • Excellent organizational and time management skills and ability to handle a high volume of cases.

  • Possess strong customer service skills and behaviors.

  • Make decisions in an informed, confident and timely manner.

  • Strong written and verbal communication skills.

  • Experience with and understanding of legal documents (pleadings, discovery, motions and memoranda).

  • Ability to articulate and summarize complex cases with management in a concise, cogent manner.

Education: Verifiable Bachelor's degree or equivalent work experience required. JD degree and CPCU, AIC designations highly desired.

Business Overview: CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers. CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking AA EEO CVS Health at mailto:AA_EEO@cvscaremark.com For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/


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Auto Claims Adjuster

Auto Claims Adjuster

Location :​Gilbert, AZ - - -

Job Summary Are you looking for a position that offers advancement opportunities, great benefits and recognition for a job well done? Join MAFPRE Insurance! MAPFRE Insurance is a forward thinking insurance company offering friendly service from over 2,000 professionals focused on taking care of you and your family. For decades, MAPFRE Insurance has been protecting families and their possessions with quality insurance coverage and a strong commitment to service excellence. Your Future Starts Here!

Auto Claims Adjuster Higher tiered levels available commensurate with experience. In this position, individuals will be trained in handling/adjusting of automobile physical damage claims.

This is a multi-state position which will require developing a proficiency in interpreting, understanding and applying multiple policies/products and multi-jurisdictional claim handling requirements. The individual will need to possess or be able to obtain the appropriate state adjuster licenses required by state statute. The individual in this position will handle a pending of automobile property damage claims which will consist of Collision, Other Than Collision, Property Damage & Uninsured Property Damage features.

Primarily be responsible for the screening and processing of losses, determining coverage exposures, liability analysis, negotiating settlements, and making payments. Frequent oral and written communication with customers is required and must be timely and professional.

Job Requirements Knowledge, Skills and Abilities + Education: Bachelor's Degree or professional level of knowledge in a specialized field, or equivalent, related experience.

  • Experience: 0 - 2 years - or Associates Degree equivalent plus 2 - 4 years.

  • Knowledge: Limited to moderate knowledge of industry practices, standards, and concepts within field of work. Learns to apply them to the job.

  • Decision Making: Makes decisions related to a wide variety of situations within management limits.

    Interprets guidelines and procedures, applying judgment and discretion. Decisions influence portions of a project, client relationships and/or expenditures.

  • Supervision Received: Works independently under moderate to general supervision, receiving specific and detailed instructions on new types of work.

  • Leadership: Works as an individual contributor. Learns the job.

  • Problem Solving /Operations/Direct Work Involvement: Applies knowledge to help solve problems of relatively limited scope and complexity which require independent thinking.

  • Client Contacts: Contacts other departments and or external organizations or parties frequently.

    Contacts are primarily at or below upper management levels. Represents organization on specific projects. Communication may involve persuasion, and negotiation.

    Additional Knowledge, Skills and Abilities A minimum of one year Contact Center Claim Services or equivalent claims adjusting, or related work experience is required. The ability to obtain necessary licensing for geographic area assigned to the position based on business need is also required. This position requires excellent written and oral communication skills and the demonstrated ability to organize and prioritize work to assure productivity goals of managing a pending are met.

    Strong telephone customer service skills and the ability to empathize is needed. Must possess basic CRT / PC skills with accurate keyboarding abilities. Must possess good math skills and be able to work in a fast paced environment.

    MAPFRE is committed to recognizing our employees as our most valuable resource. We know our employees are the foundation for our accomplishments. That’s why we offer so many opportunities to share in the success they help us achieve. + We are MAPFRE. We are people who take care of people. If you require an accommodation for a disability so that you may participate in the selection process, you are encouraged to contact the MAPFRE Insurance Talent Acquisition team at talentacquisition@mapfreusa.com. We are proud to be an equal opportunity employer.#INDEED123

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Contact Center Specialist I - Wellspan Medical Group Contact Center - Part Time (Weekends)

Contact Center Specialist I - WellSpan Medical Group Contact Center - Part Time (Weekends) Tracking Code 43406 Job Description General Summary: Under the general supervision of the Supervisor-Contact Center and the Manager-WSH Access, performs a variety of support functions including, but not limited to, registration and scheduling, telephone management, interviewing patients, insurance/ billing and record management, interviewing and general phone call intake.

The following are essential job accountabilities: 1 Answers incoming calls to a centralized phone queue with exceptional customer service skills. Manages the needs of each patient appropriately. 2 Conducts patient interview by telephone, to collect accurate financial, biographic and demographic information for admission or registration. 3 Schedules patient appointments to be seen by providers at any WellSpan practice that is appropriate to the patients needs. 4 Explains financial requirements to the patient or responsible party and collects deposits or deductibles as required. Explains insurance coverages and requirements for precertification/preauthorization, as applicable. 5 Registers patients in accordance with established policies and procedures.

Understands patient insurance information and correctly enters that information into the billing system. 6 Corresponds with clinical teams and physician via the computer system with necessary patient information. 7 Pages providers when needed for patient consults. 8 Relays medical information to the clinical team to allow them to provide exceptional patient care. 9 Communicates with ancillary areas to answer questions for the patient, such as pharmacy, lab, etc.. 10 Uses the clinical computer system to communicate with medical office staff. Department Description: The WellSpan Medical Group Contact Center is located in a beautifully restored loft building known as the Greenway Tech Building in downtown York.

The personal work spaces are state of the art with ergonomic design, dual 19 inch monitors, natural lighting and task lighting to assist staff with workflow and ensure a comfortable working atmosphere. To learn more about the Medical Group Contact Center, please click here. About WellSpan:

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization is comprised of a multi-specialty medical group of more than 850 physicians and advanced practice clinicians, a home care organization, six respected hospitals, more than 15,000 employees, and 160 patient care locations. The region's only accredited Level 1 Trauma Center and Primary Stroke Center with an endovascular neurosurgery program.

WellSpan is consistently recognized by IMS Health as one of the Top 100 Integrated Health Networks in the United States and has been recognized by Health Imaging and IT as one of the nation's "Top 25 Connected Healthcare Facilities." IMS Health is the leading provider of information services and technology for the healthcare industry. The Community: WellSpan Health facilities are located in multiple counties across south central Pennsylvania and northern Maryland, all offering an ideal living environment to match the quality of work-life balance you’re seeking.

The area offers abundant outdoor and cultural activities, including restaurants, theatre, golf courses, hiking trails, water sports and historic tours. Additionally, our communities are a short drive from several, large metropolitan areas including the Baltimore/DC metro area and Philadelphia. If you value a strong sense of community, the more palatable pace of rural living, and the convenience of a workplace close to home, you’ll realize the advantages of considering WellSpan Health as part of your future.

Required Skills Minimum Education: High School Diploma / GED Required Experience Minimum Experience: 3-6 Months Job Location York, Pennsylvania, United States Position Type Part-Time Schedule Days/Evenings Additional Scheduling Info Saturday and Sunday Only 9:00 AM - 6:00 PM Additional Requirements N/A



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