Job Title: Claims Adjuster
Location: Fairfax - VA (Remote)
Duration: 12 Months Contract to Hire
PURPOSE:
Investigate and perform adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level: High School Diploma or GED
Experience: 5+ years claims experience and complete understanding of all systems, policies and procedures.
Preferred Qualifications
Knowledge, Skills and Abilities (KSAs)
Experience with Inter-Plan Teleprocessing System (ITS) Claims.
Ability to analyze information gathered from investigation, Proficient
Excellent communication skills both written and verbal., Proficient
Ability to recognize, analyze, and solve a variety of problems., Proficient
Skill in completing assignments accurately with attention to detail., Proficient
...Piper Maddox Piper Maddox is partnered with a well-renowned, global producer of renewable energy - including hydropower, wind power, solar power, gas-fired power and district heating. As the Portfolio Manager within the Origination Team, you will help build and...
...Weatherby Healthcare is seeking a Physician Assistant Emergency Medicine for a locum tenens job in Albuquerque, New Mexico. Job Description & Requirements Specialty: Emergency Medicine Discipline: Physician Assistant Duration: 13 weeks Employment Type:...
...We are hiring immediately for on call WAITER/WAITRESS positions. Location : IBM Learning Center - 20 Old Post Road, Armonk, NY 10504. Note: online applications accepted only. Schedule : On call schedule. Days and hours may vary. More details upon interview...
...Nurse First is seeking a travel Physical Therapist for a travel job in Lake Worth, Florida. Job Description & Requirements ~ Specialty: Physical Therapist ~ Discipline: Therapy ~ Start Date: 06/16/2025~ Duration: 13 weeks ~36 hours per week ~ Shift: 12...
...Smiles Behind the Scenes-Join Chapa-De as a Dental Sterilization Tech!Hourly Pay: $21.00-... ...Certificate.Completion of Dental Assisting Program, PreferredAbout Us: Chapa-De is... ...Keyword: Dental Sterilization Technician - Entry level Dental Assistants Welcome!From: Chapa-...