Claims Adjuster

Job Summary

A company is looking for a Claims Adjuster.

Key Responsibilities

• Investigate and adjust claims, ensuring compliance with authority limits and standard procedures
• Update claims audit records by entering, verifying, and securing data
• Settle standard and complex claims through payment or denial

Required Qualifications

• High School Diploma or GED
• 5+ years of claims experience with a complete understanding of systems, policies, and procedures
• Experience with Inter-Plan Teleprocessing System (ITS) Claims preferred
• Proficient in analyzing information gathered from investigations
• Ability to attend training sessions to improve job knowledge