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Claims Representative - Liability

eTeam Inc.

Charlotte, NC(remote)

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JOB DETAILS
SALARY
$20–$23.81 Per Hour
SKILLS
Adjudication, Analysis Skills, Applications Security, Best Practices, Claims Coding, Claims Processing, Compensation and Benefits, Computer Skills, Contract Management, Customer Relations, Data Collection, Develop and Maintain Customers, Industry Standards, Interpersonal Skills, Licensing, Medical Treatment, Medicare, Microsoft Office, Microsoft Product Family, Negotiation Skills, Organizational Skills, Presentation/Verbal Skills, Regulations, Subrogation, Team Player, Utilization Management, Willing to Travel, Writing Skills
LOCATION
Charlotte, NC(remote)
POSTED
3 days ago
Title: Claims Representative - Liability
Location: REMOTE
Duration: 1-2 Months

Description:
Manager's note:
Work location: Remote
Any specific skill/ certification/ experience: 3-4 years bodily injury claims low exposure up to 25K
Years of experience: 3-4years

PRIMARY PURPOSE: To process low level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES Processes low level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. Develops and coordinates low level general liability claims' action plans to resolution, return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract. Administers subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. Performs other duties as assigned. Supports the organization's quality program(s). Travels as required.

Skills:
QUALIFICATION Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required. Skills & Knowledge Developing knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Ability to work in a team environment Ability to meet or exceed Service Expectations.

About the Company

e

eTeam Inc.

Looking for a great job? Join eTeam. We’re looking for talented staffing professionals to join our staff. We also provide contract assignments and full-time jobs at Fortune 2000 Companies. We’ve been named one of the best companies to work for by Staffing Industry Analysts and New Jersey Business.
COMPANY SIZE
100 to 499 employees
INDUSTRY
Other/Not Classified
FOUNDED
1998
WEBSITE
www.eteaminc.com

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