Med Pay Adjuster (Medical Division)

North Carolina Farm Bureau Insurance Group

Raleigh, NC

JOB DETAILS
SKILLS
Claims Processing, Communication Skills, Conferences, Conflict Resolution, Documentation, Equipment Maintenance/Repair, Establish Priorities, Health Insurance, Insurance, Insurance Claims, Interpersonal Skills, Legal, Licensing Compliance, Negotiation Skills, Presentation/Verbal Skills, Regulations, Team Player, Time Management, Training Program, Writing Skills
LOCATION
Raleigh, NC
POSTED
30+ days ago

About Us

At North Carolina Farm Bureau Insurance, we take pride in our strong, community-oriented roots that began right here in North Carolina. In 1953, our company was born out of the need to provide insurance coverage to our farmers and rural communities. Now, with local offices in each of the 100 counties, we provide services to all North Carolinians across the state. Here at NCFB we are a familiar face in the community with a service-oriented mindset that truly sets us apart. Guided by our mission, we are deeply committed to both our neighbors and employees. Helping you is what we do best! If you are passionate about making a meaningful impact and value a people-centered culture, we invite you to join us!

 

About the Role

Our Claims Department provides outstanding individuals with the opportunity for an exciting and rewarding career. Resolving claims combines the excitement of investigations with the reward of helping people through difficult times. We are seeking motivated and proactive individuals to join our team. As a Med Pay Adjuster, you will work directly with policyholders, claimants, and other involved parties to investigate, evaluate, and negotiate settlements of medical payments insurance claims.

 

Required Skills and Abilities

• Present a professional and personable attitude and communicate effectively in stressful situations. • Demonstrate exceptional mental resilience and possess strong conflict management skills. • Possess strong written, verbal, and interpersonal communication skills. • Ability to organize and prioritize your workload to demonstrate effective time management towards meeting deadlines. • Demonstrate the strong ability to make decisions and problem solve using logical and analytical skills. • Must be reliable and capable of working independently as well with others.

 

Location & Commitments

• Full-time office role • Reports to our Medical Claims District Claims Office: 5301 Glenwood Avenue, Raleigh • Must obtain and maintain licensing CE in compliance with N.C. Department of Insurance and N.C. Farm Bureau Mutual Insurance Company requirements. • All offers are contingent on a Background Check.

 

Responsibilities of the Role

• Provide prompt, timely, and professional communication for insureds and claimants. • Appraise and determine covered damages using provided resources. • Investigate losses, verify coverage, and apply policy coverage. • Determine legal liability for losses and damages. • Authorize or deny claim payments based on policy guidelines. • Evaluate and establish reserves for the possible payout amounts. • Adhere to company policies, procedures, and regulatory guidelines. • Maintain current, accurate, and detailed documentation throughout the claims process. • Ensure the protection and proper maintenance of all company equipment assigned to you. • Participate in industry-related conferences and training programs.

 

*Certain training programs are located at the Corporate Office in Raleigh, NC.

 

This document is intended to outline the essential responsibilities of the position, and does not limit the tasks that may be assigned or amended by the supervisor.

 

How to Apply

Send your resume and cover letter to our Corporate Talent Administrator, Kristin Tolley.

 

Send by Mail

Attn: Kristin Tolley North Carolina Farm Bureau Insurance Group P.O. Box 27427 Raleigh, NC 27611-7427 (919)782-1705

 

Send by Email

Send your resume and cover letter to our Corporate Talent Administrator, Kristin Tolley. Email Us Email us: kristin.tolley@ncfbins.com

 

Farm Bureau is an equal employment opportunity employer, and it is the policy of Farm Bureau to maintain a working environment free of discrimination, intimidation, and harassment. This means that all employment decisions at Farm Bureau shall be based on merit, qualifications, and abilities without regard to race, color, creed, religion, sex, national origin, age, physical/mental disabilities, veteran status, or any other characteristic protected by state or federal law.

About the Company

N

North Carolina Farm Bureau Insurance Group