PIP / Med Pay Adjuster
| Company | Kemper |
|---|---|
| Location | Lake Mary, FL, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Junior, Mid Level |
Requirements
- Undergraduate degree or equivalent work experience required.
- Six months to 3 years of experience as a Claims Adjuster is a plus.
- Possess applicable state license is a plus.
- Completion of Adjuster Trainee period.
Responsibilities
- Identify involved parties eligible for coverage, analyze medical bill, lost wage and other expense claims submitted for payment using a consistent and thorough review process.
- Obtain and analyze loss details and develop a comprehensive strategy to efficiently and accurately reach resolution on claims presented for coverage.
- Exhibit effective verbal and written communication; deliver clear, timely messages that are easily understood.
- Partner with SIU to identify red flags, and when appropriate, referral criteria and referral guidelines. Investigates coverage and loss details to identify incidents of misrepresentation and suspicious patterns or activities.
Preferred Qualifications
- Software application knowledge in Medical Bill Repricing Systems, presentation software such as WebEx, Office Communicator or other screen sharing system, and PowerPoint or other presentation/training type software is a plus.