PIP Med Pay Adjuster
PIP Med Pay Adjuster
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Salary Not Disclosed
1 Vacancy
Job Description
Location(s)
Lake Mary FloridaDetails
Kemper is one of the nations leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a highperforming culture valuable opportunities for personal development and professional challenge and a healthy worklife balance can be highly motivating and productive. Kempers products and services are making a real difference to our customers who have unique and evolving needs. By joining our team you are helping to provide an experience to our stakeholders that delivers on our promises.
As a PIP/Med Pay Adjuster you will thoroughly investigate processes and equitably settle first party PIP or Medical Payment claims. Ensure that all assigned claims are concluded promptly equitably and economically within preestablished standards and within the provisions of the insurance policy affording coverage for the loss.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Medical Claims Handling: 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.
2. Claims Administration and Investigation: Obtain and analyze loss details and develop a comprehensive strategy to efficiently and accurately reach resolution on claims presented for coverage.
3. Communications and Customer Service: Exhibit effective verbal and written communication; deliver clear timely messages that are easily understood. Demonstrate an awareness of different communication styles and express appropriate levels of empathy and sensitivity in communications.
4. Claims Fraud Identification and Prevention: 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.
MINIMUM JOB 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.
REQUIRED JOB SKILLS:
- Demonstrates effective and diplomatic oral and written communication skills.
- Software application knowledge of Word and Excel for communication and data gathering and analysis.
- 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.
- This is an inoffice role
Kemper is proud to be an equal opportunity employer. All applicants will be considered for employment without attention to race color religion sex sexual orientation gender identity national origin veteran disability status or any other status protected by the laws or regulations in the locations wherewe operate. We are committed to supporting diversity and equality across our organization and we work diligently to maintain a workplace free from discrimination.
Kemper does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Kemper and Kemper will not be obligated to pay a placement fee.
Kemper will never request personal information such as your social security number or banking information via text or email.Additionally Kemper does not use external messaging applications like WireApp or Skype to communicate with candidates.If you receive such a message delete it.
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Employment Type
Full-Time
