Job Description
$20.25 – $27.60 Per Hour
The Claims Adjuster is responsible for contacting claimant and /or service providers to request information needed in order to process claim – includes written correspondence and phone calls. They will evaluate claims based on documentation received including responses from claimant and providers.
Will need to handle multiple priorities simultaneously, be self-directed and meet service level expectations.
The adjuster must demonstrate customer centricity in all aspects of their job by performing actions with empathy and expertise.
Responsibilities include:
- Efficiently and accurately adjudicate claims in accordance with the policy terms, established guidelines and regulations.
- Conduct eligibility claim review by evaluating claim submission and comparing to policy benefits.
- Request additional information from policyholders, providers and others as necessary to finalize claim.
- Actively manage inventory and ongoing claim adjudication.
- Effectively communicate with customers using empathy and professionalism via phone and written correspondence.
- Interface with Policyholders and Agents answering a variety of questions through different service channels.
- Develop a broad understanding of our products and systems.
- Meet Department standards for time, service and quality.
- Ability to maneuver between system applications confidently to find information and respond to customer needs in a timely manner.
- Collaborate with other team members and leadership to ensure effective customer service.
- Actively engage in Continuous Improvement initiatives and identify process and efficiency enhancements.
- Participate in required training
- Performs other duties as assigned
What You Bring:
- Exceptional written and verbal communication skills
- Quality and Customer Centric Orientation
- Excellent organizational skills
- Ability to multi-task in fast-paced environment with attention to detail and prioritize tasks
- Analytical skills and good decision-making skills
- Proficient in MS Office – Outlook, Word and Excel
- Navigation between systems and use of technology is important
- Insurance/Claims Experience
- Windows based PC Knowledge
- Bilingual in Spanish and English a plus
About Surcrest Inc
At Surcrest, we strive to provide long-lasting memories for our clients and their guests in various industries including hospitality, entertainment, healthcare, and more. Our motto of Hospitality Reimagined allows us to embrace the talents of our team as we work toward our shared goal of providing those memorable experiences when clients and guests are served by our family of companies.
Surcrest Benefits:
– A competitive salary and comprehensive benefits package.
– A dynamic, collaborative environment where your ideas are valued and your growth is supported.
– The chance to make an impact in a forward-thinking company that values its people.
If you’re ready to take on a rewarding role, we want to hear from you. Apply today and let’s make amazing things happen!
Surcrest, Inc. is an Equal Opportunity Employer
We are committed to diversity, equity, and inclusion in the workplace. All qualified applicants will receive consideration for employment, regardless of criminal histories, consistent with legal obligations. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.