Claims Adjuster

Company: Integrity Marketing Group
Location: Rome
Posted on: March 17, 2023

Job Description:

ABOUT INTEGRITY
Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products with a data and technology focus. We are an omnichannel insurtech company innovating insurance with a singular purpose: to help people protect their life, health and wealth so they can make the most of what life brings. Headquartered in Dallas, Texas, Integrity is committed to making insurance simpler and more human, so everyone can plan for the good days ahead. Integrity's 5,500 employees currently support over 420,000 independent agents who serve the needs of more than 2.2 million clients annually. For more information, visit www.integritymarketing.com.
ABOUT INSURANCE ADMINISTRATIVE SOLUTIONS
Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry. We offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, leverage emerging technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results. Here at IAS, we embrace the fact that great things are only accomplished by working as a team. We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel.
Location: Rome, GA
JOB SUMMARY: Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions. Coordinate daily workflow to coincide with check cycle days to meet all service guarantees.
ESSENTIAL DUTIES & RESPONSIBILITIES (other duties may be assigned as necessary):
Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries.
Interpret contract benefits in accordance with specific claim processing guidelines.
Understand broad strategic concept of our business and link these to the day-to-day business functions of claims processing.
Minimal external contact with providers/agents/policyholders.
EDUCATION/EXPERIENCE:
Minimum of one (1) year related experience required.
Experience in medical terminology preferred.
Experience with Limited Medical Claims preferred.
BENEFITS:
Medical/Dental/Vision Benefits first of the month after hire date
401(k) Company matching and contributions are immediately vested
15 days PTO after 90 days
Referral program
11 Paid Holidays
Employee Assistance Program
Tuition Reimbursement
SCHEDULE:
Monday to Friday
37 hour work week
Integrity and IAS are equal opportunity employers.

PI207908498

Keywords: Integrity Marketing Group, Chattanooga , Claims Adjuster, Other , Rome, Tennessee