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