Easter Seals Jobs

Location(s)

Lake Mary, Florida

Details

Kemper is one of the nation’s 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 high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. Kemper’s 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 pre-established 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 in-office 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 where we 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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Kemper at a Glance

The Kemper family of companies is one of the nation’s leading specialized insurers. With approximately $13 billion in assets, Kemper is improving the world of insurance by providing affordable and easy-to-use personalized solutions to individuals, families and businesses through its Kemper Auto and Kemper Life brands. Kemper serves over 4.8 million policies, is represented by approximately 22,200 agents and brokers, and has approximately 7,500 associates dedicated to meeting the ever-changing needs of its customers. Learn more at Kemper.com .

*Alliance United Insurance Company is not rated.

We value diversity and strive to be an employer of choice. An Equal Opportunity Employer, M/F/D/V

Our employees enjoy great benefits:

• Qualify for your choice of health and dental plans within your first month.

• Save for your future with robust 401(k) match, Health Spending Accounts and various retirement plans.

• Learn and Grow with our Tuition Assistance Program, paid certifications and continuing education programs.

• Contribute to your community through United Way and volunteer programs.

• Balance your life with generous paid time off and business casual dress.

• Get employee discounts for shopping, dining and travel through Kemper Perks.