Claims Adjuster

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $55k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Seven Corners, Inc.

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1993

✈️ Travel

🏨 Hospitality

💼 Consulting

Travel • Hospitality • Consulting

Seven Corners, Inc. is a U. S. -based travel insurance company that offers customizable trip protection and travel medical insurance for domestic and international travelers. It provides coverage for trip cancellation/interruption, emergency medical expenses and evacuation, baggage loss/damage, and travel accident benefits, along with 24/7 multilingual urgent travel assistance and customer support via agents, chat, text, and phone. Seven Corners sells plans directly to consumers online and through licensed agents, and also offers specialty products for visitors, expats, cruise travelers, and annual/multi-trip policies.

📋 Description

• Review and process claims • Communicate with insureds and third parties to obtain information needed for processing • Obtain medical reviews and translations as needed • Prepare files for Tiered Authorization when claims exceed adjuster authority • Prepare files for Carrier Review when required • Identify suspicious activity on claim files and follow investigation procedures • Identify third-party liability and follow the necessary process for subrogation • Review assigned escalations quickly and efficiently • Maintain set quality and production standards • Maintain proper file notations indicating review outcomes • Process claims according to insurance policy terms and conditions • Authorize payment and denial as appropriate

🎯 Requirements

• Bachelor’s Degree preferred • Minimum 2 years claims processing preferred • Property & Casualty adjuster license required or ability to acquire one within 90 days of hire • Proficient in MS Office and other relevant software • Ability to process claims according to insurance policy terms and conditions • Ability to adhere to carrier authority guidelines • Ability to authorize payments and denials as appropriate • Ability to identify suspicious claim activity and follow investigation procedures • Ability to identify third-party liability and follow the subrogation process • Ability to maintain quality and production standards • Ability to maintain proper claim file notations

🏖️ Benefits

• Competitive health plans • HSA contributions • Employer-paid Life & AD&D • Short- and Long-Term Disability • Competitive employer retirement matching program • Paid parental leave for birthing parents, partners, adoptive, and foster parents • Flexible paid time off • Hybrid and remote work opportunities • Flexible scheduling around core hours • Internal mobility opportunities • Leadership development • Ongoing coaching • Exclusive discounts on travel, entertainment, wellness, and more • Training and mentoring

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