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Claims Examiner
- Adecco US, Inc. (Long Beach, CA)
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Adecco is currently assisting a local Customer in their search for _Claims Examiner_ positions in _Long Beach, CA_ . This is a great opportunity to further your existing skills as a Claims Examiner _,_ while learning new ones to assist you in your career. The best part is you would be joining a winning culture with Adecco while on assignment with our customer and have access to all our Adecco Perks!
Perks:
• Shift: Monday – Friday, 8am – 4:30pm
• Weekly paycheck
• Pay: $46.97/hr
• Access to Adecco’s Aspire Academy (https://www.adeccousa.com/about-adecco-staffing/adecco-programs-partnerships/aspire-academy/) with thousands of free upskilling courses
Responsibilities:
• Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
• Prepares necessary state fillings within statutory limits.
• Manages the litigation process; ensures timely and cost-effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
• Manages claim recoveries, including but not limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
• Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
• Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
• Ensures claim files are properly documented and claims coding is correct.
Requirements:
• Bachelor’s degree preferred.
• 5 years of claims management experience or equivalent combination of education and experience required.
• In depth knowledge of insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration.
• Cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
This role is being recruited for by one of our Centralized Delivery Team and not your local Branch. To be considered, please follow the steps included upon your application. For instant consideration for this Warehouse Associate position with Adecco in Long Beach, CA, apply today!
**Pay Details:** $46.97 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
+ The California Fair Chance Act
+ Los Angeles City Fair Chance Ordinance
+ Los Angeles County Fair Chance Ordinance for Employers
+ San Francisco Fair Chance Ordinance
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