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T
TEKsystems
Claims Resolution Specialist
Career Insights for Claims Adjuster / Specialist (General)
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Scorecard
Based on Florida data
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What they do
A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.
$70,444 / year median in Florida
+6% projected growth
Job Description
Description
- Effectively resolve exceptions and denials
- Perform detailed reviews/audits of all documentation supporting payments to be processed in accordance with Company policies and procedures
- Ensure that invoices and other payment requests are data-entered into system under the appropriate "payor" entity, with appropriate pay dates that will result in the payment being received by the vendor or other recipient within agreed-upon/established terms or by the due date specifically requested
- Investigate and respond to all inquiries from providers, via email and calls coming in the phone queue
- Collaborate with Provider Relations on contracted and noncontracted claims
- Email correspondence with vendors and providers to verify data, obtain invoices, retrieve missing claims, and/or missing data
- Record invoices for all procedures and associated billing codes, Generate and print payment checks, and Reconcile printed checks with corresponding invoices to ensure accuracy Additional Skills & Qualifications
- Experience with NetSuite
- Medical billing knowledge
- Associate's degree in accounting, finance, or other related field
- High School Diploma or equivalent Job Type & Location This is a Contract position based out of Pompano Beach, FL. Pay and Benefits The pay range for this position is $21.68
- $24.
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan
- Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Pompano Beach,FL.