Claims Adjuster II
Clearwateronsite
Posted 3 days ago · via Workday
About this role
Job Summary: Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. Primary Skills & Requirements other duties may be assigned as necessary : Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries. Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decision. Interpret contract benefits in accordance with specific claim processing guidelines. Coordinate daily workflow to coincide with check cycle days to meet all service guarantees. Based on established guidelines and/or historical knowledge an adjuster will need to recognize red flags for potential fraud or waste and escalate accordingly.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
We compare your skills against the role requirements.
2
Level fit
We check your title trajectory against the seniority signal of the role.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in Clearwater. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included