Claims Adjuster I
Lensa
Job Overview
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Job Description
Job Overview
The Claims Adjuster I role at Claims Adjuster I is a remote position for CareFirst BlueCross BlueShield promoted by Lensa. This role focuses on investigating and performing adjustments on insurance claims while ensuring adherence to standard procedures and guidelines.
Purpose
Investigate and adjust claims, verify insurance claim requirements, examine documentation and calculations, and recommend changes where necessary.
Essential Functions
- Proactively investigate and adjust insurance claims
- Ensure claims are processed within authority limits
- Update and secure claims audit records
- Settle claims via payment or denial
- Collect, analyze, and report data trends
- Enhance skills via training sessions
Qualifications
- High School Diploma or GED
- Minimum 3 years of claims experience
- Thorough understanding of claims systems, policies, and procedures
Key Skills/Competency
- Claims Investigation
- Adjustment
- Documentation
- Audit
- Analysis
- Customer Service
- Communication
- Problem-solving
- Attention to Detail
- Training
Additional Information
This role is remote with eligibility requirements to work in the US. Compensation ranges from $36,144 to $66,264 and includes a comprehensive benefits package, incentive programs, and a 401k plan. For further details and application instructions, please visit the CareFirst careers page.
How to Get Hired at Lensa
- Customize Your Resume: Highlight claims investigation and adjustment skills.
- Research Lensa: Understand company partnerships and job board approaches.
- Prepare with Keywords: Use terms like claims, audit and analysis.
- Practice Interviews: Focus on problem-solving and customer service examples.
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