Claims Adjuster Ii
CurrentAdjudicated Online Inspection claims for High Line OEM Accounts• Consistently achieved superior scores on claim audits• Averaged 65+ claims per day adjudicated• Proficient in all company contract rules and pricing guidelines• Updated and documented pertinent claim information within the Contract Management System• Adhered to all statutory and regulatory fair claims practices• Recognized and identified potential fraudulent claims• Made outbound calls to Contract Holders and Partners on claim denials• Answered inbound technical support calls for Partners requiring assistance with Mobile Claims Application• Assisted with the training and development of new adjusters• Exhibit strong leadership ability• Utilized as a Subject Matter Expert for other Teams within the Claims Department• Cross skilled to handle Online Inspection Claims, inbound claim inquiries and offline support duties