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Claims Adjuster

Kelly Services


Location:
Saint Petersburg, FL
Date:
04/19/2018
2018-04-192018-05-19
Job Code:
US249BAS_BH1431980
Categories:
  • Customer Service
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Job Details

Job Title Claims Adjuster

Jobid US249BAS_BH1431980

Location: St Petersburg, FL, 33747, USA

Description Kelly Services is hiring multiple Claims Adjuster for one of our top clients in St. Petersburg FL!

Start Date: 4/9/18

End Date: 4/5/19

Pay: 16.35/hour

Schedule: Monday-Friday 8a-7p & Saturday 9a-6p

Location: 400 Carillon Pkwy, St. Petersburg, FL 33716

Have questions? Chat with me: https://flashrecruit.com/user/AmandaSpinasanto

Job Details:

Provide claim adjudication and problem resolution in the VPS Contact Center – 90%

1. Responds to and resolves issues encountered by clients and customers in a timely and positive manner. This involves mostly inbound calls, but may also include outbound calls, email, fax and chat

2. Ensures that all customer/client requests are responded to in a timely manner, and meaningful solutions are proposed and implemented

3. Adheres to standards for effective job performance and development

4. Gains and maintains in-depth understanding of VPS products, clients, systems and applications

5. Ensures compliance with ISO, SOX, PCI and other applicable internal and external audits and/or contractual obligations

6. Adjust and document all claims within departmental standards and in accordance to applicable laws and policy provisions to ensure compliance with all Department of Insurance Regulations

7. Process claims with accuracy to confirm coverage by reviewing all available tools including contract and web based applications to resolve complex issues and refer any issues as necessary to senior level adjusters or supervisor

8. Adjudicate claims with accuracy, by working directly with the repair facility, inspection and parts vendors and multiple other resources to ensure proper claims adjudication within departmental standards

9. Document reasons for denial or authorization of claim in accordance with policy conditions and quoting policy language to the correct parties in a timely manner within authority level and seek approval when above authority

Process improvements and personal development – 10%

1. Partakes in, and adheres to, training programs and quality assessment standards for effectiveness in supporting departmental goals and objectives

2. Actively participates in the development of personal performance management plans

Requirements

• Excellent written and verbal skills to communicate with team members, management, customers, counselors and other employees of the organization

• Strong customer service skills

• Ability to work with frequent interruptions and under deadlines

• Ability to work collaboratively with others to generate ideas or resolve problems

• Ability to present a professional image

• Ability to establish courses of action to ensure efficient completion of work

• Ability to think creatively and make decisions based on incomplete information

• Ability to process time sensitive data and information from multiple sources, including data from mainframe systems, makes decisions based on this data, and to effectively communicate the related required actions to a broad audience

• Ability to quickly adapt to change, proactively recognize process improvement opportunities and be able to work independently as well as in a team setting

• Proficiency of computer navigation and Microsoft Office 2003 or later versions & Microsoft Windows XP or later versions

• Ability to pass licensing requirements within 18 months and maintain appropriate licenses

*must have Auto/Mechanice claims experience*

Education:

• High school diploma or GED required

• 2 years of automotive technician or service advisor or parts experience recommended but not required

• 2 years of computer experience using multiple windows applications recommended but not required.

Have questions? Chat with me: https://flashrecruit.com/user/AmandaSpinasanto

If you are interested in this position please apply and follow up with an email to me, Amanda Spinasanto, at AMAS407@kellyservices.com with your resume attached and Claims St.Pete in the subject line.

**Why Kelly** **®** **?**

At KellyServices ® , we work with the best. Our clients include 95 of the Fortune100 ™ companies, and more than 70,000 hiring managers rely on Kelly annually to accessthe best talent to drive their business forward. If you only make one career connection today, connectwith Kelly.

**AboutKelly Services** **®**


As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 peoplearound the world and have a role in connecting thousands more with work through our global network oftalent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter .

Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females,Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and iscommitted to employing a diverse workforce. Equal Employment Opportunityis The Law.



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