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Medical Claims Processor - In Office!

GEICO
Crystal, FL Full Time
POSTED ON 2/20/2025
AVAILABLE BEFORE 5/18/2025

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Salary Range : $55,000K - $67,725K commensurate with experience and location / job market Work schedule / hybrid structure : Monday - Friday, 8am - 4 : 30pm EST; 4 days In-Office / month (after completion of training and transition) Training schedule (4 weeks) : Monday – Friday, 9am - 5 : 30pm EST; 4 days In-Office / week , 1 day remote Transition schedule (4 weeks) : Monday – Friday, 8am - 4 : 30pm EST; up to 4 days In-Office / week until fully oriented Orientation period : 6 months

Come grow with GEICO’s Casualty Claims Team! It’s an exciting time! We’re in search of highly motivated Casualty Claims Examiners with prior casualty and bodily injury experience looking to help deliver world-class service to our clients.

In this role, you will have an opportunity to work with a thriving team of professionals experienced in bodily injury claims handling. As a Casualty Claims Examiner, your ability to provide exemplary service and technical expertise to resolve various types of injury claims is key. You will play a pivotal role in delivering operational excellence and efficiency by engaging in timely and thorough investigations, establishing proof of loss by evaluating accident details and medical documentation, negotiating injury settlements, assembling information from outside resources, providing relevant documentation, and resolving claims with the highest level of customer service. The ideal candidate has a demonstrated willingness to learn, is open to feedback and adapts well to change.

Job Requirements Minimum one (1) year of highly successful Bodily Injury claims handling experience   Current Adjuster License or ability to obtain within 30 days of employment  Outstanding customer service and professional communication skills, both oral and written  Understanding and ability to execute and comply with Department of Insurance Guidelines and Requirements as established in the Insurance Code  Exceptional negotiating skills  Proficient computer skills with ability to function in all Microsoft Office Programs  Highly organized  Ability to multi-task and prioritize successfully in a fast paced, high-volume environment  Demonstrated ability to exercise good judgement

GEICO offers a hybrid work model that is designed to support flexibility. This position will have in-office requirements 4 times a month after successful completion of training and transition. GEICO reserves the right to adjust in-office requirements as needed to support the needs of the business unit.

Job Duties and Responsibilities Provide customer service to our policyholders and those who may become our policyholders that exceed their expectations and delivers on the GEICO promise, communicating and guiding them through the claims process.  Assure coverage for each loss and all policy provisions before processing payments.  Investigate all aspects of the claim to determine liability percentage and legal responsibility  Identify and evaluate claims indicators of fraud and escalates as appropriate  Utilize all claims tools provided to properly evaluate liability and extent of damages  Evaluate damages in accordance with investigative findings and establish value to pay only what is owed  Negotiate claims settlements for evaluated damages with insureds, claimants and / or attorneys as assigned  Authorize negotiated payment for established damages within your designated authority  Submit requests for authority on evaluations that exceed your personal, assigned authority  Ensure all compliance requirements are met in a timely and professional manner and in accordance with guidelines  Adjust reserves adequately on all new and existing claims  Participate as an active member of claims forums as required  Communicate findings to claims management team as required or as may be needed depending on high exposure or unusual loss findings.  Perform Other Duties as may be assigned

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At this time, GEICO will not sponsor a new applicant for employment authorization for this position.

Benefits : As an Associate, you’ll enjoy our Total Rewards Program

  • to help secure your financial future and preserve your health and well-being, including :

Premier Medical, Dental and Vision Insurance with no waiting period

Paid Vacation, Sick and Parental Leave

401(k) Plan

Tuition Assistance

Paid Training and Licensures

  • Benefits may be different by location. Benefit eligibility requirements vary and may include length of service.
  • Coverage begins on the date of hire. Must enroll in New Hire Benefits within 30 days of the date of hire for coverage to take effect.
  • The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.

    GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and / or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

    Salary : $55,000 - $67,725

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