Medical Claims Processor

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Salary Range: $55,000 - $67,725 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 judgment

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

• 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

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