Medical Claims Adjuster

Location(s)

Birmingham, Alabama

Details

Kemper is one of the nation’s leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. Kemper’s products and services are making a real difference to our customers, who have unique and evolving needs. By joining our team, you are helping to provide an experience to our stakeholders that delivers on our promises.

We are seeking PIP Adjusters in Birmingham. In this role, you will be responsible for the investigation, valuation, establishment of exposure, negotiation, and settlement of assigned No-fault and Med pay claims within a stipulated monetary authority. Ensures that all assigned claims are concluded promptly, equitably and economically within the provisions of the policy contract and in accordance with the damages presented.

Position Responsibilities

• Medical Claims Handling: Identify involved parties eligible for coverage, analyze medical bill, lost wage and other expense claims submitted for payment using a consistent and thorough review process.
• Establish accurate loss, and when applicable, expense and subrogation reserves relative to the damages assessed. Research and interpret injury related statutory provisions and case law; examine points of impact and extent of damage relative to the injury claimed; access prior injury information; develop and maintain rapport with the claimant or claimant’s representative.
• Obtain proper release documentation; obtain detailed medical report, medical bill, wage and other expense information and conduct detailed research relating to damages submitted for payment.
• Utilize IME and Peer Review processes when appropriate; take applicable offsets when appropriate.
• Thoroughly document injury related treatment, lost wage and other expense history and develop a comprehensive settlement strategy; utilize appropriate medical, wage and other expense claim investigation forms and form letters.
• Compliance with Standard Operating Procedures, Regulatory and Statutory requirements and/or Best Practices in the processing of all claims.
  
  

Position Qualifications

• Candidates must have a high school degree with a 1 year full time work experience after graduation. A 4 year college degree is preferred.
• Must have good computer skills.
• Must have good planning and organizing skills.
• Must have excellent written and verbal communication skills. Some positions may require specific bilingual skills.
• Must have the ability to deal with conflict.
• This is an in office job
  
  

Kemper is proud to be an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, disability status or any other status protected by the laws or regulations in the locations where we operate. We are committed to supporting diversity and equality across our organization and we work diligently to maintain a workplace free from discrimination.

Kemper does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Kemper and Kemper will not be obligated to pay a placement fee.

Kemper will never request personal information, such as your social security number or banking information, via text or email. Additionally, Kemper does not use external messaging applications like WireApp or Skype to communicate with candidates. If you receive such a message, delete it.