![]() ![]() Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.The ability to read and write English fluently is required.Polished and professional written and verbal communication skills.Proficient in MS Office Suite and other business-related software.Has the courage to do the right thing and demonstrates it on a daily basis. Must demonstrate the ability to exercise sound judgment working under moderate supervision.The ability to read and write Spanish fluently is not required but is preferred. Polished and professional telephone communication skills are essential. The ability to read, speak, and write English fluently is required.Must be tenacious in ability to investigate claims by interviewing injured worker, employer, witnesses, and healthcare providers and researching coverage issues and potential subrogation opportunities.Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.Strong claim negotiation skills a must.Excellent evaluation and strategic skills required.Desire to work in a fast-paced environment.Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.Must have excellent communication skills and the ability to build lasting relationships.This role faces issues that are moderately complex and not immediately evident. Must work independently and demonstrate the ability to exercise sound judgment with respect to matters of significance.understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable). At least one year of experience in the insurance or healthcare industry (preferably in a commercial claim department) is required, as is familiarity with medical terminology.A working knowledge of medical only claims typically achieved through: Less than two years' experience adjudicating medical only claims.Two or more insurance designations or four additional years of related experience adjudicating medical only claims beyond the minimum experience required above may be substituted in lieu of a degree. Bachelor's degree from an accredited university required.Having an appreciation and passion for strong claim management.Responsible for telephone calls from various parties (insured, claimant, etc.).Processing mail and prioritizing workload. ![]() Preparing reports for file documentation.Identifying and directing the assignment and coordination of expertise resources to assist in case resolution.Managing a diary and completing tasks to ensure that cases are resolved timely and at the right financial outcome.Actively manage medical only claims to ensure only medical bills appropriate to the claim are paid on a timely basis.Denying any claims that are not covered or do not meet compensability criteria and successfully defending that decision if challenged.Resolving issues that are generalized and typically not immediately evident, but typically not complex and within immediate job area.Under close supervision and guidance, works within narrowly defined limits with an impact on departmental results - this requires calling the claimant, insured employer, healthcare provider, and witnesses to determine compensability issues and subrogation potential.The medical only claims adjuster responsibilities include determining whether coverage exists in our system for the insured, denying claims ineligible for benefits, and thoroughly investigating the claim by interviewing the injured worker, employer, and medical provider. If you're wired to raise your hand and ask, "Where can I help?", you'll thrive with us. Recognized for their performance and provided with equal opportunities to succeed.Īt Argo, skill meets opportunity.Confident that they will be treated respectfully.Comfortable bringing their whole selves to work.Our flexible workplace is continuously evolving to ensure all employees feel: We're an innovative organization that's small enough to be agile and big enough to make a difference in our industry. Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |