PG Specialty Claims Adjuster

General Descriptions:

Responsible for timely resolution and payment of claims for clients of the business including but not limited to claim set-up, billing review and payment processing, managing checking account and monthly financial control reporting to carriers.

Responsibilities:

• May analyzes coverage, researches claim data and produces loss run reports. 
• Communicates, coordinates and monitors information with insured and carrier adjuster for timely resolution. 

• Conducts claim reviews with auditors, adjusters, and insurance partners.
• Responsible for claim advocacy and negotiation, including claim denial review, reservation of rights review, and claim reporting.
• Analyzes claims based on a best practice outline and partners with other members of the technical resource team.
• Communicate with stakeholders at various levels within the internal or external organization.
• Ability to use carrier / TPA claims management systems to generate reports that provide loss information and some level of trends / analytics.
• Higher-level technical administrative ability with use of Microsoft Suite, ability to produce user friendly documents through internal resources.
• Determine billing and collection of all self-insured retention and deductibles based on contracts.

·        Handles file set-up and maintenance in addition to administrative and clerical support duties.

• Maintain checking accounts for the insurance companies’ settlement accounts
• Generate and issues monthly financial reports to carrier partners.
• Perform other job duties as assigned and participate in special projects as required.

Knowledge, Skills and Abilities:

• 3+ years of claims administration experience.
• High school diploma or graduate equivalent degree required.

·        Knowledge and understanding of insurance coverage and policies 

• Proficient in MS Office suite of products.

·        Ability to navigate multiple computer systems, applications, and utilize search tools to find information 

·        Excellent verbal, written, and interpersonal communication skills 

·        Effective organizational, multi-tasking, and prioritizing skills 

• Ability to work well in a team environment.
• Must have strong analytical thinking and problem-solving skills.

USI is committed to providing a full-suite of competitive benefits for our growing population and its diverse needs. We offer a wide range of health, welfare and financial benefits including medical, wellness, dental and vision, 401(k), flexible spending and health savings accounts, short and long-term disability, life insurance and other unique employer-sponsored and voluntary programs. USI also offers a generous paid time off policy, paid family leave benefit as well as paid holiday time.