First Party Medical Automobile Claims Adjuster - Military Veterans

AppleOne is proud to present:
First Party Medical Automobile Claims Adjuster

What We Offer:
Competitive compensation with a potential bonus based on company and employee performance along with a full benefits program.
Job Type: Full-time
Pay: $51,001.60 - $63,752.00 per year
Experience:

• Liability Claims Handling: 1 year (Required)

License/Certification:

• Adjuster's license (Preferred)

Ability to Relocate:

• Franklin, TN 37064: Relocate before starting work (Required)

Work Location: Hybrid remote in Franklin, TN 37064

First Party Medical Automobile Claims Adjuster. This experienced adjuster will investigate automobile insurance claims to determine coverage, liability and the extent of damages owed under policy contracts while corresponding with attorneys, medical professionals and/or insureds to compile the information needed for evaluation and resolution of first party medical injury claims with insureds or their attorneys.
Essential Responsibilities

• Proactive file management


• Investigate coverage, liability and damages.


• Seek out all medical documentation to settle or deny injury claims.


• Resolves first party medical injury claims with claimants and attorneys. Handles claims to conclusion which may include repricing and negotiation of medical bills.


• Evaluated by the manager and regular audits performed by the Department Audit Team.


• Maintain a current, accurate working knowledge of all venues for the states handled. This expertise and professionalism will be shown through file documentation and preparation of files for discussion with management.


• Representatives will be called upon to help teammates on occasion.

Required Knowledge, Skills and Abilities
• College degree or commensurate work experience required
• Minimum of 1-year handling liability claims.
• Adjuster’s license preferred.
• Strong oral and written communication skills to quickly build rapport.
• Medical Terminology aptitude.
• Excellent organization and problem-solving skills.
• Well versed in tort laws for all states we do business in as well as expertise with the Department of Insurance regulations and their Fair Claims Practice Act. Compliance to State PIP/No Fault Regulations.
• Strong proficiency in Microsoft Office products, keyboarding, and data entry skills.



EEO/AA Employer/Vet/Disabled.



The Know Your Rights poster is available here:

https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf



The pay transparency policy is available here:

https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf



For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.



We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.



AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.

https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf



We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.


#1137

Experienced (Non-Manager)