Role overview

Qualifications

Licensed Claim Adjuster or experience to become licensed within six months
Property and Casualty License
2+ years of customer service or call center experience
High school diploma or equivalent work experience

Responsibilities

Adjudicating claims
Meeting or exceeding daily claim targets
Providing guidance and approval authority to non-licensed claims processors
Ensuring claims are compliantly processed according to standard operating procedures

Key facts

Remote from: Anywhere
Full time
Mid-level (2-5 years)
Insurance Adjuster
English

Hard skills

Adjudication Open Access ERP Systems Knowledge Veterinary Medicine

Other skills

Customer Service
Problem Solving
Decision Making
Time Management
Basic Internet Skills
Microsoft Outlook
Microsoft PowerPoint
Communication
Organizational Skills

About the company

Georgia IT, Inc.

Georgia IT, Inc. provides IT Consulting for a wide range of IT services and custom build turn-key enterprise solutions. GIT specializes in improving business scalability and efficiency through BSM and SBA Solutions. GIT transforms business with service management and service automation solutions. We are BMC & HP partners. GIT Services include custom built enterprise software and customer-centric web portals, network design and implementation, remote and site-to-site VPN, network and server security assessment and setup, server and desktop virtualization, and many others. GIT also provides IT Consulting in many areas such as Disaster Recovery Planning, Enterprise Data Backup Strategy, Long Term Strategic IT Planning and Augmentation Professional Services Solutions. Professional Services Specialties: Business Process Integration, Software Integration & Development, Web portal, Networking, Remote and site-to-site VPN, Virtualization Solutions, Product Development Please contact us Hrus@georgiait.com / uthay@georgiait.com/470-798-5000 x 1010 / (732) 890-2535 direct

Company details

Company size51 - 200

Links

Website LinkedIn See all jobs

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Job description

Claims Adjuster
Location: Remote
Duration: 12 Months CTH

JOB DESCRIPTION

The Claim Adjuster is an individual contributor role responsible for successfully and compliantly adjudicating claims, meeting claim execution targets, and delivering a WoW! experience to our Pet Parents every day.

RESPONSIBILITIES

Adjudicating claims.
Meeting or exceeding daily claim targets.
Providing guidance, oversight, and final approval authority to non-licensed claims processors from Genpact, AdStrat, or Healthy Paws.
Obtaining and maintains advanced adjuster licenses according to state and municipality requirements
Ensuring claims are compliantly processed and adjudicated following standard operating procedures and processes.
Identifying process improvement opportunities and implementing solutions

SKILLS

Be a licensed Claim Adjuster or have the experience to become a licensed Claim Adjuster within six months
Property and Casualty License
Ability to effectively communicate with pet parents
Problem solving and decision-making skills
Organizational and time management skills
Basic IT skills - To be successful in this fully remote role, it's important that they feel confident managing basic functions independently—such as attaching files to emails, editing shared documents, troubleshooting simple issues like screensharing, and knowing when to escalate tech concerns to the right person—since all job duties are conducted online.
- Outlook
- Word
- Access
- Power Point
- Experience with ERP or CRM systems a plus

EDUCATION AND EXPERIENCE

Veterinary knowledge or experience evaluating medical records a plus
2+ years of customer service or call center experience
High school diploma or equivalent work experience
They will be managing one calendar with minimal invites (team meetings, 1:1s, etc.). They will send both free form and templated emails in Salesforce, but the mechanism is similar between Outlook and Salesforce.
The ability to do Pivot Tables, VLOOKUP's, or formulas is not necessary but would be an asset if they became FTEs. They will have minimal, if there is any, work in Excel.
They will have minimal use of Power point but would use existing slides.