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American Fidelity · 2 months ago

Benefit Adjuster I

Oklahoma City, Oklahoma

Full-time

Onsite

New Grad, Entry Level

American Fidelity is a company that specializes in insurance services, and they are seeking a Benefit Adjuster I. This role involves evaluating and processing claims, providing customer service, and communicating with customers and medical providers regarding insurance coverage and needs.

Financial ServicesHealth InsuranceInsuranceLife Insurance

Comp. & Benefits

Responsibilities

Evaluates and processes claims that require routine judgement and investigation such as Diagnostic Testing, Wellness, Physician Expense, URM, GAP, Hospital Indemnity, Medlink, Dental, Triage/Incomplete or Pregnancy claims in accordance with Company policy terms, insurance laws, regulatory requirements and adjusting guidelines

Provides appropriate verbal and/or written communication to internal and external Customers in a positive and knowledgeable manner to ensure a high standard of Customer service. Meets standards established in department performance metrics for appropriate handling of Customer phone calls

Acts as a direct contact and communicates with Customers and medical providers in a positive, knowledgeable and professional manner, providing them with direction and assistance in all facets of insurance coverage and needs

Qualification

Medical terminologyCPTICD10 codingAnalytical skillsPC Windows-based softwareCustomer serviceProfessional attitudeOral communicationWritten communicationTeamwork