As a claims adjuster on our team, you’ll work closely with customers, attorneys, and medical providers while making adjustments to medical claims. Ideal candidates for this role will possess medical knowledge and investigative skills, which will be useful while analyzing the cause of injury, the potential for fraud, along with coverage and liability. Additionally, you’ll perform policy research and interpret medical records to ensure payment accuracy.

Candidate must reside within a 30-mile radius to Progressive's Riverview claims office (3302 Falkenburg Rd South, Building D, Riverview, FL 33578).

Duties & Responsibilities

Identify and address wage exposures on medical claims
Review and research wage loss expenses and documentation for payment consideration
Review and interpret policy language when receiving a subrogation demand to determine if reimbursement is owed

Must-have qualifications

Two or more years of college education or relevant work experience
Work or educational experience must include:
Customer service, sales and/or influencing others
Fast paced and changing environment
Multitasking and time management skills
Effectively communicating verbally and in writing
Computer skills

Compensation

$46,500/year ($22.35/hour) - $52,800/year ($25.38/hour). Non-exempt position.
Gainshare bonus up to 16% of your eligible earnings, based on company performance.

Benefits

401(k) with dollar-for-dollar company match up to 6%
Medical, dental & vision, including free preventative care
Wellness & mental health programs
Health care flexible spending accounts, health savings accounts, & life insurance
Paid time off, including volunteer time off
Paid & unpaid sick leave where applicable, as well as short & long-term disability
Parental & family leave; military leave & pay
Diverse, inclusive & welcoming culture with Employee Resource Groups
Career development & tuition assistance

Equal Opportunity Employer

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Claims Adjuster - Medical Pay

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