First Party Medical Adjuster Job at Trexis Insurance, Franklin, TN

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  • Trexis Insurance
  • Franklin, TN

Job Description

Job Description

Job Description

COMPANY OVERVIEW

Trexis and Trexis One Insurance Corporations are headquartered in Franklin, TN with a branch location in Phoenix, AZ. Our division was founded in 1997, and we currently have a network of thousands of carefully selected agents in the following states: Alabama, Arizona, Arkansas, Colorado, Georgia, Indiana, Kentucky, Mississippi, Nevada, Ohio, South Carolina, Tennessee, Texas, and Virginia.

We offer quality auto insurance products at a competitive rate to meet the needs of our customers. We provide a knowledgeable Customer Service staff and quick and fair claims service with 24/7 claims reporting. We partner with experienced professional insurance agents that can provide personal service for you and your family.

Trexis and Trexis One Insurance, are rated A (Excellent) by A.M. Best Company.

At Trexis, quality is at the heart of everything we do. We strive to offer you the best products, best service and best people available. We understand you have other choices, but our goal is to earn your business every day. We look forward to a long and successful relationship, and we thank you for choosing Trexis.

JOB SUMMARY

Trexis is seeking a detail-oriented and driven First Party Medical Adjuster to investigate automobile insurance claims involving coverage, liability, and injury. In this role, you'll work closely with attorneys, medical professionals, and claimants to gather essential information, evaluate Alfas liability, and resolve first-party medical injury claims. You'll manage claims from start to finish, which may include negotiating and repricing medical bills. If you're passionate about problem-solving and thrive in a fast-paced, collaborative environment, wed love to have you on our team!

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.
QUALIFICATIONS
  • College degree or commensurate work experience required
  • Minimum of 1-year handling liability claims.
  • 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 as well as expertise with the Department of Insurance regulations and their Fair Claims Practice Act. Compliance to State PIP/No-Fault Regulations.
Benefits/Perks
  • Opportunity for annual performance bonus
  • Benefits include: Health, dental, supplemental cancer, vision insurance and 401(k) plan
  • Paid Time Off Bank to include 3 days PTO available after first 80 hours worked for New Hires
  • Short-term and long-term disability
  • Flexible Healthcare and Childcare spending accounts for tax savings
  • Opportunities for advancement
  • Continuous training and support throughout your career

Flexible work from home options available.

Job Tags

Temporary work, Work experience placement, Flexible hours,

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