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Office Adjuster

Position Reports To

Location: Raleigh, NC
Department: Claims – Medical Claims Unit
Position Reports To: Workers’ Compensation Manager

General Definition

Investigates, evaluates, and negotiates settlements of specific categories of medical claims. Contacts are made by telephone and by mail, or electronic means. Work schedule is to be designated by the WC Manager.

Special Training, Education, Knowledge, and Skills Required

Four year college degree and/or business background. Legal knowledge and familiarity with medical terminology helpful. Good oral and written communication skills. Ability to deal effectively with the public in stressful situations. Maintain CE in compliance with N.C. Department of Insurance and N.C. Farm Bureau Mutual Insurance Company requirements. Commit to obtain professional industry certification or designation as required by the Claims Department.

Major Duties of Position

  • Apply policy contract to reported losses.

  • Attempt contact with insured/claimant within 24 hours of receipt of loss notice, and accomplish verbal or written contact within 48 hours. Maintain communications with the customer until final conclusion of the claim.

  • Establish reserves and keep them updated.

  • Investigate coverage and damages for accurate and timely conclusion of assigned claims. Refer other claim exposures, such as excess coverage or UIM claims, to management for reassignment.

  • Maintain detailed notes on adjustment of losses.

  • Follow guidelines for payment of medical bills.

  • Maintain compliance with company and regulatory reporting requirements, to include Medicare Secondary Payer law (MSP).

  • Assist WC Manager and WC Supervisor in claims operations.

How to Apply

Send your resume and cover letter to our HR representative, Elizabeth Finez.

Send by Mail

				Attn: Elizabeth Finez
North Carolina Farm Bureau Insurance Group
P.O. Box 27427
Raleigh, NC 27611-7427

Send by Email

Send your resume and cover letter to our HR representative, Elizabeth Finez.

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