Desk Auto Medical Adjuster
Rural Mutual Insurance•Appleton, WI, US
Posted ago
Description

We are seeking a skilled and detail-oriented Desk Auto Medical Adjuster to join our team. As a Desk Auto Medical Adjuster, you will play a crucial role in the insurance process by processing first-party and third-party medical payment claims as well as low to mid-level bodily injury claims. You will use your expertise in insurance policies, coverage interpretation, and investigative skills to accurately evaluate claims and provide fair and timely resolutions. This is a remote position for a Wisconsin resident.

Responsibilities
  • Conduct thorough investigations of automotive insurance claims, reviewing policy coverage, accident reports, and gathering supporting documentation.
  • Evaluate liability by examining accident reports, witness statements, and applicable laws and regulations.
  • Manage and resolve auto and property medical payment claims. 
  • Investigate, evaluate, and conclude first and third-party bodily injury settlements.
  • Ability to review and analyze medical records and medical bills.
  • Communicate with policyholders, claimants, attorneys, and other relevant parties to gather information, explain coverage, and negotiate settlements.
  • Document all activities, decisions, and settlements accurately and timely in the claims management system.
  • Collaborate with internal teams, including underwriters and legal counsel, to ensure adherence to company policies, procedures, and regulatory requirements.
  • Provide exceptional customer service by addressing inquiries, resolving issues, and maintaining a high level of professionalism throughout the claims process.
  • Stay updated on industry trends, best practices, and changes in regulations related to automotive insurance claims.
Qualifications
  • 3+ years of auto claims handling experience, with emphasis on Medical Payment and/or Bodily Injury Claims.   
  • Associate's or Bachelor’s degree in a related field (e.g., insurance, business administration, risk management) OR equivalent work experience.
  • Knowledge of insurance principles, policies, and procedures.
  • Strong analytical skills with the ability to assess damages, determine liability, and calculate settlement amounts accurately.
  • Excellent negotiation and communication skills to effectively interact with policyholders, claimants, attorneys, and other stakeholders.
  • Proficiency in Microsoft 365 and other relevant software applications.
  • Detail-oriented and highly organized with the ability to manage multiple claims simultaneously.
  • Familiarity with insurance regulations and compliance standards.
  • Ability to adapt to changing priorities and work independently with minimal supervision.
  • Experience in handling first-party and third-party medical claims related to auto accidents preferred.
  • State Adjusters License (TX or NC preferred). 
Compensation
$55,000 - $65,000, based on experience
About Rural Mutual Insurance

What You'll Love About Rural Mutual Insurance:

We are a leading property and casualty insurance company based in Wisconsin, well known for our financial strength and longevity in the insurance industry. Our reputation in the marketplace ensures stability and opens up numerous growth opportunities for our employees. 

We created a welcoming place to work with friendly and professional leadership. We are known for the great care we take with our staff, our agents, and our customers. We are passionate and determined about delivering the best customer service, preserving insurance industry knowledge, and making a difference through the work that we do.

We believe in a healthy work/life balance and, to that end, offer a competitive and comprehensive compensation package including health, dental, life, LTD, and vision insurance as well as an employee bonus plan, matching 401(k) plan, and generous time off benefits.

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