Claim Adjuster

The Claims Adjuster is a role in a high-energy, fast-paced, changing environment.

• Efficiently and accurately adjudicate claims in accordance with the policy terms, established guidelines and regulations.
• Conduct eligibility claim review by evaluating claim submission and comparing to policy benefits.
• Request additional information from policyholders, providers and others as necessary to finalize claim.
• Actively manage inventory and ongoing claim adjudication.
• Effectively communicate with customers using empathy and professionalism via phone and written correspondence.
• Interface with Policyholders and Agents answering a variety of questions through different service channels.
• Develop a broad understanding of our products and systems.
• Meet Department standards for time, service and quality.
• Ability to maneuver between system applications confidently to find information and respond to customer needs in a timely manner.
• Collaborate with other team members and leadership to ensure effective customer service.
• Actively engage in Continuous Improvement initiatives and identify process and efficiency enhancements.
• Participate in required training

• Exceptional written and verbal communication skills
• Quality and Customer Centric Orientation
• Excellent organizational skills
• Ability to multi-task in fast-paced environment with attention to detail and prioritize tasks
• Analytical skills and good decision-making skills
• Proficient in MS Office – Outlook, Word and Excel
• Navigation between systems and use of technology is important
• Insurance/Claims Experience
• Windows based PC Knowledge
• Bilingual in Spanish and English a plus

• Health insurance
• Dental insurance
• Tuition reimbursement
• A company-match 401(k) plan
• Disability insurance
• Life insurance
• Employee referral bonuses

Combined Insurance Company of America is a Chubb company and a leading provider of supplemental accident, health, disability, and life insurance products in North America.