CLAIMS ADJUSTER I

Adecco is currently assisting a local client in their search to fill VPS Claims Adjuster I in St. Petersburg, FL! Apply now if you meet the qualifications listed below!

Provide claim adjudication and problem resolution in the VPS Contact Center – 90%
**Temp-to-perm - 90 days
**Pay Rate: $16.35
**VPS Claims Assessment Test Results required to be considered**

1. Responds to and resolves issues encountered by clients and customers in a timely and positive manner. This involves mostly inbound calls, but may also include outbound calls, email, fax and chat
2. Ensures that all customer/client requests are responded to in a timely manner, and meaningful solutions are proposed and implemented
3. Adheres to standards for effective job performance and development
4. Gains and maintains in-depth understanding of VPS products, clients, systems and applications
5. Ensures compliance with ISO, SOX, PCI and other applicable internal and external audits and/or contractual obligations
6. Adjust and document all claims within departmental standards and in accordance to applicable laws and policy provisions to ensure compliance with all Department of Insurance Regulations
7. Process claims with accuracy to confirm coverage by reviewing all available tools including contract and web based applications to resolve complex issues and refer any issues as necessary to senior level adjusters or supervisor
8. Adjudicate claims with accuracy, by working directly with the repair facility, inspection and parts vendors and multiple other resources to ensure proper claims adjudication within departmental standards
9. Document reasons for denial or authorization of claim in accordance with policy conditions and quoting policy language to the correct parties in a timely manner within authority level and seek approval when above authority

Process improvements and personal development – 10%
1. Partakes in, and adheres to, training programs and quality assessment standards for effectiveness in supporting departmental goals and objectives
2. Actively participates in the development of personal performance management plans
Basic Qualifications:
• High school diploma or GED required
• 2 years of automotive technician or service advisor or parts experience recommended but not required
• 2 years of computer experience using multiple windows applications recommended but not required.

Other Requirements
• Excellent written and verbal skills to communicate with team members, management, customers, counselors and other employees of the organization
• Strong customer service skills
• Ability to work with frequent interruptions and under deadlines
• Ability to work collaboratively with others to generate ideas or resolve problems
• Ability to present a professional image
• Ability to establish courses of action to ensure efficient completion of work
• Ability to think creatively and make decisions based on incomplete information
• Ability to process time sensitive data and information from multiple sources, including data from mainframe systems, makes decisions based on this data, and to effectively communicate the related required actions to a broad audience
• Ability to quickly adapt to change, proactively recognize process improvement opportunities and be able to work independently as well as in a team setting
• Proficiency of computer navigation and Microsoft Office 2003 or later versions & Microsoft Windows XP or later versions
• Ability to pass licensing requirements within 18 months and maintain appropriate licenses
Dress Code: Casual IMPORTANT: This position is being recruited for by Adecco’s National Recruitment Center, not your local Adecco Branch Office. To be considered for this position, you must use the “apply now” button to submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position listed above. For other opportunities available at Adecco go to www.adeccousa.com.

If you have any questions surrounding the application process, please feel free to reach out to Yulia Le Good, Yulia.legood@adeccona.com, tel. 631-844-2804

The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group provides one of the most comprehensive benefits packages in the industry to contract workers to include Holiday, 401(k) and Insurance Benefit Plans.
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Reference number US_EN_2_022862_407239