SIU Claims Triage Specialist

  • Location
    Miami, Florida
  • Job type
    Contract/Temporary
  • Category
    Accounting & Finance - Claims / Adjuster

Adecco is currently assisting a client in their search for a SIU Claims Triage Specialist role in Miami FL 33157
Apply now if you meet the qualifications listed below!

SIU Claims Triage Specialist – Miami FL 33157
5 months (contract)
Monday – Friday 8 am - 5 pm
$20.00+ / hr.



General Summary:



This position will support the SIU analytics group by reviewing and identifying potential claims for fraud on daily basis.

DUTIES AND ACCOUNTABILITIES:

Triage daily scored questionable claims for investigative potential through a variety of analytical platforms. Claims identified will be logged within the case management system.



Upon triage identification, contact claims staff and discuss analytic referral aspects both verbally and written. Establish and document red flags within claims system.



Submit weekly summary report which will include:

Total claims reviewed
Total Accepted
Total Rejected
Total Assigned




EXPERIENCE:



3+ years prior claim experience or investigative experience
High school diploma
College degree or Technical training preferred
Well versed and extremely proficient in navigating computer
Strong multitasking skills, with the ability to manage multiple tasks, systems and web pages all in a single session
Proficient in the use of Microsoft Word and Excel
Excellent communication skills, both written, oral and phone etiquette
Strong problem-solving skills, with an attention to detail
Conflict Resolution skills
Excellent attendance and punctuality
Ability to work effectively in a fast-paced environment
Ability to effectively work time sensitive cases in a very fast paced production environment
Proven analytical and organizational skills


SPECIAL SKILLS AND ABILITIES REQUIRED:

Able to recognize fraud indicators and make fast judgements.
Knowledge of investigate data bases, social media platforms and ISO Claims Search.





How to Apply: Click on “Apply Now” to be considered for this position or any other opportunities with Adecco.

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 or send your resume to Patti Landay at patricia.landay@adeccona.com

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), Insurance Benefit Plans and Service/Anniversary Bonus opportunities.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled



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Reference number US_EN_2_022862_404882