Insurance Company located in Lawrenceville is looking for a temporary, possible temp to hire Medical Only Adjuster. Must have GA Workers Compensation License.

• Receives claims, confirms policy coverage and acknowledgement of the claim
• Determines the validity and compensability of the claim
• Establishes reserves and authorizes payments within established reserving authority limits
• Communicates claim status with the customer, claimant and client.
• Adheres to client and carrier guidelines and participates in claims review as needed.
• Assists other claims professionals with more complex or problematic claims as necessary.
• Additional projects and duties as assigned.

KNOWLEDGE & SKILLS:

• Excellent Customer Service Skills

• Excellent written and verbal communication skills.
• Ability to learn rapidly to develop knowledge and understanding of claims practice, relevant statutes and medical terminology.
• Ability to identify, analyze and solve problems.
• Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
• Strong interpersonal, time management and organizational skills.
• Ability to work both independently and within a team environment.

EDUCATION/EXPERIENCE:

• Bachelor's degree or a combination of education and related experience.
• Minimum of 3 years Georgia Medical Only Claims Experience
• GA experience required
• Licensed as required jurisdictionally