Claims Adjuster jobs in Utah

U
Medical Claims Adjuster
  • Utah Retirement Systems
  • Salt Lake, UT FULL_TIME
  • About The Company

    PEHP Health & Benefits is a division of the Utah Retirement Systems that proudly serves Utah’s public employees through high quality and competitively priced medical, dental, life, and long-term disability insurance plans on a self-funded basis. As a government entity, we embrace both a public mission and a commitment to creating customer value, excelling in the market, and improving healthcare. We offer a competitive salary with generous benefits, personal development in a positive team environment, and excellent work-life balance.

    Job Description

    POSITION SUMMARY

    This position plays a critical role in PEHP’s efforts to serve and create value for our members by processing a variety of medical claims proficiently and timely. The position includes a variety of professional duties related to processing claims. Successful performance for this position requires an attention to detail, the ability to learn complex claims processes while managing multiple diverse tasks, and a high level of commitment and dependability.

     

    ESSENTIAL JOB FUNCTIONS AND DUTIES

  • Receives and enters medical and/or Medicare claims for payment under medical and/or Medicare Supplement plans.
  • Reviews claims for accuracy and completeness, verifies coverage and eligibility of patient.
  • Adjudicates routine and complex claims according to established policy guidelines.
  • Processes coordination of benefits on Medical and Dental claims.
  • Maintains strict confidentiality.
  • Performs other related duties as required.
  • Required Experience

    Education and Experience

    High School diploma and one (1) year of work experience.

     

    Specific experience in claims processing, and various administrative functions is preferred, or an equivalent combination of education and experience.

     

    Knowledge, Skills, and Abilities

    This list contains knowledge, skills, and abilities that are typically associated with the job. It is not all-inclusive and may vary from position to position:

     

    Requires working knowledge of:

    • Intricacies related to medical, dental, pharmacy, and Medicare Supplement claims.
    • Procedures and processes; intricacies related to medical, mental health and chiropractic claims
    • CPT, ICD-10-CM and HCPC’s coding and medical terminology
    • Various office management systems related to alpha and numeric record keeping
    • Personal computer operations and various program applications
    • Some knowledge of 10 key operation
    • Mathematical skills

    Must possess excellent communication skills:

    • Interpersonal communication skills; telephone etiquette
    • Communicate effectively verbally and in writing

    Must have the ability to:

    • Analyze a variety of routine claims management issues and problems and make routine corrections
    • Maintain a strong attention to detail.
    • Follow written and verbal instructions.
    • Prioritize work, multi-task, follow through with assignments, and perform within deadlines.
    • Deal effectively with stress caused by workload and time deadlines.
    • Work well in a team environment as well as independently.
    • Follow through with assignments.

    Work Environment

    Incumbent performs in a typical office setting with appropriate climate controls. Tasks require a variety of physical activities which do not generally involve muscular strain, but do require activities related to walking, standing, stooping, sitting, reaching, talking, hearing and seeing.  Common eye, hand, finger dexterity required to perform essential functions. 

     

  • 21 Days Ago

C
Auto Claims Adjuster- Remote
  • CSAA Insurance Group
  • Knoxville, UT FULL_TIME
  • CSAA Insurance Group (CSAA IG), a AAA insurer, is one of the top personal lines property and casualty insurance groups in the U.S. Our employees proudly live our core beliefs and fulfill our enduring ...
  • 4 Days Ago

T
Claims Adjuster, Total Loss
  • Tesla
  • Draper, UT FULL_TIME
  • Tesla participates in the E-Verify Program What to Expect Tesla is looking for an experienced Total Loss Adjuster with the ability to communicate compassionately and effectively to resolve insurance c...
  • 5 Days Ago

P
Claims Adjuster Trainee
  • Progressive Casualty Insurance Company
  • Salt Lake, UT FULL_TIME
  • Claims Adjuster Trainee Job Number: 224753 Join Forbes’ 2023 Best Employer for Diversity! This position includes a $2,500 starting bonus!As a claims adjuster trainee, you’ll learn how to help customer...
  • 17 Days Ago

T
Claims Adjuster, Auto Liability
  • Tesla Motors, Inc.
  • Draper, UT FULL_TIME
  • Claims Adjuster, Auto LiabilityJob CategoryFinanceLocationDraper, UtahReq. ID210074Job TypeFull-timeTesla participates in the E-Verify ProgramWhat to ExpectTesla is looking for an experienced Property...
  • 18 Days Ago

C
Claims Adjuster - Auto Repair Specialist
  • Cadence Innovations Group
  • South Jordan, UT FULL_TIME
  • Are cars your obsession? Have you turned wrenches as a profession or as a hobby? Are you looking to get off the floor and into an office setting? If you know engines like the back of your hand – we ne...
  • 5 Days Ago

L
Auto Claims Adjuster
  • Liberty Mutual
  • Liberty Lake, WA
  • Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, ex...
  • 3/29/2024 12:00:00 AM

A
Property Field Claims Adjuster (Milwaukee, WI)
  • American Family Insurance
  • Milwaukee, WI
  • Job Family Summary You will investigate and maintain property claims. You will determine liability, secure information, ...
  • 3/29/2024 12:00:00 AM

S
Claims Adjuster
  • SwiftSettle Adjustments
  • Company Description Welcome to SwiftSettle Adjustments – Your trusted partner in efficient and precise claims resolution...
  • 3/28/2024 12:00:00 AM

L
Auto Claims Adjuster
  • Liberty Mutual
  • Plano, TX
  • Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, ex...
  • 3/27/2024 12:00:00 AM

L
Auto Claims Adjuster
  • Liberty Mutual
  • Indianapolis, IN,US
  • Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, ex...
  • 3/27/2024 12:00:00 AM

L
Auto Claims Adjuster
  • Liberty Mutual
  • Chandler, AZ
  • Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, ex...
  • 3/27/2024 12:00:00 AM

L
Auto Claims Adjuster
  • Liberty Mutual
  • Suwanee, GA,US
  • Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, ex...
  • 3/25/2024 12:00:00 AM

L
Auto Claims Adjuster
  • Liberty Mutual
  • Heathrow, FL
  • Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, ex...
  • 3/25/2024 12:00:00 AM

Utah is known for its natural diversity and is home to features ranging from arid deserts with sand dunes to thriving pine forests in mountain valleys. It is a rugged and geographically diverse state that is at the convergence of three distinct geological regions: the Rocky Mountains, the Great Basin, and the Colorado Plateau. Utah is one of the Four Corners states, and is bordered by Idaho in the north, Wyoming in the north and east; by Colorado in the east; at a single point by New Mexico to the southeast; by Arizona in the south; and by Nevada in the west. It covers an area of 84,899 sq mi ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Adjuster jobs
$61,408 to $78,601

Claims Adjuster
Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
May 04, 2023
Claims Adjuster in Phoenix, AZ
Executes on client/Carl Warren strategies to achieve claims quality, customer service, and operational objectives.
April 24, 2023
Claims Adjuster in Louisville, KY
Assisting in estimating appropriate reserves for each claim.
April 16, 2023