Claims Adjuster


Woodland Hills, CA

What you'll be doing

Independently reviews insurance contracts and benefits schedules and uses experiential judgment to make assessments and computations. Must have personal contact regarding potentially personal or sensitive subjects. May be required to convince others of findings. Must be aware and sensitive to issues of claimants and their families, and must be proactive to attend to needs in prompt and courteous manner. Must create amicable relationships with internal and external clients. Handles a caseload of up to 150 files within normal business hours. Maintains nearly perfect accuracy and meets company standards for timeliness, as reviewed by independent auditor and Supervisor. Maintains average completion time (Notice of Claim date to claim approval date) of 40 days. Abides by phone queue responsibilities. May assist Supervisor in some or all of their duties.

What your background should be

Minimum 3+ years of experience. Big company insurance experience preferred in long term care, workers compensation or disability. Must possess excellent empathy and diplomacy to provide utmost Customer Service at all times. Must use a direct, respectful and proactive communication style and be able to know your audience and influence others. General requirements and expectations include having a team play spirit, strong integrity, act as an example for others, alert management to ethics violations, sense of responsibility and ownership in personal work. Reports for work and back from breaks on time.

Required Schooling / Training

Not Specified.

Who is the client company

A multinational human resource consulting and service provider.
If you are interested in this position, send your resume to