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Claims Adjustor at Rural King
Mattoon, United States


Job Descrption

About us

Rural King Farm and Home Store strives to create a positive and rewarding workplace for our associates. We offer opportunities for growth, competitive benefits, a people first environment, and an opportunity to work alongside dedicated associates who share a passion for providing an exceptional experience and service to our rural communities. Whether you are starting an entry-level position or joining with professional experience, Rural King encourages professional growth and provides the necessary resource to help you succeed and grow with us.

 

When you join the Rural King team, you become a contributing member in supporting the needs of and making a difference in the lives of those within the people and communities we serve. 

 

 

How we reward you

 

401(k) plan that provides a 100% match on the first 3% of your contributions and 50% of the next 2% * Healthcare plans to support your needs * Virtual doctor visits * Access to Centers of Excellence with Barnes Jewish Hospital and Mayo Clinic’s Complex Care Program * 15% Associate Discount * Dave Ramsey’s SmartDollar Program (no cost to you!) * Associate Assistance Program * RK Cares Associate Hardship Program * 24/7 Chaplaincy Services

What You’ll do

As a Claims Adjustor, you will be investigating and adjusting liability claims in accordance with established claims handling procedures and processes using Rural King guidelines.

 

  • Exercise proper judgment and decision making to analyze claim exposure to determine a suitable adjuster assignment.
  • Analyze claim forms, policies, and endorsements.
  • Use extensive reporting capabilities to manage and assess carriers by detailing claims, payments, and reserve activity.
  • Manage all legal time frames (diary) as a back up to the assigned adjuster and legal team.
  • Manage time adequately to ensure proper turn around for all tasks such as entering new claims, coding claims, pending claims, customer service requests, claim documentation, action plan.
  • Document and communicate all claim activity timely and effectively in a manner that supports the outcome of the claim file.
  • Review the reserve adequacy throughout the life of the claim as a back up to the assigned adjuster.
  • Maintain accurate documentation in the claim file and submit medical, legal, and miscellaneous invoices for supervisor and accounts payable approval through an online process.
  • Assist in selection and supervision of defense attorneys.
  • Assess and monitor subrogation claims for resolution.
  • Communicate claim activity and processing with the claimant; maintain professional relationships.
  • Refer cases as appropriate to supervisor and management.
  • Use analytical skills to investigate and determine liability to resolve incidents.
  • Use critical thinking in situational elements to work toward a resolution.
  • Assist with gathering incident documentation (i.e., recorded statements, video, pictures).
  • Process mail and prioritize workload.
  • Oversee 3rd party claims and collection.
  • Use discretion and independent judgment in daily decisions while maintaining a high level of confidentiality and professionalism.
  • Actively participate in learning initiatives offered such as training programs, workshops, and webinars. Leverage these opportunities to acquire new knowledge, refine existing skills, and stay current on the latest developments.
  • Provide friendly, proactive, and professional internal and external support to others, assisting with inquiries, concerns, and issues promptly and effectively.
  • Demonstrate behaviors that exemplify Rural King’s Values: People First, Integrity, Attitude, Initiative, Teamwork, Accountability, and Continuous Improvement.
  • Perform other duties as assigned.

Essential Qualities for Success

 

  • At least 3 years of claim handling experience or equivalent combination of experience and education.
  • Active adjuster license, or the ability to get an adjuster’s license in a reasonable time frame.
  • Proficiency with Microsoft Office Suite or related software.
  • Highly proficient in Microsoft Excel.
  • Proficient with or the ability to quickly learn claim management systems.
  • Excellent verbal and written interpersonal and communication skills.
  • Excellent customer service skills.
  • Strong understanding of retail business practices.
  • Excellent negotiation and conflict resolution skills.
  • Demonstrated ability to adapt in a fast-paced environment.
  • Strong analytical and problem-solving skills.
  • Excellent organizational skills and attention to detail.
  • Demonstrated behaviors must reflect integrity, professionalism, and confidentiality.

 

 

Physical Requirements 

 

  • Ability to maintain a seated or standing position for extended durations.
  • Capability to lift 15 pounds periodically.
  • Ability to navigate and access all facilities.
  • Skill to effectively communicate verbally with others, both in-person and via electronic devices.
  • Close vision for computer-related activities.

 

Supervisory Responsibilities

 

None

 

Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.


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RURAL KING
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