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The Claims Service Representative will manage medical-only claims by communicating with claimants and clients to build relationships. They are responsible for accurately setting reserves, processing payments, and documenting file activity to ensure timely claim disposition.
We are currently looking for a Claims Medical Only Representative who has a passion to provide outstanding administrative, claim and customer support. Do you love learning how things work and being part of a team with shared goals? You may be an excellent fit for this exciting role!
- Make a difference by communicating effectively with claimants and clients to build relationships and make connections.
- Accurately set reserves, make payments and document file activity by working with clients, claimants, vendors, field personnel and other internal or external resources.
- Provide fair, equitable and timely claim disposition, consistent with our standards.
- Use analytical skills to make decisions and resolve issues inherent in handling claims.
REQUIRED QUALIFICATIONS:
- High School Diploma or GED
- Minimum of 1 years related experience required
- Appropriately licensed and/or certified in all states in which claims are being handled
- Knowledge of claims investigation, settlement procedures, applicable state laws and accepted industry standards and practices
- Computer experience with related claims and business software.
At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.
At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.
Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)
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