First Party Medical Adjuster

Trexis Insurance

First Party Medical Adjuster

Franklin, TN +1 location
Full Time
Paid
  • Responsibilities

    COMPANY OVERVIEW

    Trexis and Trexis One Insurance Corporations are headquartered in Franklin, TN with a branch location in Phoenix, AZ. Our division was founded in 1997, and we currently have a network of thousands of carefully selected agents in the following states: Alabama, Arizona, Arkansas, Colorado, Georgia, Indiana, Kentucky, Mississippi, Nevada, Ohio, South Carolina, Tennessee, Texas, and Virginia.

    We offer quality auto insurance products at a competitive rate to meet the needs of our customers. We provide a knowledgeable Customer Service staff and quick and fair claims service with 24/7 claims reporting. We partner with experienced professional insurance agents that can provide personal service for you and your family.

    Trexis and Trexis One Insurance, are rated A (Excellent) by A.M. Best Company.

    At Trexis, quality is at the heart of everything we do. We strive to offer you the best products, best service and best people available. We understand you have other choices, but our goal is to earn your business every day. We look forward to a long and successful relationship, and we thank you for choosing Trexis.

    JOB SUMMARY

    Trexis is seeking a detail-oriented and driven First Party Medical Adjuster to investigate automobile insurance claims involving coverage, liability, and injury. In this role, you'll work closely with attorneys, medical professionals, and claimants to gather essential information, evaluate Alfa’s liability, and resolve first-party medical injury claims. You'll manage claims from start to finish, which may include negotiating and repricing medical bills. If you're passionate about problem-solving and thrive in a fast-paced, collaborative environment, we’d love to have you on our team!

    RESPONSIBILITIES

    Proactive file management

    Investigate coverage, liability and damages.

    Seek out all medical documentation to settle or deny injury claims.

    Resolves first-party medical injury claims with claimants and attorneys. Handles claims to conclusion, which may include repricing and negotiation of medical bills.

    Evaluated by the manager and regular audits performed by the Department Audit Team.

    Maintain a current, accurate working knowledge of all venues for the states handled. This expertise and professionalism will be shown through file documentation and preparation of files for discussion with management.

    Representatives will be called upon to help teammates on occasion.

    QUALIFICATIONS

    College degree or commensurate work experience required

    Minimum of 1-year handling liability claims.

    Strong oral and written communication skills to quickly build rapport.

    Medical Terminology aptitude.

    Excellent organization and problem-solving skills.

    Well versed in tort laws for all states we do business as well as expertise with the Department of Insurance regulations and their Fair Claims Practice Act. Compliance to State PIP/No-Fault Regulations.

    Benefits/Perks

    Opportunity for annual performance bonus

    Benefits include: Health, dental, supplemental cancer, vision insurance and 401(k) plan

    Paid Time Off Bank to include 3 days PTO available after first 80 hours worked for New Hires

    Short-term and long-term disability

    Flexible Healthcare and Childcare spending accounts for tax savings

    Opportunities for advancement

    Continuous training and support throughout your career

    Flexible work from home options available.

  • Locations
    Phoenix, AZ • Franklin, TN