Senior Health Claims Adjuster
Location(s)
Details
Kemper proudly serves growing niche and underserved markets by providing appropriate and affordable insurance and financial solutions. This is enabled by a team of dynamic, innovative employees who act like owners and are continually driven by intellectual curiosity , analytical superiority , and being world-class operators.
Kemper has a talented operations team that believes in this strategic intent. This role is a great opportunity for the right person who wants to be part team in a dynamic growing company. We are looking for the person who can help us make a difference by best serving the needs of our customers.
POSITION SUMMARY :
Kemper is seeking a Senior Health Claims Adjuster to support our organization’s Health Claims team. As a Sr. Health Claims Adjuster, you will support our customers by processing claims with adherence to company policies and contract provisions, in full accordance with the law. This position will allow you to help families in a time of significant need.
LOCATION:
Remote if not located in the St. Louis, MO area and fluent in Spanish and English.
Hybrid if in St. Louis, MO. The office located in the Westport area of St. Louis, MO.
PRINCIPAL DUTIES AND RESPONSIBILITIES :
Evaluate claims based on documentation received
Provide timely follow-ups regarding those claims via letter, email, and telephone
Ensure appropriate resolution of claim
Other duties as assigned
MINIMUM JOB REQUIREMENTS :
A bachelor’s degree in finance, business, accounting, economics, or equivalent work experience is a plus.
An internship of other prior work experience in a corporate office is preferred.
Intermediate Word and Excel skills are required.
The ability to become proficient in navigation of the homegrown applications we utilize for claim handling.
Prior health claims experience is a plus.
Hybrid role which will require to come into the St. Louis office a couple of days a week after training and training in office.
REQUIRED JOB SKILLS:
A customer-focused mindset
Must be Fluent in English and Spanish
CANDIDATE PROFILE:
Highly motivated and natural self-starter, independent thinker, great planner, and team player
Structured in thinking process and strong problem-solving skills, the ability to break down complex problems and find solutions
Ability to cope with uncertainty, learn fast, motivated by new and complex challenges
Manage information in a visually appealing and easy to understand method
Drive results across a team of dynamic communicators and professionals
Ability to quickly absorb complex issues, ensure alignment across cross-functional teams
Possesses a continuous improvement mindset
COMPETENCIES NEEDED:
Decision Quality – making good and timely decisions that keep the organization moving forward
Drives Results – consistently achieves results under difficult circumstances
Action Oriented – takes on new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm
Collaborates – building partnerships and working collaboratively with others to meet shared objectives
Communicates Effectively – develops and delivers multi-mode communications that convey a clear understanding of the unique needs of different audiences
Values Differences – recognizes the value that different perspectives and cultures bring to the organization
Nimble Learning – actively learning through experimentation when tackling new problems, using both successes and failures as learning fodders
Kemper is proud to be an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, disability status or any other status protected by the laws or regulations in the locations where we operate. We are committed to supporting diversity and equality across our organization and we work diligently to maintain a workplace free from discrimination.
Kemper does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Kemper and Kemper will not be obligated to pay a placement fee.
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