Claims Adjuster- Nursing Homes/Senior Living

Nursing Home Claims Adjuster

Seren Specialty Insurance (SEREN) is a boutique program management and insurtech company providing insurance solutions to the specialty liability insurance market. SEREN offers beginning to end policyholder, underwriting, claims management, risk management and distribution services. By providing a platform with a full suite of services we can maximize the use of capital within the insurance industry to our owned and contracted companies.

We are seeking a qualified and experienced individual to join our team as a Nursing Home Claims Adjuster. The ideal candidate will have a background in claims, with specific expertise in Nursing Homes or Senior Living, and previous experience working with a TPA or brokerage/agency with a focus on nursing homes or senior living.

100% Remote, offering a flexible and collaborative work environment.

Job Responsibilities:

Claims Management:
• Execute tasks related to the adjustment of nursing home claims, ensuring a thorough and efficient process.
• Manage nursing home claims with precision and expertise.
• Participate in meditation and settlement negotiations.

Effective Communication:
• Engage in clear and proactive communication with policyholders, third-party investigators, defense firms, and internal claims team members.
• Mitigate claim damages through collaborative and strategic communication.

Client Support:
• Proactively support policyholders with open claims, providing clear and empathetic assistance.
• Foster a positive client experience by addressing inquiries and concerns promptly.
• Collaborate seamlessly with the claims team to maintain a cohesive and efficient workflow.

Qualifications: • 1-3 years of proven expertise in Nursing Home/Senior Living claims adjusting. • Proficiency in handling nursing home/senior living claims. • Understanding of Medicare Section 111 Reporting • Exceptional communication and negotiation skills to engage effectively with diverse stakeholders. • In-depth knowledge of industry regulations and standards related to nursing home/senior living claims. • Ability to thrive in an independent, remote work environment. • Willingness to travel occasionally for industry events, showcasing commitment to continuous professional development.

Job Type: Full-time

Pay: $50,000.00 - $64,000.00 per year

Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:
• Monday to Friday

Work Location: Remote

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