
Senior Claims Auditor
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in Colorado, +8 more states.
β’ Accurately and efficiently review and process medium to complex crop insurance claim files.
β’ Provide excellent customer service to agents and producers.
β’ Act as a subject matter expert in at least one area of claims auditing.
β’ Offer guidance and expertise to fellow colleagues.
β’ Timely and accurately audit and process claims to meet quality production standards.
β’ Communicate with underwriters, adjusters, agents, and producers to resolve issues related to claims.
β’ Work both independently and collaboratively to identify problems and develop solutions.
β’ Suggest appropriate methods for communicating claim resolutions.
β’ Utilize Loss Adjustment Manuals, policy provisions, Standard Operating Procedures, and internal resources to address challenges.
β’ Ensure adherence to Federal, State, and internal policies and procedures.
β’ Investigate and resolve complex claims issues while maintaining accuracy and consistency.
β’ Preferred minimum of 5 years of experience in crop insurance.
β’ Proven experience in crop insurance claims auditing and processing is preferred.
β’ Familiarity with Federal Crop Insurance Corporation (FCIC) policies.
β’ Knowledge of company policies, procedures, and relevant software.
β’ Proficiency in Microsoft Office Suite and general technical/computer systems.
β’ Strong interpersonal, oral, written, and communication skills.
β’ Ability to engage with both internal and external customers.
β’ Capability to understand and apply Loss Adjustment Manuals, policy provisions, Standard Operating Procedures, and other internal resources.
β’ Ability to audit all levels of Crop Claim types and process moderate to advanced claims.
β’ Proficient in researching and resolving complex claims issues with minimal supervision.
β’ Capacity to perform sedentary duties and maintain a constant sitting or standing position.
β’ Willingness to travel for meetings and training sessions.
β’ Two medical plans available, including a Traditional PPO and a Consumer Driven Health Plan with a Health Savings Account and employer contributions.
β’ Pharmacy benefits with mail order options.
β’ Dental benefits, including orthodontic coverage for both adults and children.
β’ Vision benefits offered.
β’ Flexible Spending Accounts for Health Care and Dependent Care.
β’ Company-paid Life and AD&D benefits, with optional supplemental life coverage available.
β’ Company-paid Disability benefits with salary continuation payments.
β’ 401(k) Retirement Savings Plan with competitive employer contributions.
β’ Paid time off programs, including company-paid holidays.
β’ Benefits for parental leave and an Adoption Assistance program.
β’ Employee Assistance Program available.
β’ Tax-Free Commuter Benefit offered.
β’ Tuition Reimbursement and Professional Qualification benefits provided.
β’ Incentive awards as part of the pay-for-performance compensation program.
β’ Option for remote work arrangements.
β’ Travel required for meetings and training sessions.
RAM Technologies
Horizon Connect @ Wall BCBSNJ
R1 RCM
Get handpicked remote jobs straight to your inbox weekly.