... to include claims resubmission, appeal or reconsideration. 3. Works account receivables reports (i.e. aged-trial-balance report), focusing attention on accounts over 60 days. 4. Researches ...
... to include claims resubmission, appeal or reconsideration. 3. Works account receivables reports (i.e. aged-trial-balance report), focusing attention on accounts over 60 days. 4. Researches ...
... to include claims resubmission, appeal or reconsideration. 3. Works account receivables reports (i.e. aged-trial-balance report), focusing attention on accounts over 60 days. 4. Researches ...
... to include claims resubmission, appeal or reconsideration. 3. Works account receivables reports (i.e. aged-trial-balance report), focusing attention on accounts over 60 days. 4. Researches ...
... to include claims resubmission, appeal or reconsideration. 3. Works account receivables reports (i.e. aged-trial-balance report), focusing attention on accounts over 60 days. 4. Researches ...
... to include claims resubmission, appeal or reconsideration. 3. Works account receivables reports (i.e. aged-trial-balance report), focusing attention on accounts over 60 days. 4. Researches ...
Claims Adjuster Trainee information
See Rio Rancho, NM salary details
$28.9K - $34K
1% of jobs
$34K - $39.1K
3% of jobs
$39.1K - $44.2K
5% of jobs
$48.8K is the 25th percentile. Wages below this are outliers.
$44.2K - $49.3K
17% of jobs
$49.3K - $54.5K
11% of jobs
The median wage is $59K / yr.
$54.5K - $59.6K
14% of jobs
$59.6K - $64.7K
13% of jobs
$69.7K is the 75th percentile. Wages above this are outliers.
$64.7K - $69.8K
11% of jobs
$69.8K - $74.9K
10% of jobs
$74.9K - $80K
9% of jobs
$80K - $85.2K
6% of jobs
$28.9K
$61.1K
$85.2K
How much do claims adjuster trainee jobs pay per year?
How do I become a claims adjuster with no experience?
What is a claims adjuster trainee?
Which claims adjuster makes the most money?
How much does a claims adjuster make?
What Does a Claims Adjuster Trainee Do?
As a claims adjuster trainee, your responsibilities are to help a claims adjuster evaluate insurance claims for home, auto, personal injury, commercial, or other forms of insurance. In this position, you work under the supervision of an experienced, licensed claims investigator. Your responsibilities may involve performing research and investigating claims to determine the cause of an incident. You may also interview claimants and witnesses to ascertain liability as well as work with your trainer to negotiate and settle the claim with customers.
What are the key skills and qualifications needed to thrive as a Claims Adjuster Trainee, and why are they important?
What is the difference between Claims Adjuster Trainee vs Claims Adjuster?
| Aspect | Claims Adjuster Trainee | Claims Adjuster |
|---|---|---|
| Certifications | Often requires a license or certification, such as state-specific adjuster licenses | Requires a license; experience may be preferred |
| Work Environment | Training period, supervised, entry-level | Full responsibility, independent decision-making |
| Job Responsibilities | Assisting with claims, learning procedures, shadowing senior adjusters | Evaluating claims, negotiating settlements, making coverage decisions |
| Industry Usage | Common starting role in insurance companies | Full-fledged role with more autonomy |
The main difference between a Claims Adjuster Trainee and a Claims Adjuster is the experience level and responsibilities. Trainees are in training, often supervised, and focus on learning the job, while Claims Adjusters handle claims independently, making decisions and settlements. Both roles typically require licensing, but the Trainee position is an entry point into the industry.
What are some common challenges faced by Claims Adjuster Trainees, and how can they be managed effectively?
Full-time
Posted 23 hours ago
Job description
Schedule: Monday-Friday 8:00 AM-5:00PM and other shifts as needed.
Location: Business Office
Salary/Hourly: Hourly Position
JOB SUMMARY:
Responsible for collecting accounts receivables on patient accounts, non-government and contracted insurances government payers and secondary billing. Responsibilities include routine follow-up on accounts, working the Rejection Report for contracted insurances, analyzing aged trial balance report for assigned charge to's, working the Antrim, Rhodes reports and miscellaneous accounts receivable reports.
ESSENTIAL FUNCTIONS:
1. Collects outstanding accounts receivables on patient accounts from patient, commercial, non-government, contracted insurances or government payors via phone call to the patient or insurance company or by means of written appeal or reconsideration.
2. Pursues collection activities on assigned accounts from primary and secondary payors until worked to resolution to include claims resubmission, appeal or reconsideration.
3. Works account receivables reports (i.e. aged-trial-balance report), focusing attention on accounts over 60 days.
4. Researches adjustments and pull all necessary backup to support adjustments.
5. Utilizes on-line insurance resources to obtain and maintain current information.
6. Develops and maintains a professional working rapport with internal and external customers to include contacts with insurance company representatives.
7. Identifies trends in payment or non-payment of claims. Communicates findings to leadership and co-workers as appropriate.
8. Customizes reports in Antrim and or Excel to prioritize accounts for collecting.
The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.
MINIMUM EDUCATION:
High school diploma or equivalent
MINIMUM EXPERIENCE:
Must have one of the following:
• Six (6) months as an Apprentice in the Business Office at TriCore
• Minimum of one (1) year of laboratory or medical claims follow-up/collections experience
• Minimum of three (3) years of medical billing or claims processing experience
OTHER REQUIREMENTS:
• Must be able to type 30 words per minute (typing test required)
• Must have basic PC knowledge and working expertise with keyboard, mouse, Internet, and Windows based applications
PREFERENCES: Basic knowledge of Excel and Word Knowledge of medical terminology
IMMUNIZATION REQUIREMENTS: Prove immunity to Hepatitis B or be immunized or sign a waiver refusing hepatitis immunization. Provide documentation of a PPD test conducted not more than 90 days prior to date of hire or have a PPD test conducted.
GENERAL REQUIREMENTS:
1. Proficient in PC/data entry skills
2. Must be able to work independently with little direction and to demonstrate sound judgment and problem solving skills
3. Ability to resolve problems and follow up as needed or appropriate
4. Effective communication skills and telephone skills
5. Ability to deal with difficult clients and patients
6. Strong working knowledge of insurance and reimbursement
About TriCore Reference Laboratories
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Albuquerque, NM, US
Year founded
1998