Claims Specialist

Company:  Ajilon Office Job Category:  Sales/Retail/Business Development Reference Code:  B3-23195-521923 Location:  MN 55402 Job Status:  Full Time, Temporary/Contract/Project Ajilon is currently recruiting a Claim Specialist for a temporay position with a well respected downtown Minneapolis company. The position will require an individual to analyze technically difficult claims to determine benefits due; work with claims involving litigation and rehabilitation; ensure ongoing adjudication of claims within standards, and to manage subrogation of claims and negotiate settlements. Complete Description: ESSENTIAL FUNCTIONS and RESPONSIBILITIES: Analyzes and processes complex or technically difficult claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Assesses liability and resolve claims within evaluation. Negotiates settlement of claims up to designated authority level. Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout the life of the claim. Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level. Prepares necessary state filings within statutory limits. Manages the litigation process; ensures timely and cost effective claims resolution. QUALIFICATIONS:Education & Licensing: Baccalaureate degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred.Experience: Four (4) years of claims management experience required.Skills & Knowledge: In-depth knowledge of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business. Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent negotiating skills Good interpersonal skills Ability to work in a team environment Interested Candidates should apply immediately to Jill.Seeley@ajilon.com Salary/Pay Rate: up to 23/hour About Ajilon Ajilon Professional Staffing is a leader in recruiting and project consulting, with specialty divisions in finance & accounting, management & office support, and legal. In North America, more than 200 offices service a range of clients through an integrated suite of human capital solutions. Ajilon Office offers clients specialized administrative and management professionals on a temporary and direct-hire basis. Ajilon Finance specializes in the temporary and direct-hire placement of premier accounting, financial and bookkeeping professionals. Ajilon Finance Solutions provides senior-level financial and operations professionals to companies on a project or interim basis. Ajilon StaffWise Legal places highly-qualified candidates in a wide range of specialized positions including attorneys, paralegals and legal support professionals. Leaders in Management & Office Support Staffing