Vanguard Adjusters Group, Inc. is a dynamic, fast-growing insurance adjusting firm, headquartered in Woodbury, NJ, and comprised of outstanding professionals.  We are currently looking to expand our firm’s presence in the following areas:

·         Portland, Maine

·         Hartford, CT

·         Concord, NH

·         Boston, MA

 Vanguard Adjusters Group, Inc. is a dynamic, fast-growing insurance adjusting firm, headquartered in Woodbury, NJ, and comprised of outstanding professionals.  We are currently looking to expand our firm’s presence in the following areas:

·         Portland, Maine

·         Hartford, CT

·         Concord, NH

·         Boston, MA

Upon successful completion of training requirements the Licensed/Non-Licensed agents will work and operate in a call center environment, dedicated to timely, thorough, and compassionate member care. In this structured inbound/outbound high call center environment, agents are responsible for scheduling Medicare Eligible members for in-home visits, seminars and/ or completing telephonic enrollments.   Responsibilities: Consistently provide members with exceptional customer service Actively listen to customers and respond appropriately while following a call script Utilize the company’s computer system to look up and record information regarding a member’s account. Ability to use multiple software systems while speaking with members Held to quality data integrity performance standards Contribute to a team effort to meet or exceed service, production and quality goals. Meet and exceed daily, weekly and monthly performance goals Schedule members’ appointments according to the providers’ availability and geographic area they cover.

WORKERS? COMPENSATION CLAIMS SUPERVISOR

JOB SUMMARY:

Responsible for management of claim unit operations to ensure that superior services are provided to our affiliates without interruption. This means that appropriate workflow is in place to maintain compliance. This position requires identifying and carrying out department objectives timely and bringing creative strategy to a changing business environment, where achieving excellence is a strongpoint. Ongoing employee training, mentoring and career development is inherent with this position for optimal employee satisfaction. Allows employees the maximum potential of performing jobs to relevant standards, taking consideration to appropriating tools required for effective task completion and reducing barriers to achieve results and open communication. Production of management reports, technical audit of open claim pending and compliance to?company claims practices, troubleshooting on account management issues, approval of claim denials and file closures, monitoring of subrogation claims, approval of reserves to $75,000 incurred, settlement authority to $50,000, category reserve change approvals, reinsurance updates/reporting, screening of medical only losses for technical review/escalation, assist with fraud investigations, fraud programs and reserving guidelines, handle a pending of 15-20 serious/catastrophic loss claims where potential for development exists, employee appraisal completion, assist V.P. with ongoing and develop new vendor relationships, assistance with state jurisdictional compliance issues.

SKILL AND ABILITY PROFILE:

REQUIREMENTS:

High school diploma required; college degree and/or equivalent experience preferred. 8 or more years? relevant California or multi-state claims adjusting experience in the workers? compensation field and 2 years of supervisory experience. Relevant state licensing where required. *Experience in the State of California a plus.