Key Responsibilities:Managing claims operations involving customer contact, investigation, and resolutionWorking with insurance companies, providers, members, and collection services to resolve claimsPerforming varied activities and administrative assignments related to claims operationsRequired Qua...
Audit claims using the administrators claims system to determine if claims were adjudicated in error. As a Lead Auditor you will apply your medical claims audit, project management and client management skills to lead self-insured client audits. You will review discrepancy issues identified by field...
A company is looking for a Claims Research Specialist II. ...
AVP, Construction Claims Manager. Analyze loss and expense trends on a portfolio of claims and assist in the development and implementation of plans to improve results. Evaluate exposures and make substantive claim decisions for Construction Casualty claims and as needed on other lines of business. ...
A company is looking for an Epic PB Claims Analyst. ...
IAT Insurance Group has an immediate opening for a Claims Counsel in our Management Liability Claims Unit that can be located in any of our IAT locations. This role is a true complex claims handling role that is tasked with managing all lines of Management Liability Claims under our Management liabi...
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?. INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!. Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry ...
ESSENTIAL RESPONSIBILITIES MAY INCLUDE - Analyzing and processing claims through wel Workers Compensation, Claims, Examiner, Worker, Compensation, Processing, Administrative, Insurance. ...
This position provides technical advice and guidance to claims associates on conditional demands in various states, and recommends changes in claims handling practices based on legislative action or court decisions and trends in the insurance industry. Coordinates with various claims units to provid...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
We are seeking a dedicated and detail-oriented Medical Claims Specialist to join our team. Accurately review and respond to payment rejections and denials to ensure claims are processed correctly. Accurately post payments received from payers and patients to appropriate claims in the billing system....
The Analyst - Claims position will be responsible for reviewing, evaluating, and processing transportation damage claims. Handle and process transportation damage claims: Review and investigate damage liability Provide recommendations if the damaged vehicle will require 3rd party inspection Prepare ...
As a member of our client's claims team, utilize your knowledge of workers' compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. Insurance Placement Solutions has an immediate opening for a Remote Workers Compensation Claims Adjust...
Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. PRIMARY PURPOSE: To supervise the operation of multiple teams of examiners and technical staff for workers compens...
The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or health agreements, established payment metho...
The Claims Analyst will be responsible to ensure that Daily, Weekly, Monthly and Quarterly Claims Reports are submitted accurately and timely. The Claims Analyst will also be responsible for analyzing reports and identifying process improvements. Furthermore, this individual will be responsible for ...
Our client, is in need of a Temporary Workers' Compensation Claims Examiner for their Irvine Office to work on a hybrid basis. Workers' Compensation claims in California. Ability to negotiate settlement of claims within designated authority. Experienced with litigation management; ensures timely and...
To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service require...
Understand concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and move claims toward resolution using Best Practices. Promptly investigate all assigned claims for coverage, liability assessment and damages. Investigate claims by interviewing clai...
The successful candidate will investigate, evaluate, negotiate and settle Auto claims by telephone and correspondence. Ability to conduct telephone investigations, evaluate, negotiate and settle first and third party commercial lines claims. ...
As an Associate Auto Claims Advisor, your responsibilities include handling non-injury claims. We are actively hiring for an Auto Claims Adjuster. You will be setting expectations about the claims process with the member, obtaining police reports, and witness statements, reaching out to other adjust...
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Develop a plan of action for assigned claims and update the claims file following all material changes in st...
Workers Compensation Claims Assistant. Under close supervision performs clerical and data entry tasks that assist in administration of workers’ compensation claims. This position requires considerable interaction with claimants on the phone, and with management, other Claims Examiners, and other TRI...
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, dir...
Claims Adjuster to work at a premier insurance company in Santa Ana, CA. Claims Adjuster? You’ll be:. Inspecting damage and assessing costs of insurance claims. Assisting senior adjusters in handling low-risk claims. ...