To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Workers Compensation Claims Examiner | Long Beach...
Set up and enter new claims into Claims Management System. Our client, is in need of a Claims Assistant to work in their Irvine, CA office. The ideal candidate will have 2+ years of experience assisting with the handling of various types of claims. ...
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...
With more than $1Billion won for our clients in 20 years of business, we are an ever-growing firm with extensive experience handling first-party claims such hail storms. ...
Claims Service Representative - Early Response. When you join the Auto Club as a Claims Representative, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. As a representative within our Claims department you will:. Assess clai...
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...
Manages/adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations; determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses; inspecting claims sites as required, assigning external vendor...
Process all types of claims, such as HCFA 1500, outpatient/inpatient UB92, high dollar claims, COB, and DRG claims. The Claims Examiner II accurately reviews, researches, and analyzes professional, ancillary, and institutional inpatient and outpatient claims. Comprehensive knowledge of DMHC and CMS ...
The candidate should possess the ability to lead and develop a sophisticated team of claims professionals handling and managing a wide variety of Construction-related General Liability claim functions, overseeing our claims team nationwide, Litigation, Professional Liability and Builders Risk claims...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
Work closely with internal legal counsel, claims managers, and third-party administrators (TPAs) to ensure claims are handled efficiently and in line with company policies. Senior Workers’ Compensation Claims Adjuster. Manage and adjust complex lost time workers’ compensation claims from inception t...
The Executive Director Claims Operations interfaces with internal and external resources and departments to maintain current industry knowledge and participate effectively on process development efforts focused on achieving continuous improvement in operational efficiency, processing accuracy, and c...
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...
Claims Service Representative I - Early Response. When you join the Auto Club as a Claims Representative, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. As a representative within our Claims department you will:. Assess cl...
To analyze California Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Hybrid & Onsite) Workers Compensation Claims Hand...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
This position reports to the Supervisor, Claims Operations in a production environment and is responsible for supporting the claims department by preparing claim receipts and all related correspondence for the department. Johnson Service Group (JSG) is seeking Claims Clerks in Irvine, CA. Claims exp...
National Litigation & Claims Management Attorney. Litigation & Claims Management Attorney. We are seeking a highly skilled senior Attorney with expertise in litigation and claims management to work on our firm's representation of a large logistics services provider throughout the country. Th...
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 ...
As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met....
As a Supervisor, you'll lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations. Workers' Compensation Claims Supervisor - Lead a Dynamic T...
Independently run reports on errors identified for potential error trends and report the results to Claims Management and Claims Trainer. Must possess the ability to analyze Claims EOB and balance check amounts according to Claims processing guidelines. Two to three (2-3) years previous experience a...
Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate analyze and determine the extent of insurance company's responsibility for lost wages medical benefits and permanent impairment. Workers Compensation handling California Claims. ...
Prior experience as consultant working on damages and investigative work in support of contractual disputes, dealy claims, and litigation. ...
The Workers Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department. This may encompass supervision of administrative tasks and staff or oversight of the investigation of insurance claims involving workers compensation, property o...