A company is looking for a Claims Quality Assurance Specialist responsible for auditing claims processes and supporting quality assurance for claims adjusting teams. ...
The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel. Assists other claims professionals with more complex or problematic claim...
A company is looking for a Medical Malpractice Lead Claims Specialist in Long Term Care. ...
Monitors and reviews workers compensation claims and the claims processing; identifies claims management trends and inefficiencies and make recommendation as needed. Aerotek has an immediate opening for a Claims Review Specialist - Workers Compensation at the corporate office in Tempe, AZ. Reporting...
A company is looking for a Claims Specialist to provide customer service and adjudicate various claims. ...
The Senior Claims Examiners primary job function includes efficiently and effectively handling intermediate-level, commercial first-party property and/or third-party general liability losses in a paperless environment. Commercial claims handling, including General Liability is required. ...
This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims. Experience handling moderate to high exposure general liability BI and PD claims and/or a legal background as a practicing attorney with litigation or coverage experience is requ...
Accountable for security of financial processing of claims, as well as security information contained in claims files. Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels. Recommends ultimate resol...
In short, the entry level Corporate Claims Specialist is part of the Corporate Insurance & Safety (CIS) Team and works to help reduce total cost of risk when an incident occurs. In long, our Corporate Claims Specialist is responsible for:. Preferable to have one to two years of claim handling ex...
Has developed high level knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics. Identifies and appropriat...
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather necessary claim information, managing the claim process from the initial request to the return to work.Collaborating with fellow case managers, nurse case managers, and consulting physicians ...
Manages an inventory of moderate to high complexity and exposure Healthcare claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working relati...
The Loss Draft Claims Specialist will be responsible for assisting with the day-to-day operations of the loss draft claims functions. ...
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather information regarding Voluntary Claims. Applying core knowledge of voluntary insurance products and claims processes to review questions/concerns and provide specific information to. Experien...
This position in Healthcare Claims will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. Confirms coverage of claims by reviewing policies and documents submitted i...
The Auto Claims Specialist is responsible for handling and managingplex coverage, liability investigations, and settlement negotiations for 1st and 3rd party auto claims. They will adhere to statutory and regulatory fair claims practices and identify potential fraudulent claims. The specialist will ...
The Complex Claims Specialist is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our ...
Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims, etc. Evaluate commercial Construction Defect claims, reporting forms and cancellations and initiate necessary corrections to ensure accuracy of dates, coverage, ...
The Auto/PD Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Investigates claims and handles complex 3rd party Auto and General Liability claims, including litigation. Assists other claims professionals with more complex or ...
As a Commercial/Specialty Casualty Adjuster, you will be responsible to resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, ...
Adhere to all statutory and regulatory fair claims practices. Recognize and identify potential fraudulent claims. Claims experience is preferred. ...
Ability to effectively coach and assist Claims Specialists and Claims Associates. Senior Worker's Compensation Claims Specialist. Elite-level clients workers' compensation claims with minimal to no supervision required. This role requires that the associate monitor their assigned employers' workers'...
The Claims Specialist will provide excellent customer service to Penn Mutual beneficiaries and financial professionals. S/he will adjudicate Life, Annuity and RPS death claims, validate beneficiary designations, and process payments within the documented procedures and regulatory guidelines. Adjudic...
The Claims Specialist will provide excellent customer service to Penn Mutual beneficiaries and financial professionals via the Claims 800 line. S/he will adjudicate Life, Annuity and RPS death claims, validate beneficiary designations, and process payments within the documented procedures and regula...
Disability Claims Specialist (DCS). Team Lead on the claim team ensuring optimal claims handling and timely, accurate decisions of the claim team for handling Long-Term (LTD) Disability claims for a dedicated account. Ability to process increasingly complex claims ensuring fair, ethical, and timely ...