A company is looking for a Claims Examiner to handle lost time claims and non-complex medical injuries under supervision. ...
Auto Liability Bodily Injury Claims Examiner. Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. To analyze and process complex auto and commercial transportation bodily injury claims by reviewing c...
A company is looking for a Claims Examiner to evaluate insurance claims and determine compensation for policyholders. ...
Job Locations US-FL-ClearwaterID 2024-2627# of Openings 4Category Medical Claims/Coding. ...
A company is looking for a GL Claims Examiner, Commercial to handle moderate to complex commercial general liability claims. ...
Our Desk Examiners also have direct responsibility for homeowners' property claims, starting with contacting the insured at first notice of loss, handling through a fair claims resolution. We are growing and are in search of experienced claims examiners to join our team!. Our Desk Examiners employ a...
The Examiners primary responsibility involves the review and evaluation of complex natured claims. This includes reviewing, evaluating, adjusting and investigating claims. The Examiner will set and adjust reserves and approve payments. Evaluation of complex represented claims. ...
Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to settle the claim appropriately. Investigates each claim through prompt contact with appropriate parties such as policyholders, claimants, law enforcement agencies, witnesses,...
The Senior Claims Examiner handles moderate to complex claims with a focus on providing the highest level of service for policyholders and ICW Group to independently bring claims to an equitable conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a...
Property Claims - Desk Examiner. Determine claim values based upon claims handling experience, acquired documentation, legal liability, causation, jurisdictional matters while applying your good judgment. Ensure claim files contain sufficient documentation to justify all coverage, liability, damage ...
Claims Examiner - Workers Compensation. The Workers' Compensation Claims Manager is responsible for analyzing and processing complex workers' compensation claims, including those with high exposure, litigation, and rehabilitation components. Analyze complex workers' compensation claims, gathering ne...
The Claims Examiner is empowered to make independent decisions within designated authority, ensuring prompt and cost-effective examination, investigation, evaluation, and payment of claims. Claims Examiner - Inside Desk Adjuster. Key responsibilities include demonstrating a solid understanding of in...
The position exists to review claims with subrogation potential, analyze the potential for recovery, file claims with responsible parties and their carriers, and negotiate settlement in accordance with statutory and case law as well as pertinent regulations. This role will determine when litigation ...
Responsible for working closely with the Claims Supervisor and Manager of Claims Operations to ensure that claims received are adjudicated in a timely manner and accurately. Diligently reviewing all system-generated edits which have been applied to claims in the Examiner’s assigned queues prior to r...
The individual will review corporate reportable claims for reserve adequacy, provide guidance and recommendations to expeditiously resolve claim files, assist in the design and administration of audit processes, monitor and reports on claim trends to include significant losses, mediations, trials an...
Responsibilities:• Experienced claims processor, claims examiner to process hospital claims "UB-04" and physician claims collections "CMS 1500", claims adjudication, coding and claims coverage determination• Must have extensive knowledge of hospital and physician billing and collections, knowledge o...
Proactively communicate and set accurate claims expectations with customers throughout the Claims process while providing high quality customer service. Establish timely and appropriate claim reserves in accordance with claim standards. Research, analyze, and interpret policy language and state law ...
To analyze complex or technically difficult workers' compensation 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 req...
Limits are larger than those allowed for Claims Examiner I and Claims Examiner II. POSITION: Commercial Auto, GL & Property Claims Examiner III. It is complex auto and general liability property damage and bodily injury claims, subrogation/recoveries, and first-party property claims desk). Effec...
To analyze complex or technically difficult workers' compensation 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 req...
Slide's Claims team is responsible for executing our commitment to helping homeowners get back to whole when they have a covered loss, and our Claims Sliders live up to this commitment with passion and purpose daily. Oversee a caseload of residential property claims involving official DFS Notices of...
Auto Liability Bodily Injury Claims Examiner. Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. To analyze and process complex auto and commercial transportation bodily injury claims by reviewing c...
Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to settle the claim appropriately. Investigates each claim through prompt contact with appropriate parties such as policyholders, claimants, law enforcement agencies, witnesses,...
The Claims Examiner is empowered to make independent decisions within designated authority, ensuring prompt and cost-effective examination, investigation, evaluation, and payment of claims. Claims Examiner - Inside Desk Adjuster. Key responsibilities include demonstrating a solid understanding of in...
Duties and Responsibilities Interview and correspond with policyholders, public adjusters, and attorneys Examine claim forms and records to determine coverage Responsible for all phases of property claims adjusting Manage and direct field adjusters and vendors Review case reserves on all assigned cl...