A company is looking for a Bilingual Spanish FMLA Claims Specialist. ...
Manages, investigates and resolves assigned high severity Property Loss claims under limited supervision. May assist Customer Claims Representatives with in-person inspection/policyholder contact where necessary. Investigates, determines coverage of loss and adjusts all elements of Property Loss cla...
Key Responsibilities:Process claims and adjustments related to projects or provider disputesResearch and resolve complex claims issues and collaborate with other departmentsAct as a subject matter expert on departmental and corporate projectsRequired Qualifications:High school diploma or equivalent5...
You have 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. Are you looking for ...
A company is looking for a Claims Support position. ...
SGA), is searching for a Claims Review Specialist for a Contract assignment with one of our premier Healthcare clients in Los Angeles, CA. ...
Phoenix Loss Control is seeking qualified individuals to fill 1099 contractor openings for Claim Recovery Specialists. The Claim Recovery Specialist Contractor is responsible for reviewing information provided on a damage, determining the liable party, invoicing the responsible party, and pursuing r...
Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Construction Defect Commercial Claims Specialist II. This position can be located in one of our claims offices, with the possibility of working remotely. The successful candidate will directly handle Construction r...
Chubb is currently seeking a Workers' Compensation Senior Claims Specialist for our West Region. Display advanced claim handling skills on claim investigation, reserving, medical, disability and litigation management, case resolution and settlement strategies. Partner with underwriting, claims busin...
The Claims Training Specialist is primarily responsible for designing and conducting training programs using established departmental guidelines. This position is responsible for providing ongoing training on the core processing system, claims processing procedures, communicating regulatory changes ...
Qualifications Bachelor's degree in a related field is preferred or equivalent work experience Minimum of 5 years experience as a Property Field Inspection Claim Specialist in the insurance industry, specifically in property claims Strong knowledge of property insurance policies, coverage and claim ...
Training: Chubb managers, claim examiners and defense counsel provide a combination of classroom and on-the-job training to ensure our Claim Examiners are prepared to assume full claim handling responsibilities. Our Claims Professionals in Employment Practices Liability enjoy the work they do and wo...
Our Claims Legal Specialist will act as an expert on requirements to properly resolve matters when Sentry is faced with a conditional demand from counsel for a claimant. Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, tec...
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...
Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established p...
As a Construction Defect Large Loss Claims Specialist, you will be responsible for handling and resolving complex, highly specialized, and high exposure Primary and Excess Construction Defect claims, through investigation, evaluation and disposition. Large Loss Claims Specialist - Construction. Main...
The Property Claims Field Adjuster ll will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Company and...
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...
The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. Assesses policy coverage for submitted claims and notifies the insured of any issues; determine...
Analyze hospital billing claims within the EHR and claim scrubber system. Resolve claim errors, edits, and other holds. Understanding of Medicare/Medi-Cal claims processing guidelines. Experience with EPIC EHR, Cirius Claim Scrubber, or other EHR system. ...
Property Field Inspection Claim Specialist, handling accidental and weather-related homeowners, commercial, and large loss claims. Minimum of 5 years experience as a Property Field Inspection Claim Specialist in the insurance industry, specifically in property claims. Claim Specialist - Property Fie...
Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or *** Health agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and compa...
Elevates problems up to the Account Claims Specialist II when unable to resolve. File and process funeral insurance claims and assist with third party insurance claims timely. Process funeral insurance claims (Global Atlantic and TruStage) and follow up with third party insurance vendor (American Fu...
Chubb is currently seeking a Workers’ Compensation Senior Claims Specialist for our West Region. Display advanced claim handling skills on claim investigation, reserving, medical, disability and litigation management, case resolution and settlement strategies. Partner with underwriting, claims busin...
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...