Up to $22 per hour / Benefits - As a Claims Associate you'll: Evaluate claims to determine whether they qualify for reimbursement; Deliver exceptional service to members via phone, chat, and email, offering education and guidance to help them navigate the Garner claims process; Follow documented bes...
Knowledge of claims and/or encounter processing and data analysis experience preferred. ...
Identifies inappropriate or questionable claims and refers to Claims Analysts for review. Researches all complex claims, disputes and appeals thoroughly to make accurate payment decisions in a timely manner with input from the Claims Analysts for quality assurance. Responsible for the accurate and t...
As the Claims Advocate your main mission is to coordinate and work with Home Owners, Adjusters, and Agents in order to make sure sure invoices are covered and the homeowner is advocated for. The Claims Advocate is also in charge of communicating with insurance companies, sending damage reports, comm...
Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. To analyze mid- and higher-level general liability claims to determine ben...
Does your claims management job feel stale? A process driven organization can lose sight of the true purpose of managing claims -- good outcomes on each claim. Most of our strongest competitors over the years, all of them process driven in their claims handling, are no longer in business. Our servic...
Assigns new claims to the appropriate claims handler. Entry- Level, Bilingual Spanish, Customer Service and Claims Positions. To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as a customer liaison in assisting the customer with the correct co...
Ascendant is seeking qualified Bodily Injury Claims Adjusters to join their third-party claims administration organization which is committed to providing best in class claims adjudication solutions. The primary job responsibilities for this position include but are not limited to effectively managi...
Negotiates and settle claims in accordance with Citizens Best Claims Practices and Estimating Guidelines and industry standards. The position is responsible for the investigation, evaluation, negotiation and settlement of personal and commercial claims of moderate complexity, including dispute resol...
Complex Claims Desk Adjuster - Property. To handle losses and claims for property and casualty insurers. Revises case reserves in assigned claims files to cover probable costs. ...
VITUS Search Group is looking for an experienced Workers Compensation Claims Supervisor in Massachusetts area. Based on New England Claims experience. MUST MUST HAVE LICENSES & EXPERIENCE AS NEW ENGLAND WORKERS COMPENSATION CLAIMS ADJUSTER**. We are seeking a Workers Comp Claims Supervisor ...
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...
Property & Casualty (P&C) Claims Adjuster. Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liabi...
The workers’ comp specialist is responsible for the intake of all claims from the initial inception of the claim and report them to our Third-Party Administrator. ...
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Planning and organizing daily workload to process claims and conduct inspecti...
Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You will be responsible for working within a structured environment with established Standard Operating Procedures to ensure consistency o...
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, ...
The Claims Auditor conducts audits of AvMed, Delegated Vendors, and Business Process Outsourcing (BPO) claims. Conducts random audit samples of manually and auto-adjudicated claims with an emphasis on claims payment and processing accuracy. The Claims Auditor conducts claim audits and works closely ...
With extensive claims and legal knowledge and expertise, the Senior TPA Claims Handler ensures optimal handling of all claims through to completion of sound claims settlements in line with company targets, policies, and procedures and will ultimately assist in implementing the company's business pla...
We deliver operations, consulting and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation, customer experience, human capital, transformation, and change management. Davies Claims North America is looking for a. Repor...
Independent responsibility for managing medium and complex claims of assigned clients. Acts as an advocate and claims specialist to provide support to clients, claimants, Producers, and carriers;. Provides initial and on-going advocacy on claims including detailed analysis, interpretation, consultat...
Work with the ACA Commercial Stakeholders, ensure timely reconciliation of claims for encounter submission deadlines; while also meeting the needs of Revenue Integrity’s internal market and product customers. ...
Claims Representative – Gainesville, FL. SUMMARY: Responsible for handling all multi-line claims in assigned territory to a proper conclusion. Investigate, validate, evaluate, negotiate, and settle all claims as assigned. Submit reserve recommendations on assigned 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...
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join EAC Claims Solutions as a Desk Adjuster, where you will play a crucial role in resolving significant losses, including complex property claims. Under limited supervision, you'll investigate claims, nego...