Responsibilities include determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance with applicable laws; and identifying opportunities for, managing subrogation of claims, and negotiating settlements. The Workers Compensation Risk Analyst ...
To analyze complex or technically difficult general liability 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 require...
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. ...
Understand and can work claims for all major crops, policy/plan types, in all stages of growth. Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions, or trials as necessary. Ensures that claims handling is conducted in compliance with applicable statues, ...
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...
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...
To analyze complex or technically difficult healthcare, environmental, management, executive, cyber, professional liability, error and omissions, and complex liability claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within company sta...
This position provides technical advice and guidance to claims associates on conditional demands in various states, and recommends changes in claims handling practices based on legislative action or court decisions and trends in the insurance industry. Coordinates with various claims units to provid...
The successful candidate will investigate, evaluate, negotiate and settle Auto claims by telephone and correspondence. Ability to conduct telephone investigations, evaluate, negotiate and settle first and third party commercial lines claims. ...
As an Associate Auto Claims Advisor, your responsibilities include handling non-injury claims. We are actively hiring for an Auto Claims Adjuster. You will be setting expectations about the claims process with the member, obtaining police reports, and witness statements, reaching out to other adjust...
Reporting to the Claims Manager, you will be responsible for managing a diary system to ensure timely benefit administration and superior claims management. We deliver operations, consulting and technology solutions across the risk and insurance value chain, including excellence in claims, underwrit...
AOE/COE, Auto, or Homeowners Investigations.Writing accurate, detailed reports.Strong initiative, integrity, and work ethic.Securing written/recorded statements.Possession of a valid driver’s license.Ability to prioritize and organize multiple tasks.Computer literacy to include Microsoft Word and Mi...
The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. ...
Contact doctors/ hospitals or other persons/ organizations to verify information to make claims decisions. Settle minor claims within authority limit. ...
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...
Insurance Patient Account Representative - Commercial Claims. ...
Review claims for accuracy and ensure that claims are clean; contact providers as needed to clarify or verify billed services; educate providers on error/omissions in submitted claims. Under the limited supervision of the Manager, the Senior Claims Processing Analyst is responsible for highly-accura...
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...
The Claims Examiner I is in daily contact with team members, clients and providers. This position reports to the Claims Supervisor. Processes claims accurately, efficiently and within quality/quantity requirements. Has the ability to access research tools for accurate claims entry. ...
The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or *** Health agreements, established payment m...
Typical duties include preparing, reviewing, and processing claims documents and forms; establishing and maintaining case files; utilizing automated case management tracking and filing systems, providing claims assistance to the various departments within the company, courts, jails, etc. ...
Expert en responsabilité civile commerciale / Claims Adjuster - Liability/Commercial. PRIMARY PURPOSE: Effective adjudication of specialized multi line general liability claims of various complexities within company standards and industry best practices. Manage all aspects of general liability claim...
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 II - CasualtyThe Auto Club of Southern CA is looking for a Claims Service Representative responsible for investigation, evaluation and negotiation of low to moderate complexity claims in compliance with established company technical and customer service. Explain benefit...
Patient Account Representative.Insurance Patient Account Representative - Medicare Emphasis.Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances.All client policies and procedures are followed.Representatives ...