Residuals Claims Analyst (Residuals Claims). Prepare residuals calculations for residuals claims and/or legal settlements. Handle producer inquiries and referrals regarding calculations, allocations, reporting and payment of residuals outside of the claims processes. ...
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...
Mary Kraft is seeking an experienced Workers Compensation Claims Examiner that can analyze and manage complex or technically difficult workers' compensation claims, including indemnity claims, to determine benefits due. Workers Compensation Claims Examiner (Project 1346011). This role involves w...
Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. Interprets regulatory compliance and fair claims practices. ...
Mary Kraft is seeking an experienced Workers Compensation Claims Examiner to analyze complex or technically difficult workers' compensation claims to determine the benefits due. This position involves managing high exposure claims, including those with litigation and rehabilitation, ensuring tha...
As a Claims Adjuster you will assist the Complex Claims Manager with oversight duties of our many Third-Party administrators as to claim handling, settlement authority, and approval of coverage communications to insured and claimants. We are looking for a Claims Adjuster who appreciates a challenge,...
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...
Our client is expanding their Workers' Compensation Department and seeking to add Workers' Compensation Claims Adjusters to their California operations. These positions would be responsible for handling California Workers' Compensation Indemnity claims from inception to close. Handle moderate to com...
Patient Account Representative - Medicare Claims Follow-up. ...
The Workers’ Compensation Claims Adjuster must be knowledgeable of the California Labor Code and administration of claims. The Claims Adjuster is responsible for the prompt and efficient examination and investigation of claims. It is the responsibility of a Workers' Compensation Claims Adjuster to r...
Responsible for investigating and confirming the facts of loss for complex Homeowner's Claims. Determines coverage, damages and otherwise adjusts and negotiates claims within limit of authority. Responsible for creating a comprehensive estimate of damages for complex first party homeowner claims lea...
The Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in be...
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 ...
Primary Purpose: To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision. Processes low level wo...
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...
Extensive technical Claims knowledge (policies, coverage, regulation, claims processing) and proven ability to understand critical drivers within the Claims organization. Responsible for high exposure and litigated claims for the Core Auto andmercial Auto books of business, along with workerspensati...
Our client is expanding their Workers' Compensation department and seeking to add a Workers' Compensation Claims Supervisor to their Inland Empire claims operation. Supervise Workers' Compensation Claims Adjusters handling minor to complex indemnity claims. This position would be responsible for sup...
Assist the claims department in addressing all aspects of the legal claims function including coverage interpretation and advice, and assisting and advising on complex coverage and extra contractual litigation. Participate in the negotiation and preparation of claims services agreements, third party...
Although assigned claims generally consist of low to medium exposure, first and third-party automobile bodily injury and property damage claims, as well as premises liability accidents, product liability claims, the claims adjuster must be qualified legally and technically to handle all claims compe...
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...
The Senior Claims Consultant provides specialized claims consulting services for Lockton Clients with complex programs involving liability and casualty coverage. The individual is responsible for coordinating, implementing, and managing claims programs, and advocates for exceptional claims outcomes ...
The Claims Processing Supervisor will oversee the receipt, processing, calculation, payment and reporting of monthly claims submitted by providers in compliance with contractual requirements, regulations, and agency policies and procedures. The position will ensure that claims processing procedures ...
As Claims Division Manager, you will lead and supervise a team of 14 claims examiners and will be responsible for maintaining high-quality standards, HIPAA compliance, and timely claims processing. Strong knowledge of group benefit plans, claims adjudication, medical terminology, and claims codes (I...
They manage claims, litigation, and legal issues, report case status, and assist with legal projects. ...
Partner with underwriting, claims business consultants, and claims teams to enhance and manage marketing initiatives and customer service commitments. Chubb is currently seeking a Workers’ Compensation Senior Claims Specialist for our West Region. The successful applicant will be managing moderate-t...