The Workers Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department. This may encompass supervision of administrative tasks and staff or oversight of the investigation of insurance claims involving workers compensation, property o...
Key Responsibilities:Adjudicates claims and adjustments as requiredResolves claims edits and suspended claimsMaintains and updates required reference materials to adjudicate claimsRequired Qualifications:Experience with a 10-key machineFamiliarity with ICD-9 codes and Current Procedural Terminology ...
A Manager within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. ...
A company is looking for a Systems Analyst II - Epic Claims. ...
AVP, Construction Claims Manager. Analyze loss and expense trends on a portfolio of claims and assist in the development and implementation of plans to improve results. Evaluate exposures and make substantive claim decisions for Construction Casualty claims and as needed on other lines of business. ...
Key Responsibilities:Maintaining performance standards and productivity to meet turnaround times and service level agreementsStaying current with coding changes and guidelines, completing required Continuing Education hours, and performing root cause analysis for overpaid claimsCollaborating with va...
To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Workers Compensation Claims Examiner | Orange, CA (Hybrid Sc...
Handle Liability Claims, claims involving Commercial General Liability claims including Bodily Injury, Slip and Falls, Premise Liability and Auto Bodily Injury Liability, including litigation. Over 5 years experience in an insurance company with regard to Commercial auto liability claims or Commerci...
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, dir...
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?. INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!. Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry ...
Claims Examiner in an IPA, Medical Group, or Health Plan and knowledge of HIPAA and AB1455. IPA setting claims processing experience. CLAIMS PROCESSING CA HERITAGE SERVICES. ...
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 ...
Looking for that next opportunity to use your advanced negotiation skills? Kemper has multiple positions available for experienced Bodily Injury Claims Adjusters for our growing teams! This specialized position focuses solely on the analysis & negotiation of bodily injury claims that are ordinarily ...
The Workers Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department. This may encompass supervision of administrative tasks and staff or oversight of the investigation of insurance claims involving workers compensation, property o...
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...
Provides consistent technical claims training to the claims team. Reviews and approves claims payments in line with assigned claims approval authority levels. The Vice President of Claims will execute on the strategic goals and vision of the company. This position will be responsible for claims qual...
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...
Responsibilities: Responsible for timely, ethical, and effective handling of all assigned general liability, property, and auto claims. Investigate all claims by gathering and preserving pertinent information needed to accurately assess liability. Document all discussions, correspondence, reports an...
The Company that offers insurance claims administration services, risk management, analytics, worker care and absence management, and compliance services is looking for a Claims Assessor to work remotely. Why you should apply to be a Claims Assessor:. Chance to make a difference in people's lives by...
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, dir...
To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Workers Compensation Claims Examiner | Long Beach...
Claims Service Representative 1 - Early Response - WeekendWhat’s in it for me?. 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 d...
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 I - Early Response Weekend. 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:. A...
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...