Lead Insurance Claims Specialist. Identify and correct rejected and denied claims. ...
Responsible for helping our customers maintain a sense of security by independently and effectively managing an assigned caseload of claims, in a fair and ethical manner and within all requirements and service standards. Reviewing and processing the more complex claims (i. Independently investigate,...
Become a part of our caring community and help us put health firstThe Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at the Inpatient ...
Auto Liability Bodily Injury Claims Examiner. To analyze and process complex auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims...
Encova Insurance has an opening for a Claims Analyst reporting to the Director, Claims Product and Operations. The Claims Analyst role evaluates and implements claims best practices and assesses the effectiveness of their execution. Collaborate with claims leadership to recommend learning and develo...
Great Place to Work®Most Loved Workplace®Forbes Best-in-State EmployerLiability Claims Representative | RemoteAre you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?Apply your knowledge and exp...
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, ...
Use claims handling software, apany car and laptop to determine claims related damage and write estimates in a paperless environment. Field Property Claims Adjuster-Indianapolis, IN. Our Field Property Claims Adjusters will:. Investigates, determines liability, confirms coverage, establishes damages...
Company Overview Balance, LLC (https://balanceclaims. ...
Claims Analyst III- Overpayment Prevention (Business Analyst III). Works with Query Developers to ensure business requirements are incorporated into query design, completes and coordinates UAT testing on claims identified as potential overpayments. Collaborates with the claims validation team to app...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve moderate to severe property damage claims by phone. Prior insurance field/property claims handling or adjusting experience. Ability to handle claims of var...
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...
Medicare Part A and Home Health and Hospice claims. Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made. Researches and analyzes claims issues. Experience with healthcare insurance claims processing highly preferred. ...
The Senior Claims Representative handles complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims, as well as directs defense counsel, independent adjusters, experts, and other vendors i...
Four years of full-time professional experience in the evaluation of applications or claims. ...
Four years of full-time professional experience in the evaluation of applications or claims. ...
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...
Learning to investigate and settle claims. Analyzing claims to determine extent of liability. Seeking to grow your knowledge in claims handling. ...
Handles multi-line property and casualty claims in an assigned territory with an emphasis on property claims. A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and ex...
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...
Works both independently and within team environments for production department, especially in new services/business development opportunities within the company.Anticipates and resolves problems; updates/reports to team leads/production manager as needed.Submits construction estimates to insurance ...
Commercial and/or Personal Lines Claims Representative positions. Prepare and submit First Report of Claims to carriers. Document, track, and facilitate claims assignments. Work in agency management system to document communications and track claims. ...
Responsibilities and Duties Utilizes various forms of communication and software to interact with and handle Client files Intakes and reviews client submitted documentation to confirm that all necessary information is included in the project Managing a variety of tasks to enable the c...
Completes all claims handling steps on assigned claims while adhering to established Company guidelines, best practices and to all laws pertaining to claim settlements. Investigate, evaluate, negotiate and settle workers compensation claims in a good faith manner. Minimum of years’ experience in wo...
Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize dis...