A company is looking for a Claims Resolution Analyst to process and handle claims that are incomplete or escalated for validation. ...
Claims Manager - Workers Compensation | DC, VA, & MD Residents. Establishes policy and procedure to ensure compliance to best practices, claims management services standards, state regulations and client service requirements; ensures compliance with client internal controls, audit requirements and s...
A company is looking for a Senior Medical Only Claims Representative to manage medical only claims in Texas, Oklahoma, and Arkansas. ...
How you will make an impact: Understand the Pharmacy benefit setup & validating the configuration using test claims/query testing. Validation of Formulary, Utilization Management & Drug List setup using Test Claims/Query testing. Preferred Skills, Capabilities, and Experiences: 4 years of experience...
A company is looking for a Claims Trainer II to develop and conduct training programs for the Claims department. ...
You will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care claims. Long Term Care Claims Representative – Payment Se...
As a Core Claims Project Manager for Merit Restorations, you will be working directly for the Branch Manager. CORE CLAIMS PROJECT MANAGER ESSENTIAL DUTIES AND RESPONSIBILITIES:. ...
Experienced in investigation of product/auto/general liability claims, Workers Compensation, disability claims, life insurance and contestable death claims. Immediate need for a Claims Investigator within the largest worldwide investigative solutions company. Ability to conduct multiple types of com...
Claims Service Specialist – Virginia Beach, VA. Through our paid, industry-leading training, you will learn the ins and outs of the claims process and be ready to assist our policyholders when they need us the most – during an accident. As a Claims Service Specialist, you will collect facts about th...
Commercial Auto Claims Representative - Liability. To analyze and process low to mid-level auto physical damage claims. Commercial auto claims experience is preferred. Processes auto property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctl...
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, ...
To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Performs coverage, liability, and damage ana...
Claims Service Specialist – Virginia Beach, VA. Through our paid, industry-leading training, you will learn the ins and outs of the claims process and be ready to assist our policyholders when they need us the most – during an accident. As a Claims Service Specialist, you will collect facts about th...
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...
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. ...
Adhere to all statutory and regulatory fair claims practices. Recognize and identify potential fraudulent claims. Thepany is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handlin...
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...
Claim Assistant, you will be part of a diverse team accountable for providing back-office support to NA Claims and contributing to the achievement of delivering an exceptional client experience. ...
At American Family Insurance Claims Services (AFICS, Inc. Investigate and maintain property claims. Determine liability, secures information, reviews coverages, arranges appraisals, and settles claims. The Claim Adjuster position supports the Claims Division goal of ensuring customer service industr...
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...
This includes consulting about Incidents, setting up Events/Claims/Lawsuits in the Claims Management System, assigning and adjusting case Indemnity and Expense Reserves, negotiating settlements, assigning defense counsel, managing litigation, maintaining claim files, communicating with insurance car...
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 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...
Change orders/claims: Prepare support/back up for change orders/claims to Contract Manager and Cos Manager in coordination with each Area PM. No two jobs are the same! You will be responsible for a variety of cost engineering tasks on the Hampton Roads Bridge-Tunnel Expansion mega-project, the large...
Five or more years’ experience as a claims professional with a high degree of competence in the handling of general liability and auto claims with emphasis on hands-on file and litigation management. In this role you will manage general liability and automobile claims, both litigated and non-litigat...