Key Responsibilities:Adjudicate or submit claims and adjustments as requiredTrack and trend performance of root cause analysis and provide additional training as neededResolve claims edits and suspended claimsRequired Qualifications:Work experience in claimsBachelor's degree or a combination of educ...
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 ...
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...
The ideal candidate is someone who currently has 3-5 years' experience of medical insurance claims follow-ups and working/resolving denied claims. We are looking for an MedicalClaims Follow-Up in Hayward, CA. ...
Key Responsibilities:Execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and resolve claimsInteract with various parties involved in the claim process to ensure effective communication and resolutionProvide exceptional customer service to claimants, h...
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 ESIS Senior Workp Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Authoritative technical knowledge of claims handling and claims terminologies. ESIS provides a full range o...
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 Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. ...
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...
Contact doctors/ hospitals or other persons/ organizations to verify information to make claims decisions. Settle minor claims within authority limit. ...
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...
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 purpose of this position is to lead a claims team to help to achieve Selective’s loss and claims expense objectives, as well as deliver excellent claims service to customers. Maintains a direct diary on serious claims and/or litigated claims and an override diary on other selected claims. This c...
The ESIS Senior Work Comp Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Authoritative technical knowledge of claims handling and claims terminologies. ESIS provides a full ran...
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...
Selective Insurance is looking for a Mobile Property Field Claims Specialist to handle field property claims throughout the US. It is the responsibility of this position to provide superior property claims service to all regions by handling Property and Inland Marine claims, generally with dollar ex...
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, ...
A Manager within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. ...
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Develop a plan of action for assigned claims and update the claims file following all material changes in st...
Manages/adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations; determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses; inspecting claims sites as required, assigning external vendor...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
Responsible for providing superior property claims service to all regions by handling Property and Inland Marine claims of varying exposures. Selective Insurance is looking for a Virtual Property Claims Specialist for this remote opportunity. Handles property/inland marine claims as assigned. This p...
Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empathy and understanding and explains policy coverages and claims processes to customers. Responsible for handling claims having moderately complex negligence, compensability,...
The property claims field adjuster trainee will learn how to apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle minor to moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expen...