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 ...
This position is a 100% outsourced claims and claims data management position available for a single client. Ability to implement aggressive claims handling strategies. Experience with waiver related claims is a positive. Own relationship with TPAs to ensure the claims philosophy of the client is be...
AECOM is seeking a Senior Forensic Claims Analyst to be based in Sacramento, CA. Review Contractors’ claims and assist with responses and potential rebuttals. ...
JOB TITLE: Operations Director, Claims and Mailroom. Managing healthcare claims processing operations. A bachelor's degree and a minimum of four (4) years of experience (5 additional years of additional relevant management experience may substitute for the degree) managing healthcare claims processi...
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...
The ideal candidate will be based in CA and possess experience in handling homeowner, commercial, or auto liability claims. The ideal candidate will possess strong analytical skills, excellent attention to detail, and the ability to effectively manage and negotiate claims. Determines coverage, liabi...
Do you have 5 years' experience handling auto liability and/or commercial general liability claims and are looking to make a change to work for a company that values work/life balance? Federated Insurance has a career opportunity for you in this office-based Commercial Litigation Claims Adjuster pos...
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 position exists to review claims with subrogation potential, analyze the potential for recovery, file claims with responsible parties and their carriers, and negotiate settlement in accordance with statutory and case law as well as pertinent regulations. Workers’ Compensation claims line of busi...
To analyze mid- and higher-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. Manages workers compensation claims determining comp...
Our client is seeking an experienced Commercial Auto and General Liability Claims Adjuster with litigation experience to join their California Claims division. Commercial Auto and General Liability Claims Adjuster, you will be managing complex claims involving commercial auto and general liability, ...
Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients...
The Senior Claims Professional is responsible for the management of a complex caseload of workers compensation indemnity claims from inception to resolution. Prepares and maintains timely, accurate reserves on all claims for expected future costs of medical treatment, benefits and other elements in ...
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...
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...
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 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...
Has developed high level knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics. Identifies and appropriat...
Reporting to the Claims Manager, you will be responsible for managing a diary system to ensure timely benefit administration and superior claims management. We deliver operations, consulting and technology solutions across the risk and insurance value chain, including excellence in claims, underwrit...
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,...
Under the general direction of Forensic Scheduling / Claims lead, this role is responsible for developing forensic delay analyses required to determine merit and quantification of time extensions to the Contractors. This role is also responsible for reviewing and analyzing Contractors’ Time Impact A...
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...
A Manager within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. ...
Demonstrates extensive working knowledge of the tort and statutory laws and claims practices. Ability to handle complex liability claims. ...
The Claims Supervisor - Material Damage contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience by providing leadership to the claims team, focusing on the achievement of key business goals and customer service standards. This position will oversee a team...