The Claims Quality Assurance Auditor serves as a consultative expert in claims operations supporting the accuracy, consistency, and quality of claims processing by conducting audits of claims processed against established Plan guidelines and protocols specific to claim adjudication, both via manual ...
A company is looking for a Medical Malpractice Lead Claims Specialist in Long Term Care. ...
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 ...
A company is looking for a Claims Coordinator I position. ...
As a Supervisor, you'll lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations. Workers' Compensation Claims Supervisor - Lead a Dynamic T...
A company is looking for a Claims Processor II. ...
Our client, a leading financial services company is hiring a Claims Adjuster - Workers Compensation on a long-term contract basis. The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's responsibility for lost wages, m...
You are here: / US,San Jose-CA,Field Property Claims Adjuster **Field Property Claims Adjuster**. As a member of the Property Claims Team, you will play a vital role in providing an outstanding customer experience by using your investigative and negotiation skills to resolve a variety of homeowner c...
Use claims handling software, a company car and laptop to determine claims related damage and write estimates in a paperless environment. The starting pay range for this position is $60,000 - $80,000 based on property claims adjusting experience. Our Field Property Claims Adjusters will:**. Must ach...
The Team Leader will be responsible for working with the ESIS Claims management team to successfully implement business plans focusing on claims quality, customer service, staff development and expense management. Determines and delegates claims settlement authority to claims representatives. Develo...
Investigates and maintains claims:. Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handling is conducted in compliance with applicab...
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...
Experienced in investigation of product/auto/general liability claims, Workers Compensation, disability claims, life insurance and contestable death claims. Claims Investigator (Part-Time). Immediate need for a PT Claims Investigator within the largest worldwide investigative solutions company. Abil...
Reporting to the Team Leader, the Claims Adjuster, Auto is responsible for providing a consistently high level of service by investigating insurance claims for insurers or third parties and negotiating settlement of the claims to the satisfaction of all parties. Manages comprehensive desktop investi...
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...
This position provides technical advice and guidance to claims associates on conditional demands in various states, and recommends changes in claims handling practices based on legislative action or court decisions and trends in the insurance industry. Coordinates with various claims units to provid...
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...
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...
Use claims handling software, apany car, and laptop to determine claims-related damage and write estimates in a paperless environment. Property Field Claims Representative - East Bay - CA. Our Field Property Claims Adjusters will:. Achieve a minimum passing score on all claims training exams. ...
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 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...
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...
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...
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...