Investigate, develop, and implement new methods, procedures and technologies to promote automated processes and efficiencies within the Claims department. Develops presentations for Claims Management and Executive staff regarding significant trends and findings within existing and newly developed re...
The Director Claims will have overall responsibility and accountability for effectively and efficiently leveraging staffing and technology in delivering claims adjudication and claims service for group short-term disability (STD) claims with absence. Contribute to the development of strategic goals ...
Meet with Team and Claims Management concerning semi-complex production reporting and enhancements. ...
Manages complex claims with special emphasis on high dollar and attorney represented claims. Ensures compliance with state laws and company policies along with mentoring assigned Analysts regarding basic claims standards and department policies. Provides professional, technical, and strategic guidan...
Document information related to the claim and make decisions consistent with claims standards and local laws. Evaluate and handle claim payments and resolution of claims without payments. ...
Claims Services/Imaging Specialist. ...
Claims Service Representative 2 - ER. Explain benefits, coverage's, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Negotiate within settlement authority with insured's and claimants to resolve first and third-party claims. ...
Supporting claims staff in executing claims processing activities. Knowledge of claims and claims processing business processes and experience with varying service objectives and technical solutions is preferred. As a Lead for the Claims Unit at Gainwell Technologies, you will be part of an innovati...
This position also supports the Claims Operation by providing service pursuant to the policy by handling claims of material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. Claims Service Represe...
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...
Outside property adjusters handle property claims requiring field investigations and/or inspections. They are expected to know their territory, including the geography; regulations and the law as pertains to property claims; state and local public safety and regulatory agencies and officials; the in...
The Director Claims will have overall responsibility and accountability for effectively and efficiently leveraging staffing and technology in delivering claims adjudication and claims service for group short-term disability (STD) claims with absence. Performance and Service expectations: 50% Contrib...
Claims Representatives provide a high standard of professional conduct in the claims service to customers. Reports to: Director of Claims - Operations. They work independently in their overall management of the claims process and act with discretion with customers, claimants, insurance carriers and ...
Claims Service Representative I - Early Response. Explain benefits, coverage's, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Negotiate within settlement authority with insured's and claimants to resolve first and third-party claims....
The Claim Examiner II obtains and analyzes information to make claim decisions and payments on Long Term Disability “LTD” and Waiver of Premium “WOP” claims. Reviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor,...
Does your claims management job feel stale? A process driven organization can lose sight of the true purpose of managing claims -- good outcomes on each claim. Most of our strongest competitors over the years, all of them process driven in their claims handling, are no longer in business. Our servic...
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, ...
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...
The Claim Examiner II obtains and analyzes information to make claim decisions and payments on Long Term Disability “LTD” and Waiver of Premium “WOP” claims. Reviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor,...
The Long-Term Disability (LTD) Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. You will be part of the Long-Term Disability (LTD) Claims team which is part of our Group Insurance...
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...
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...
High School Diploma OR GED and 3 years of claims experience OR Bachelor degree and 1 year of claims experience. ...
This position also supports the Claims Operation by providing service pursuant to the policy by handling claims of material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. Claims Service Represe...