Receives assigned lost-time claims for investigation to determine coverage and compensability on claims with a short disability period of 8 weeks or less (could occasionally exceed 8 weeks). Processes claims which include the following activities: Making contacts, setting reserves, establishing file...
Processing client claims with a focus on worker’s compensation claims . Worker's Compensation Claims Team. Analyzing claims through multiple channels . Utilizing resources and methods of best practices to set up claims accurately . ...
Plans, controls and coordinates claims activity and workflow within claims unit/department in order to maintain the highest professional customer service and technical standards, and to ensure work is produced in a timely fashion and that all deadlines are met, including ensuring timely and appropri...
Ensure quality management of claims in accordance with claims best practices and company guidelines, proactive action plans to drive positive return to work results while presenting timely, accurate documentation of claim activity. Workers' Comp Claim Representative, or comparable knowledge and expe...
Auto Liability Bodily Injury Claims Examiner. To analyze and process complex auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims...
Claims Information Service Representative. ...
Analyze claims data to identify trends and areas for improvement in the claims process. Our claims and risk engineering services are recognized as among the best in the industry. As a Client Relationship Executivein the Sharing Economy Division, you will be the primary liaison between our sharing ec...
Here at NJM, our General Claims department in West Trenton, NJ is looking for a. Subrogation Claims Representative. Receive and process subrogation claims, seeking recoveries from adverse parties and/or their insurance carriers. Thoroughly review, evaluate and investigate subrogation claims to obtai...
Focus is on Consumer Health and Pharmaceutical claims activities within Order to Cash Operations and Chargeback activities. ...
With moderate direction, this position handles single and multi-party personal or commercial line claims of moderate to high exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while del...
Complies with Unfair Claims Practices Acts and ensures handling of claims in good faith. At American Family Insurance Claims Services (AFICS, Inc. The Claim Team will handle moderate to highly complex claims. Three or more years property claims handling experience required. ...
The Claims Specialist will manage an assigned pending of various types of contract surety bond claims. Adjust contract surety bond claims by receiving claim assignments, communicating with claimants and principals, investigating claims, analyzing documentation, understanding coverage under the bonds...
Title: Medicaid Claims Analyst. The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates. Resolve disputes and propose recomme...
Manage the overall Claims Evaluation process for all business units including prioritizing safety as a primary objective, development and maintenance of standardized claims evaluation protocols, claims analysis and reporting processes related to identifying, prioritizing, and reporting field issues ...
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...
Plans, controls and coordinates claims activity and workflow within claims unit/department in order to maintain the highest professional customer service and technical standards, and to ensure work is produced in a timely fashion and that all deadlines are met, including ensuring timely and appropri...
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, ...
Ensure quality management of claims in accordance with claims best practices and company guidelines, proactive action plans to drive positive return to work results while presenting timely, accurate documentation of claim activity. Workers' Comp Claim Representative, or comparable knowledge and expe...
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...
Provide General Claims staff with legal advice regarding coverage and various claims questions. Our General Claims Legal Department is seeking an attorney with a minimum of 4 years of experience with insurance defense work, principally related to auto accident and premises liability, and handling co...
For claims involving injuries (if handled), learns how to review, evaluate, and negotiate basic to moderate injury claims. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. This is a Remote role where the employee can reside anywhere in th...
The Executive Specialist will handle a regular diary of Cyber claims and must have experience handling first-party Cyber claims. Experience handling Cyber claims is required, and prior experience in Professional Liability, Commercial Crime and/or D&O claims is also preferred. Our claims and risk eng...
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...
Berkley Accident and Health team! You will perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount requested is eligible for reimbursement. Process an average of 5 to 7 claims per day. Review and adjudicate claims with...