Our Professional, Casualty and Property claims teams are growing! We are looking for claim examiners of all experiences for our open positions. Our claim examiners are assertive decision makers with a strong desire to persuade through negotiation and conflict management. The claims team offers ongoi...
Key Responsibilities:Investigate and resolve Homeowners claims of moderate complexity efficientlyUse advanced technology to collaborate and estimate damages virtuallyNegotiate settlements, communicate effectively with insured parties, and manage claims workloadRequired Qualifications:Bachelor's degr...
Swoon is currently looking for a Claims Examiner for a Health Insurance Company. Works in conjunction with the Compliance Department to update provider records as appropriate when notified of credible allegations of fraud and identify any claims paid during the alleged period. ...
Our client is seeking to add a Senior Workers' Compensation Claims Examiner to their California operations. This role will consist of handling moderate to complex Workers’ Compensation Lost Time claims throughout the state of California from inception to close. Handle mid to complex Workers' Compens...
A company is looking for a Claims Examiner I. ...
The Claim Examiner is responsible for the adjudication of ancillary claims and claims follow-up. Hybrid Claims Examiner (Bilingual in English and French). Our client is hiring a Claims Examiner. Provide claim information or status to existing open or pending claims and communicate updates to service...
To analyze complex or technically difficult general liability 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 require...
Our client is seeking to add a Senior Workers' Compensation Claims Examiner to their California operations. This role will consist of handling moderate to complex Workers' Compensation Lost Time claims throughout the state of California from inception to close. Handle mid to complex Workers' Compens...
Manually adjust pended escalated claims to resolve complex issues related to claim payments. Create and generate any overpayment documentation (notes in system, letter to typing) on all overpayments created by the examiner or any overpayments identified by examiner. Attention to detail is critical t...
Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children’s Health Insurance Program) according to departmental and regulatory requirements. Two or more years of experience claim processing and/or billing experience required. Specific knowledge an...
Assistant Claims Examiner - Irving, Texas. Do the research on assets and probate, file court claims, work with stakeholders on case management, resolve outstanding issues and collect payment. Connect directly with attorneys and family members via phone or email regarding case status and when more in...
Join us as a Senior WC Claims Examiner to grow your experience in Defense Base Act Claims. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. Provide technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with...
To analyze complex or technically difficult general liability 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 require...
We are seeking 2+ years (Associate Claim Examiner) or 7+ years (Claim Examiner) of relevant experience handling general liability/casualty/excess matters including prior examiner, adjuster, paralegal and/or other transferable experience. Our claim examiners are assertive decision makers with a stron...
Join us as a Senior WC Claims Examiner to grow your experience in Defense Base Act Claims. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. Provide technical expertise in directing and resolving Federal Workers’ Compensation claims in accordance with...
Claims Examiner - Workers Compensation | TX Jurisdiction. To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requi...
We are seeking 2+ years (Associate Claim Examiner) or 7+ years (Claim Examiner) of relevant experience handling general liability/casualty matters including prior examiner, adjuster, paralegal, attorney/lawyer and/or other transferable experience. Examiners are responsible for proactive file managem...
To analyze complex or technically difficult general liability 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 require...
BHSI has an exciting opportunity for a Senior Claims Examiner who will independently handle a diverse mix of matters consisting of Cyber/Media/Tech/MPL claims underwritten out of the Executive and Professional Liability unit. Handling a pending of primary and excess claims under Cyber, Tech E&O, Med...
Assistant Claims Examiner - Irving, Texas. Do the research on assets and probate, file court claims, work with stakeholders on case management, resolve outstanding issues and collect payment. Connect directly with attorneys and family members via phone or email regarding case status and when more in...
Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Technical claims in...
Assistant Claims Examiner - Irving, Texas. Do the research on assets and probate, file court claims, work with stakeholders on case management, resolve outstanding issues and collect payment. Connect directly with attorneys and family members via phone or email regarding case status and when more in...
We are seeking 3+ years (Associate Claim Examiner) or 7+ years (Claim Examiner) of relevant experience handling first party property claims including prior examiner, adjuster, paralegal, attorney/lawyer and/or other transferable experience. The claims examiner is responsible for proactive file manag...
Assistant Claims Examiner - Irving, Texas. Do the research on assets and probate, file court claims, work with stakeholders on case management, resolve outstanding issues and collect payment. Connect directly with attorneys and family members via phone or email regarding case status and when more in...