Performs a variety of administrative functions in support of claims staff and operations. Print and mail claims documents. Collect and coordinate delivery of claims checks. Manage lifecycle of claims documents within storage; retrieve documents as needed. ...
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, ...
Assigns new claims to the appropriate claims handler. Entry- Level, Bilingual Spanish, Customer Service and Claims Positions. To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as a customer liaison in assisting the customer with the correct co...
The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Performs coverage, liability, and damage ana...
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...
To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Performs coverage, liability, and damage ana...
Negotiates and settle claims in accordance with Citizens Best Claims Practices and Estimating Guidelines and industry standards. The position is responsible for the investigation, evaluation, negotiation and settlement of personal and commercial claims of moderate complexity, including dispute resol...
Work with the ACA Commercial Stakeholders, ensure timely reconciliation of claims for encounter submission deadlines; while also meeting the needs of Revenue Integrity’s internal market and product customers. ...
With extensive claims and legal knowledge and expertise, the Senior TPA Claims Handler ensures optimal handling of all claims through to completion of sound claims settlements in line with company targets, policies, and procedures and will ultimately assist in implementing the company's business pla...
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Planning and organizing daily workload to process claims and conduct inspecti...
Independent responsibility for managing medium and complex claims of assigned clients. Acts as an advocate and claims specialist to provide support to clients, claimants, Producers, and carriers;. Provides initial and on-going advocacy on claims including detailed analysis, interpretation, consultat...
Ascendant is seeking qualified Bodily Injury Claims Adjusters to join their third-party claims administration organization which is committed to providing best in class claims adjudication solutions. The primary job responsibilities for this position include but are not limited to effectively managi...
Claims Representative – Gainesville, FL. SUMMARY: Responsible for handling all multi-line claims in assigned territory to a proper conclusion. Investigate, validate, evaluate, negotiate, and settle all claims as assigned. Submit reserve recommendations on assigned claims. ...
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...
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join EAC Claims Solutions as a Desk Adjuster, where you will play a crucial role in resolving significant losses, including complex property claims. Under limited supervision, you'll investigate claims, nego...
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...
The Claims Examiner / Corporate Representative will serve as the designated corporate representative for the client in property claims litigation. Collaborate with defense counsel and claims management to implement fair and consistent strategic actions. Stay current on claims-handling statutes, lega...
VITUS Search Group is looking for an experienced Workers Compensation Claims Supervisor in Massachusetts area. Based on New England Claims experience. MUST MUST HAVE LICENSES & EXPERIENCE AS NEW ENGLAND WORKERS COMPENSATION CLAIMS ADJUSTER**. We are seeking a Workers Comp Claims Supervisor ...
The Claims Auditor conducts audits of AvMed, Delegated Vendors, and Business Process Outsourcing (BPO) claims. Conducts random audit samples of manually and auto-adjudicated claims with an emphasis on claims payment and processing accuracy. The Claims Auditor conducts claim audits and works closely ...
Property & Casualty (P&C) Claims Adjuster. Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liabi...
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 Research and Resolutions Claims Processor will be responsible for handling dental claims submitted by providers and health plan members in line with the company's policies, procedures, and contractual agreements. Performance objectives define the expected volume of claims to be processed per hou...
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...
We deliver operations, consulting and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation, customer experience, human capital, transformation, and change management. Davies Claims North America is looking for a. Repor...