The Claims Assistant will assist and support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific needs of the customers. Process mail, handle files (until paperless), and input notes/diary entries in the claims s...
This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liabilit...
As a Cyber Claims Specialist, you will play a crucial role in handling complex cyber claims and investigations, utilizing your expertise in risk management and loss mitigation. Insurance Claims experience, specifically within residential and commercial property claims policies. We are actively looki...
The executive will: build and sustain individual agency relationships for the regions' agents; serve as the primary claims contact for claims concerns arising from agency personnel (including, but not limited to coverage questions, service issues, and settlements); coordinate, educate; and train age...
What You Will Do: Analyze auto policy coverage and exclusions Investigate claims and determine liability Resolve and settle auto property damage claims What You Will Bring: Our ideal candidate will have 1-3 years of relevant experience and the following credentials/skills: Claims Handling Auto Claim...
Repwest Insurance is seeking a Claims Adjuster to handle Bodily Injury claims. As a Bodily Injury Adjuster at Repwest, you will be responsible for investigating, evaluating, and resolving bodily injury and property damage claims involving U-Haul equipment and properties. Review claims to determine c...
The Benefit & Claims Customer Service Representative provides information on health and welfare, benefits and claim status to hospitals, providers, and participants. ...
As a Customer Service Claims Representative you will be part of an outstanding contact service center, where you will focus on providing claims service to members regarding the initial contact on all **auto OR property** First Notice of Loss (FNOL) claims. Assist with questions regarding the claim...
Sr Representative Claims - CH08BE. Handle higher complexity Workers’ Compensation claims requiring timely investigations, financial accuracy, effective benefit oversight, appropriate file disposition, and adherence to statutory guidelines. Plan, recommend, and execute the investigation and dispositi...
Other duties as assigned and including claims management of other jurisdictional workers’ comp claims. Under close supervision manages all aspects of medical only claims handling from inception to conclusion within established authority and guidelines. This position requires considerable interaction...
Adhere to all statutory and regulatory fair claims practices. Recognize and identify potential fraudulent claims. Minimum two years of claims adjusting experience required. Thepany is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial...
Immediate opening for a Licensed Auto Physical Damage Claims Adjuster with 2 plus years experience. You'll investigate the facts of the loss, determine liability, obtain estimates for vehicle damages, review estimates and settle the auto property damage claims with insureds and claimants. ...
This will include the end-to-end claims process and settling claims in compliance with state laws and regulations. Assist with questions regarding the claims process and set expectations for next steps to help ensure claims are effectively resolved and accurately documented. Our Associate Property C...
The Complex Claims Specialist - Allied Healthcare is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolutio...
Workers' Compensation Claims Adjuster II. Responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds and claimants, ensuring that company resources are utilized in a cost ...
Conducts retrospective review of medical/surgical claims and behavioral health claims for inpatient and outpatient services. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management and the claims su...
How you'll make an impact Investigates, evaluates, disposes and settles less complex claims with moderate supervision and includes the investigation, determination and evaluation of coverage, liability and damages and the setting of proper reserves. Incumbents at this level typically hold claims res...
This will include the end-to-end claims process and settling claims in compliance with state laws and regulations. Assist with questions regarding the claims process and set expectations for next steps to help ensure claims are effectively resolved and accurately documented. Our Associate Property C...
Adhere to all statutory and regulatory fair claims practices. Recognize and identify potential fraudulent claims. Claims experience is preferred. ...
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather necessary claim information, managing the claim process from the initial request to the return to work.Collaborating with fellow case managers, nurse case managers, and consulting physicians ...
Commercial and/or Personal Lines Claims Representative positions. Prepare and submit First Report of Claims to carriers. Document, track, and facilitate claims assignments. Work in agency management system to document communications and track claims. ...
The Inside Claims Representative II – Total Loss contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience through the fair and equitable adjustment of moderately complex auto total loss claims utilizing telephone and written correspondence, working directl...
This position will start out working from home.Candidates must be capable of working from home, have a high-speed internet connection, a quiet place to work and have uninterrupted phone calls (free of loud noise from kids, dogs, yard work, etc).Candidates must also understand and be available to ret...
Manager, Claims Operations - Auto Non-Injury Express (Phoenix)Why USAA? Let’s do something that really matters. We are seeking a dedicated Manager, Claims Operations, to lead a team of entry level Auto Adjusters. This team will handle express level Auto Non-Injury Claims. In this role you will lead ...
The Vice President of Casualty, Claims Center will work closely with other Claims Center functions and Casualty teams across North America Claims to align claims handling best practices and foster a strong culture of collaboration amongst teams. Align the Casualty Claims Center team to all strategie...