The Claims Quality Assurance Auditor serves as a consultative expert in claims operations supporting the accuracy, consistency, and quality of claims processing by conducting audits of claims processed against established Plan guidelines and protocols specific to claim adjudication, both via manual ...
A company is looking for a Claims Data Reporting Specialist. ...
As a Supervisor, you'll lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations. Workers' Compensation Claims Supervisor - Lead a Dynamic T...
A company is looking for a Claims Coordinator. ...
The Team Leader will be responsible for working with the ESIS Claims management team to successfully implement business plans focusing on claims quality, customer service, staff development and expense management. Determines and delegates claims settlement authority to claims representatives. Develo...
A company is looking for a Medical Claims Consultant. ...
Administer indemnity claims and handle complex claim issues. Use strong litigation management experience, lien resolution abilities, and customer service skills to resolve routine claims without legal representation. Accept or deny delayed claims within 90 days. Complete instruction sheets for Assis...
You are here: / US,San Jose-CA,Field Property Claims Adjuster **Field Property Claims Adjuster**. As a member of the Property Claims Team, you will play a vital role in providing an outstanding customer experience by using your investigative and negotiation skills to resolve a variety of homeowner c...
Withum is seeking an experienced health claims auditor possessing in-depth knowledge of group health and disability claims procedures, medical/dental terminology, including CPT, ADA, HCPC and ICDA codes, and a thorough understanding of automated health claims systems as well as manual claims payment...
Use claims handling software, apany car, and laptop to determine claims-related damage and write estimates in a paperless environment. Property Field Claims Representative - East Bay - CA. Our Field Property Claims Adjusters will:. Achieve a minimum passing score on all claims training exams. ...
Claims Investigator investigates, negotiates, and settles third-party property damage and personal injury claims. Relevant claims experience along with Property damage claims handling experience. Conducts interviews with employees and third parties to investigate claims and incidents. Conducts and p...
Responsible for overall supervision of a claims department by managing the team, ensuring the client’s needs are met, and all claims are being managed in accordance with Keenan’s policies and procedures. Review and maintain diary on all cumulative traumas, joint coverage, serious & willful, 132a cla...
ICW Group’s Claims Academy Training Program prepares aspiring professionals for a career as a Claims Examiner in the Worker’s Compensation Industry. Upon successful completion, they will move into a Claims Examiner Role where they will be managing claims and providing benefits to injured workers. Tr...
Understand and can work claims for all major crops, policy/plan types, in all stages of growth. Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions, or trials as necessary. Ensures that claims handling is conducted in compliance with applicable statues, ...
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...
The ESIS Senior Workp Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Authoritative technical knowledge of claims handling and claims terminologies. ESIS provides a full range 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...
Job Title: WFH Claims Processor. Pay or deny claims according to the benefit summary. Analyze claims for correct payment verification and adjust where needed. Use of the Facets system to adjudicate claims. ...
Claims Service Representative II - CasualtyThe Auto Club of Southern CA is looking for a Claims Service Representative responsible for investigation, evaluation and negotiation of low to moderate complexity claims in compliance with established company technical and customer service. Explain benefit...
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...
Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empathy and understanding and explains policy coverages and claims processes to customers. Responsible for handling claims having moderately complex negligence, compensability,...
Audit check run and send claims to the claims department for corrections. Support Claims Project activities to update configuration within the core claims processing system, typically within the areas of Provider Pricing. Analyze trends in claims processing issues and assist in identifying and quant...
The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. ...
Claims Service Representative I - Early Response. When you join the Auto Club as a Claims Representative, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. As a representative within our Claims department you will:. Assess cl...
To analyze complex or technically difficult healthcare, environmental, management, executive, cyber, professional liability, error and omissions, and complex liability claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within company sta...