Key Responsibilities:Manage and adjudicate supplemental insurance claimsHandle appeals, complaints, and complex claim issuesTrain, mentor, and provide support to team membersRequired Qualifications:High School Diploma or GED3+ years of experience in employee benefits or financial servicesBachelor's ...
Claims Service Representative III - SIU. This position is responsible for handling highly complex claims matters involving issues of concern related to indicators of potential fraud. The primary functions include investigation, evaluation, and negotiation of complex claims. Competitive candidates wi...
A company is looking for a Claims Coverage Counsel. ...
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?. INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!. Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry ...
A company is looking for a Virtual Property Claims Specialist. ...
Workers Compensation Claims Examiner I. Under close supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. This position requires considerable interaction with clients, claimants on the phone, and with management, other ...
Limits are larger than those allowed for Claims Examiner I and Claims Examiner II. Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. Effectively manages a caseload of 130 to 140 workers' compensation f...
Kemper has multiple positions available for Unrepresented Bodily Injury Claims Adjusters to work in our Cerritos, CA office. You handle claims involving injured claimants, from start to finish. Handle bodily injury and property damage claims. Make the liability decision on claims. ...
Reporting to the Team Leader, the Claims Adjuster, Auto is responsible for providing a consistently high level of service by investigating insurance claims for insurers or third parties and negotiating settlement of the claims to the satisfaction of all parties. Manages comprehensive desktop investi...
Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. PRIMARY PURPOSE: To supervise the operation of multiple teams of examiners and technical staff for workers compens...
The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or health agreements, established payment metho...
Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads. CCMSI is growing and we are seeking an experienced Workers' Compensation Claim Specialis...
The Senior Claims Manager will own the prepayment identification of claim adjustments, Payer Compass claims testing as well as corrections for EDPS encounters. The incumbent will execute pre/post claims editing, audit, EDPS and claim adjudication programs that will drive incremental value year over ...
We are seeking a dedicated and detail-oriented Medical Claims Specialist to join our team. Accurately review and respond to payment rejections and denials to ensure claims are processed correctly. Accurately post payments received from payers and patients to appropriate claims in the billing system....
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
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...
Workers' Compensation Claims Supervisor - Lead a Dynamic Team in Orange, CA We're seeking an experienced and motivated Workers' Compensation Claims Supervisor to join our team in Orange, CA. As a Supervisor, you'll lead a team of 8, including 6 Claims Adjusters and 2 Claims Assistants, providing gui...
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...
Work proactively towards claims resolution with defense counsel -Determine if coverage applies for claims reported -Evaluate damages to ascertain compensation amount -Respond to claims calls and e-mails from agents and claimants -Negotiate claim settlements -Participate in claims related audits -Pre...
Our client is expanding their Workers' Compensation department and seeking to add a Workers' Compensation Claims Supervisor to their Inland Empire claims operation. Supervise Workers' Compensation Claims Adjusters handling minor to complex indemnity claims. This position would be responsible for sup...
A Manager within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. ...
To analyze complex or technically difficult workers' compensation 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 req...
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 Claims Recovery Administrative Assistant provides administrative support to attorneys and paralegals on the Claims Recovery Team. ...