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 Remote Insurance Claims Collector with a minimum of 2 years of medical insurance billing and claims follow-up experience. ...
Property Field Claims Representative - San Francisco. Investigates, determines liability, confirms coverage, establishes damages, and negotiates settlement of claims. Investigates, confirms coverage, determines liability, establishes damages, reports status and negotiates the settlement of assigned ...
A company is looking for a Claims Supervisor, Property for a remote position based in IN or TN. ...
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...
A company is looking for a Workers Compensation Claims Supervisor to lead a claims team in New Mexico. ...
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...
Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate analyze and determine the extent of insurance company's responsibility for lost wages medical benefits and permanent impairment. Workers Compensation handling California Claims. ...
Claims Service Representative 1 - Early Response - WeekendWhat’s in it for me?. 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 d...
Selective Insurance is seeking a E&S Litigation Claims Specialist who has handled a General Liability Litigation desk. Develop and execute litigation strategy, and manage the activities of assigned defense counsel to ensure cost effective resolution of litigated claims which may also involve the han...
Available to work On-Site, Long Island City, NY.Shifts: 5x8's, 8:00am - 5:00pm PST (if candidate lives in a different time zone, they are still expected to work PST hours).Completing application build requirements module tasks assigned as part of our first new install of Epic Electronic E.Complete a...
AOE/COE, Auto, or Homeowners Investigations.Writing accurate, detailed reports.Strong initiative, integrity, and work ethic.Securing written/recorded statements.Possession of a valid driver’s license.Ability to prioritize and organize multiple tasks.Computer literacy to include Microsoft Word and Mi...
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...
Receives assigned lost-time claims for investigation to determine coverage and compensability on claims with a short disability period of 8 weeks or less (could occasionally exceed 8 weeks). Processes claims which include the following activities: Making contacts, setting reserves, establishing file...
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...
CAP seeks a Claims Specialist (II or III/Senior), for its San Diego office, to perform technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. Manage medical malpractice claims, including the assignment, direction, and control of defen...
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...
Contact doctors/ hospitals or other persons/ organizations to verify information to make claims decisions. Settle minor claims within authority limit. ...
Selective Insurance is looking for a Mobile Property Field Claims Specialist to handle field property claims throughout the US. It is the responsibility of this position to provide superior property claims service to all regions by handling Property and Inland Marine claims, generally with dollar ex...
The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and guidelines as outlined by the company policy. Three (3) years of experience with processing all types of specialty claims such as Chemotherapy, Dialysis, OB and drug and...
Providence is seeking an Epic Applications Analyst – AP Claims, who will:. ...
The Workers’ Compensation Claims Adjuster must be knowledgeable of the California Labor Code and administration of claims. The Claims Adjuster is responsible for the prompt and efficient examination and investigation of claims. It is the responsibility of a Workers' Compensation Claims Adjuster to r...
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...
The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. ...