A company is looking for a Claims Research Specialist II. ...
AVP, Construction Claims Manager. Analyze loss and expense trends on a portfolio of claims and assist in the development and implementation of plans to improve results. Evaluate exposures and make substantive claim decisions for Construction Casualty claims and as needed on other lines of business. ...
Key Responsibilities:Calculate and communicate changes to benefits based on contract termsTrain case managers on financial components affecting claimsMaintain reporting and metrics on overpayment recoupment and waiversRequired Qualifications:College degree or equivalent work experience3 to 5 years o...
Claims Service Representative 4 - APD MPR CA. Position requires the handling of disputed material damage claims to a satisfactory conclusion. Ability to service claims of various complexities. ...
A company is looking for a Claims Adjuster- Centralized. ...
Claims Team Manager - Auto Early Response. This management position serves as an instrumental component of the day to day activities within the claims unit. Primary functions include coordinating, directing, and overseeing claims activities of a team(s). Track and monitor all statistical measures an...
Casualty Claims team in Orange, CA or Walnut Creek, CA as a. This individual will handle complex general liability and excess liability and umbrella claims of all varieties. Ability to influence others and resolve complex, disputed claims. Ability to identify and use relevant data and metrics to bes...
Claims Unit Manager - Catastrophe. Claims Catastrophe (CAT) Unit Manager. Ensure all claims within the unit meet or exceed quality and regulatory requirements. Homeowner and Auto Claims experience 3 to 5 years. ...
Experience with Self-Insured Claims/Programs: Hands-on experience in handling self-insured claims is highly desirable. Strong Technical Background in California Workers' Compensation (CA WC): Proficiency in managing workers' compensation claims, including those that are litigated. A minimum of 5 yea...
Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working relati...
The Senior Claims Examiner administers health plan contracts by processing medical claims in an efficient, cost-effective, and timely manner meeting all required guidelines and performs adjustments as necessary. Minimum two (2) years medical claims processing experience. ...
Knowledge of general claims processing principles, CMS claims coding, and UB-04 claims coding, based on at least three to five (3-5) years experience in claims processing preferably in a managed care environment (IPA,MSO). Enter claims information from CMS 1500 (professional) and UB-04 (facility) cl...
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, dir...
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...
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, ...
Expert en responsabilité civile commerciale / Claims Adjuster - Liability/Commercial. PRIMARY PURPOSE: Effective adjudication of specialized multi line general liability claims of various complexities within company standards and industry best practices. Manage all aspects of general liability claim...
Our client, is in need of a Temporary Workers' Compensation Claims Examiner for their Irvine Office to work on a hybrid basis. Workers' Compensation claims in California. Ability to negotiate settlement of claims within designated authority. Experienced with litigation management; ensures timely and...
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...
Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working relati...
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 m...
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...
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...
Claims Service Representative I - Early Response Weekend. 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:. A...
As a member of our client's claims team, utilize your knowledge of workers' compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. Insurance Placement Solutions has an immediate opening for a Remote Workers Compensation Claims Adjust...
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...