Managing healthcare claims processing operations. A bachelor's degree and a minimum of four (4) years of experience (5 additional years of additional relevant management experience may substitute for the degree) managing healthcare claims processing operations and personnel for a government of priva...
A company is looking for a Workers Compensation Claims Supervisor. ...
This role will evaluate end-to-end claims processes, from claims intake to preprocessing, adjudication and post-payment and presentment, to clearly assess process changes and solutions and identify impacts to the business, stakeholders and/or external customers. Knowledge of claims processes is high...
A company is looking for a Claims Representative. ...
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...
A company is looking for a Claims Insurance Manager. ...
At the Direction of the Claims Supervisor and/or Manager - manages all aspects of complex and litigated indemnity claims from inception to conclusion within established authority and guidelines. Other duties as assigned and including claims management of other jurisdictional workers' comp claims. Cl...
This is an opportunity to leverage your technical liability claims subject matter expertise and leadership capabilities to manage the highest exposures and severity large loss General Liability (GL) claims. As a Senior Adjuster, you will work with a high level of autonomy and decision-making to mana...
As a member of an experienced Claims Adjuster team, you will investigate, evaluate, and resolve commercial liability claims with moderate supervision, engaging your analytical skills to make decisions and bring claims to resolution. We're looking for Claims Adjusters experienced in Liability Claims ...
Manages claims staff to ensure appropriate claim outcomes through consistent execution of best claims practices. Establishes documents and communicates claims settlement and reserving authorities for claims professionals. Workers Compensation Claims Manager - CA TPA#4281Multiple Locations. Provides ...
Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. PRIMARY PURPOSE:** To analyze mid- and higher-level general liability clai...
The ideal candidate will be based in CA and possess experience in handling homeowner, commercial, or auto liability claims. The ideal candidate will possess strong analytical skills, excellent attention to detail, and the ability to effectively manage and negotiate claims. Determines coverage, liabi...
Assure that all assigned indemnity claims have an up to date plan of action outlining activities and actions anticipated for ultimately resolving the claim. Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability p...
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 Senior Claims Professional is responsible for the management of a complex caseload of workers compensation indemnity claims from inception to resolution. Prepares and maintains timely, accurate reserves on all claims for expected future costs of medical treatment, benefits and other elements in ...
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...
Construction Estimator – Insurance Claims. A construction estimator for insurance claims is responsible for evaluating the extent of damage to residential properties caused by fires and providing accurate estimates for the cost of repairs or replacement. Regulatory Compliance: Stay informed about re...
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Develop a plan of action for assigned claims and update the claims file following all material changes in st...
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,...
As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goals and to ensure compliance with legal statutes, po...
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...
Our client, is looking for a Temporary Claims Assistant to join their team. ...
Facilitates regular team meetings, with an agenda and minutes; disseminate information consistently and timely; ensure all claims processing documentation is current and accurate; Interacts professionally, and presents ideas and information with confidence. ...
To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Workers Compensation Claims Examiner | Long Beach...
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...