At least five years progressively responsible healthcare claims experience, which includes all aspects of claims administration; and. At least three years' experience in using other claims-related applications including Claims Edit Systems (CES) and other integrated pricing systems. Under limited su...
Claims Consultant - Commercial Lines. Advocates on behalf of our clients for coverage and proper claims management, including reserving and settlements. Continually keeps AMS up to date with all claims related information. Acts as claims expert and provide guidance and direction to all requests. ...
Advocates on behalf of our clients for coverage and proper claims management, including reserving and settlements. Continually keeps AMS up to date with all claims related information. Acts as claims expert and provide guidance and direction to all requests. Property & Casualty Claims. ...
Responsibilities include determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance with applicable laws; and identifying opportunities for, managing subrogation of claims, and negotiating settlements. The Workers Compensation Risk Analyst ...
Field Property Claims Adjuster - Stockton, CA**. We are looking for customer service focused individuals to build a rewarding long-term career with us as a **Field** **Property Claims Adjuster!**For more information, review What we offer on. ...
Responsibilities include but are not limited to prepare, analyze, code, and input a variety of medical claims for payment. Prepare, analyze, code, and input a variety of medical claims for payment. Analyze and determine financial responsibility of claims by using handouts and contracts. Ability to c...
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...
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...
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...
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...
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...
Experienced in investigation of product/auto/general liability claims, Workers Compensation, disability claims, life insurance and contestable death claims. Immediate need for a Claims Investigator within the largest worldwide investigative solutions company. Ability to conduct multiple types of com...
This position provides technical advice and guidance to claims associates on conditional demands in various states, and recommends changes in claims handling practices based on legislative action or court decisions and trends in the insurance industry. Coordinates with various claims units to provid...
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...
The Company that offers insurance claims administration services, risk management, analytics, worker care and absence management, and compliance services is looking for a Claims Assessor to work remotely. Why you should apply to be a Claims Assessor:. Chance to make a difference in people's lives by...
Manages/adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations; determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses; inspecting claims sites as required, assigning external vendor...
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...
The successful candidate will investigate, evaluate, negotiate and settle Auto claims by telephone and correspondence. Ability to conduct telephone investigations, evaluate, negotiate and settle first and third party commercial lines claims. ...
As an Associate Auto Claims Advisor, your responsibilities include handling non-injury claims. We are actively hiring for an Auto Claims Adjuster. You will be setting expectations about the claims process with the member, obtaining police reports, and witness statements, reaching out to other 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...
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...
Experienced in investigation of product/auto/general liability claims, Workers Compensation, disability claims, life insurance and contestable death claims. Immediate need for a Claims Investigator within the largest worldwide investigative solutions company. Ability to conduct multiple types of com...
The property claims field adjuster trainee will learn how to apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle minor to moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expen...
Perform all other duties as directed by the Claims Supervisor or Claims Manager. Review and analyze customer warranty repair requests/claims to ensure compliance with warranty guidelines. Liaise with the various plant’s QC departments as well as other internal stakeholders and assist in negotiations...
The Property Claims Field Adjuster ll will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Company and...