Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury and UM claims or catastrophic auto PIP/MP medical claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, def...
This employee will report to the Life Company Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a flawless execution of business-related processes, procedures, oversight and execution of the end-to-end claims process. Medicare Supplement Claims for US...
The Vice President of Casualty, Claims Center will work closely with other Claims Center functions and Casualty teams across North America Claims to align claims handling best practices and foster a strong culture of collaboration amongst teams. Align the Casualty Claims Center team to all strategie...
Repwest Insurance is seeking a Claims Adjuster to handle Bodily Injury claims. As a Bodily Injury Adjuster at Repwest, you will be responsible for investigating, evaluating, and resolving bodily injury and property damage claims involving U-Haul equipment and properties. Review claims to determine c...
As a Cyber Claims Specialist, you will play a crucial role in handling complex cyber claims and investigations, utilizing your expertise in risk management and loss mitigation. Insurance Claims experience, specifically within residential and commercial property claims policies. We are actively looki...
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...
Insurance Company Client is looking for an experienced Claims professional with litigation and claims management experience. Will lead a multi-location and teams of claims managers claims professionals. The candidate will need at least 15 years claims experience, and at least 10 years of it in ...
Insurance Placement Solutions has an immediate opening for a Workers' Compensation Claims Medical Only Claims Adjuster with our client. As a member of our client's claims team, utilize your knowledge of workers' compensation to independently investigate, evaluate, and resolve assigned claims to achi...
Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims, etc. Evaluate claims, reporting forms and cancellations and initiate necessary corrections to ensure accuracy of dates, coverage, signature, commission, premium,...
The Supervisor Integrated Claims (DI/FMLA) will supervise a team of Claims Examiners as they investigate, evaluate and determine benefit eligibility of Disability and Leave of Absence claims in a timely fashion. Coordinate appropriate assessment and assignment of customer to suitable claims examiner...
The ESIS Senior Workers'pensation Claims Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Basic knowledge of claims handling and familiarity with claims terminologies. ESIS provides a ...
Manager, Claims Operations - Auto Non-Injuryplex (Phoenix)Why USAA? Let’s do something that really matters. We are seeking a dedicated Manager, Claims Operations to lead a team of Auto Adjusters. This team will handleplex level auto non-injury and total loss claims. In this role you will lead auto c...
Settling 1st & 3rd party claims using evident fraud as needed. Minimum of three+ (3) years’ claims adjusting experience; litigation experience; or equivalent combination of advanced education and experience. Good analytical abilities to review, exercise judgment and evaluate claims to make sound dec...
Ability to mentor members of the Claims team and serve as an insurance and claims subject matter expert. Investigate and submit new claims to insurance carriers by reviewing first reports of loss and supporting materials to accurately identify insurance exposure and determine applicable insurance po...
Answer related claims questions for applicable clients specific to the Intake process and reporting missed time. ...
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...
This exciting opportunity will reside in the Claim and Servicing Operations department of AAC, and primary responsibilities will include enrolling, servicing, and adjudication of insurance policies and claims; this role provides an exciting opportunity to handle claims for the Retail and Warranty pr...
As a Cyber Claims Specialist, you will play a crucial role in handling complex cyber claims and investigations, utilizing your expertise in risk management and loss mitigation. Insurance Claims experience, specifically within residential and commercial property claims policies. JOB DESCRIPTION ...
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. To analyze mid- and higher-level general liability claims to determine ben...
Conducts retrospective review of medical/surgical claims and behavioral health claims for inpatient and outpatient services. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management and the claims su...
This includes implementation of best practices, financial responsibility for performance of claims including oversight of claim reserves and outcomes, and providing legal advice and direction related to risk management incidents and inpatient grievances, potential claims, claims and litigation. Prov...
Identify trends and perform root cause analysis on unpaid and underpaid claims. ...
Input data entry correspondence into system, diaries information for claims reps and/or team leader and prepares form letters. ...
The Housing Claims & Prior Authorization Manager, who reports to the Claims Operations Administrator, is tasked with ensuring that prior authorizations and claims for Health and Housing Opportunities (H2O) services are reviewed and processed promptly. This role involves verifying that claims documen...
Commercial and/or Personal Lines Claims Representative positions. Prepare and submit First Report of Claims to carriers. Document, track, and facilitate claims assignments. Work in agency management system to document communications and track claims. ...