Claims • kansas city mo
Properly examine medical and other factual evidence for claims for benefits involving work-place injuries and/or illnesses for factual sufficiency and legal correctness to determine if the compensa... Show more
Field Property Claims Adjuster.Join us as a Field Property Claims Adjuster where you'll be responsible for helping our customers navigate the claims process and get back on their feet following dam... Show more
Great American, based in Tulsa, Oklahoma, specializes in commercial casualty coverages with an emphasis on general liability for the construction, energy, and difficult-to-place business in other i... Show more
At First Chicago Insurance Company, our employees are our biggest asset! It is our mission to attract and retain intelligent, motivated, ethical employees who strive for excellence and growth, and ... Show more
This position is located in the Department of Labor (DOL), Office of Workers' Compensation Programs (OWCP), and can be assigned to a Workers' Compensation Claims Examiner in any of the four program... Show more
Examine medical and other factual evidence for claims for benefits involving work-place injuries and/or illnesses for factual sufficiency and legal correctness to determine if the compensation clai... Show more
Risk Manager Job Duties: Leads the identification, communication, measurement, and manag... Show more
The Claims Specialist is responsible for reviewing, investigating, and processing claims accurately and efficiently in accordance with company policies and guidelines.The role evaluates claim detai... Show more
Residential And Commercial Field Adjusters.CAT adjusters to subcontract with.Specifically for field property claims.Claims will typically be within a 100-mile radius from the listed location.Adjust... Show more
Professional Liability Claims Manager.With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communit... Show more
At First Chicago Insurance Company, our employees are our biggest asset! It is our mission to attract and retain intelligent, motivated, ethical employees who strive for excellence and growth, and ... Show more
Remote Claims Processing Associate.NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.This is a Long Term Temporary position supporting a lea... Show more
Process Consultant, Stop Loss Claims.The Process Consultant, Stop Loss Claims is accountable for process governance, end-to-end documentation strategy, and continuous improvement that strengthens q... Show more
Primary Workers' Compensation Claims Handler.Position Description: Primary Workers' Compensation Claims Handler at the plant with a focus on excellent customer service, quality claims handling, and... Show more
Job Title: Auto Claims Adjuster.Location: Overland Park, KS 66210.Duration: 6+ Months with possibility of conversion.Position Type: Hourly contract Position (W2 only).Training-During 4 weeks of tra... Show more
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose.Every day, we help clients navigate complexity,... Show more
IAT has an immediate need for a Claims Counsel in our Management Liability Claims Unit that can be located in any of the IAT locations.This role is a true complex claims handling role that is taske... Show more
Role specifics: Claims Background: Occupational Accident Jurisdictional Experience: Nationwide Active Adjusters' licenses: TX, FL.May need to acquire additional licenses upon hire.Location: Kansas ... Show more
A career at Auto-Owners is challenging and rewarding.Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.We offer a me... Show more
A Risk Coordinator – Claims ensures claims are properly reported, documented, tracked, and resolved while coordinating with operations, insurance adjusters, and other involved parties.This role mai... Show more
The average salary range is between $ 43,218 and $ 119,777 year , with the average salary hovering around $ 65,693 year .
The average salary range is between $ 34,125 and $ 82,853 year , with the average salary hovering around $ 44,888 year .
Duties
Properly examine medical and other factual evidence for claims for benefits involving work-place injuries and/or illnesses for factual sufficiency and legal correctness to determine if the compensation claim and/or medical benefit claim meets the criteria outlined in established policies, procedures, or other guidelines.
Prepare correspondence and maintain working relationships with claimants, witnesses, employers, physicians, medical providers, investigators, representatives, attorneys, and other sources to obtain missing or supplemental medical and employment documents, to clarify information, and to secure additional factual and medical information needed to adjudicate the claim.
Provide technical assistance and advice to claimants and/or their representatives on eligibility for benefits.
Review and evaluate a variety of evidentiary documents (e.g., narrative medical reports commenting upon the relationships of the disability to the implicated employment factors, history of claimant's disability and health history, specifics of employment felt to be the cause of injury, job descriptions, workplace exposures, comments on the veracity of the claimant's statements, employment records, letters or certificates of medical necessity, etc.) from a variety of sources submitted with or subsequent to the initial claim.
Familiar with the appropriate program statute, regulations, and policies so that they can perform specialized adjudicatory functions required by the appropriate program's procedure manual to determine the amount of compensation to be paid, the duration of periodic compensation, and/or reimbursement for medical or other expenses.
Respond in writing and/or via telephone, as appropriate, to received written correspondence, telephone messages, or inquiries via automated system.
Apply knowledge of workers' compensation laws, regulations, and policies to develop and make determinations on the proper disposition of claims for assigned cases.
Maintain and update claim data within appropriate applications (e.g., claims database, bill pay applications, or parallel applications) to reflect the status and level of entitlement.
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