Our client, a National Insurance Carrier, is looking for a Mid-Level Workers' Compensation Adjuster for their remote opportunity.This candidate will need to reside in the State of California and have obtained a College Degree....
Settle claims within authority granted by the Claims Director, Claims Supervisor and/or insurance carrier, as appropriate. Professional Protector Plan is seeking a Claims Specialist to join our team. Reports to the Claims Director or Senior Claims Counsel. WHAT YOU WILL DO:* Process assigned primary...
Under moderate direction, the Auto Litigation Claims Specialist II handles single and multi-party personal or commercial line claims of low to moderate exposure and complexity within specific limits of authority. Zurich is currently seeking an Auto Litigation Claims Specialist II. Our ZNA Claims hyb...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. ...
Zenith is a team of Workers’ Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. Investigate, analyze, and determine the extent ...
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...
Processes all types of medical claims and adjusts medical disputed claims (Professional and Facility) according to department, contract, and regulatory requirements. Responsible for processing, auditing, and adjusting all facility medical claims, appeals and prepayment audits. Troubleshoots claims t...
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...
Chubb is currently seeking a Workers’ Compensation Lost Time Senior Claim Specialist for our West / Pacific Region. The successful applicant will be handling claims from California, Arizona, Colorado, and Utah. Requires minimal oversight to independently handle all aspects of workers’ compensation l...
Analyze hospital billing claims within the EHR and claim scrubber system. Understanding of Medicare/Medi-Cal claims processing guidelines. ...
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...
As a Field Claims Specialist, you’ll investigate, evaluate and resolve material/physical damage of a moderate to severe nature. You’ll be responsible for handling claims according to prescribed authorization and claims best practices. Maintains current knowledge of insurance and applicable product/s...
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather necessary claim information, managing the claim process from the initial request to the return to work.Collaborating with fellow case managers, nurse case managers, and consulting physicians ...
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather information regarding leave requests.Handling the FMLA administration process from the initial request for leave to the return to work.Gathering all required paperwork, determining leave elig...
The Claims Documentation Specialist II is responsible for creating, editing and updating documents that will provide an in-depth record of the procedures, policies and workflows used by L. ...
At this level, you will handle non-litigated auto claims of single and multi-party commercial line claims of low to moderate exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while del...
As a Senior Claims Specialist, you will play a pivotal role in ensuring the accurate and efficient processing of healthcare claims, overseeing complex cases, and providing guidance to claims specialists. We are seeking an experienced and highly skilled Senior Claims Specialist to join our claims pro...
Are you a confident, solution-oriented Claim Handler with professional work comp and/or excess work comp claims experience? If you thrive on managing a challenging portfolio of US excess work comp and work comp claims this role may be for you!. Actively manage newly acquired portfolio claims with re...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. This position will be the acknowledged technical expert and be responsible for the resolution of medium to high complexity and medium to high exposure construction defect, construction bodily injury and c...
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...
Working under minimal supervision, the Member Experience Specialist – Claims contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience by enhancing relationships with members through tracking and trending feedback utilizing various data sources. Works colla...
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...