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Claim Technician Jobs

Claim Scrubber ( Claim Representative )
By SightMD At Hauppauge, NY, United States
Assumes professional responsibility for development of skills and ongoing education to maintain certification.
Other specials projects set by the Revenue Cycle Manager.
Years of medical billing experience is required.
Knowledge of medical terminology is required.
Great communication and organization skills.
Basic excel skills such as the ability to perform or simple calculations with formulas and functions and format spreadsheets is required.
Ltd Senior Claim Manager
By New York Life Insurance Co At , Remote $55,000 - $85,000 a year
Minimum of 3 years Long Term Disability claim management experience
Technical and quality coaching on claims, contracts, content, and best approach while holding claim managers accountable for their work quality.
Proactively reviewing team’s inventory to identify trends and provide feedback to Team Leader and Claim Managers.
Demonstrates solid planning and organizational skills with the ability to address short- and long-term goals while prioritizing and addressing ongoing issues.
BA/BS degree or equivalent work experience
Strong analytical skills and ability to grasp and clarify complex and ambiguous concepts
Claim Adjuster Trainee / Claim Adjuster
By Kentucky Farm Bureau Mutual Insurance Company At , Lexington, 40511
Develop and maintain knowledge of policy contracts, court decisions, and industry trends.
Attend and participate in company claim meetings, seminars, and continuing education activities.
Strong written and verbal communication skills.
Good negotiation and public relations skills.
Support the corporate strategy of our commitment to the member relationship.
Support the strategic mission of the Claims function as it relates to goals for the organization.
Claim Associate – Auto – Hybrid
By State Farm At , Dunwoody, 30346, Ga $42,819 - $50,405 a year
Visit State Farm Careers for more information on our benefits, locations, and the hiring process.
An annual bonus based on individual and enterprise performance
Industry leading Tuition Assistance Programs
Wellness and mental health programs
Discounts from hundreds of retailers through our Perks at Work program
Answering inbound calls and making outbound calls to customers within a fast paced, call center environment
Vp, Claim Customer Services
By The Travelers Companies, Inc. At , Hartford, Ct $178,800 - $286,200 a year
6+ years management experience preferred.
Demonstrated exceptional leadership and management experience
Strong analytical ability, financial analysis/budgeting/expense management skills
Comprehensive Property Casualty insurance knowledge and experience preferred
Stays informed of industry trends and meeting customer needs in contact center design, strategy, workforce and new digital and omnichannel capabilities.
Works closely with CBIA, Claim Technology and BDO in the strategic development and implementation of Artificial Intelligence, digital and technology capabilities.
Claim Representative / Claim Adjuster
By Ally At Schaumburg, IL, United States
Ensure a positive customer experience Ensure timeliness and KPIs are being met
Maintain necessary licensing and continuing education.
Property and casualty experience required.
Preferred experience as a Claims Rep and or Subrogation Rep
Typically requires advanced knowledge of Microsoft Office Programs.
Work-Life Integration: other benefits including Mentally Fit Employee Assistance Program, subsidized and discounted Weight Watchers® program and other employee discount programs.
Claim Advocate Jobs
By The Villages Insurance, A Guided Solutions Member At The Villages, FL, United States
4-40 license with 2+ years of related experience or a 2-20 license as required by the State Department of Insurance.
Broad knowledge of personal lines insurance with a strong understanding of coverages and forms
Strong verbal and written communication skills are necessary.
Moderate to advanced knowledge of Microsoft Office Suite and the ability to learn other appropriate insurance company and firm software systems.
Responsible for filing claims on behalf of clients with the appropriate carrier in a timely manner either online or by phone.
Research and respond directly to partner underwriter memos, generate endorsement requests and cancellation forms.
Claim And Benefits Processor
By EdgeLink At Portland, Oregon Metropolitan Area, United States
• Provide administrative support for the team's management of disability claims.
• Experience: related work experience, or the equivalent combination of education and/or relevant experience
• Make and communicate disability decisions and issue correct benefits for low liability and short duration claims.
• Verify benefit claim documents.
• Working knowledge of Office equipment including a word processor or personal computer.
• Education: High School diploma or equivalent.
Claim Investigator (Csiu) Jobs
By AAA The Auto Club Group At , Remote $62,281 - $84,000 a year
Prepare written investigative summaries, and report findings to the assigned claim handler, management, Underwriters, and others.
Required Qualifications (these are the minimum requirements to qualify)
Education (include minimum education and any licensing/certifications):
Five years of experience as a claim representative handling Auto or Home personal lines property insurance claims.
Maintain and continually expend expert knowledge on claim fraud scenarios and indicators
Engage and manage experts to complete specialized tasks
Claim Investigator (Csiu) Jobs
By AAA-The Auto Club Group At Home, MI, United States
Prepare written investigative summaries, and report findings to the assigned claim handler, management, Underwriters, and others.
Education (include minimum education and any licensing/certifications)
Five years of experience as a claim representative handling Auto or Home personal lines property insurance claims.
Maintain and continually expend expert knowledge on claim fraud scenarios and indicators
Engage and manage experts to complete specialized tasks
Bachelor’s degree in Business Administration, Insurance, Criminology or a related field or the equivalent in related work experience
Counsel, Claim Jobs
By The Travelers Companies, Inc. At , New York, Ny $96,600 - $159,300 a year
Fully and effectively utilizes available technology, case management system and automation.
In the handling of a caseload of predominantly low to moderate complexity, your responsibilities will include:
Develop and apply effective use of trial skills and techniques to litigate cases to verdict.
Conduct legal research and demonstrate strong and persuasive legal writing and presentation skills.
3+ years of prior litigation practice or prior legal experience
Developing a track record of trial skills and techniques.
Manager, E&S Claim Team
By The Hanover Insurance Group At Charlotte, NC, United States
Make decisions on how to utilize resources to meet goals and responsibilities set by higher level management.
Strong people management skills, effective at coaching and motivating staff. Serves as a role model in building effective relationships
Manage according to established expense, reserve and settlement authority levels.
Typically has 10+ years of complex liability claims experience
Ability to negotiate skillfully in difficult situations with both internal and external groups. Demonstrates ability to win concessions without damaging relationships.
Effectively and creatively utilizes all resources (systems, people, etc.) to manage daily operations
Sr Property Claim Rep
By Westfield Insurance At , Westfield Center, 44251, Oh
Experience using a claims management system e.g. Guidewire or diary management system to accurately document file activities.
Customer Service - Ensures customer service excellence. Responsible for the customer and agent experience associated with assigned claims.
5 or more years’ experience adjusting property claims.
Experience negotiating claims and handling conflict.
Experience using Xactimate or other property estimating software.
Strong verbal, written, and interpersonal communication skills with the ability to interact with all levels of the company.
Sr Paralegal, Claim Jobs
By The Travelers Companies, Inc. At , Houston, Tx $69,200 - $114,200 a year
Coordinates with Document Management to obtain underwriting files and certified policies.
Paralegal or litigation experience preferred.
General knowledge of Medical Terminology preferred.
Advanced grammar and writing skills.
Intermediate Knowledge of general law office procedures and advanced knowledge of local court/jurisdiction rules and procedures.
Ability to manage time and tasks
Florida Claim Manager I
By AAA The Auto Club Group At , , Fl $77,500 - $98,000 a year
Previous management or supervisory experience.
Assist the management with establishing short, intermediate and long-term goals and objectives.
Knowledge and experience to include:
Prepare and present written and oral reports to all levels of management.
Manage teams with respect to assigned products and services.
Manage and administers claim review and auditing functions.
Florida Claim Investigator Jobs
By AAA The Auto Club Group At , Remote $67,000 - $80,000 a year
Prepare written investigative summaries, and report findings to the assigned claim handler, management, Underwriters, and others.
Bachelor’s degree in Business Administration, Insurance, Criminology or a related field or the equivalent in related work experience
Fraud Claim Law Specialist Certification, preferred.
Certified Insurance Fraud Investigator Certification, preferred.
Five years of experience as a claim representative handling Auto or Home personal lines property and casualty insurance claims.
Work experience in both claims handling as well as fraud investigation.
Claim Team Manager-Contents Jobs
By State Farm At Dunwoody, GA, United States
Manages Centralized Contents Team associates and/or Contents leads
Leads frequent meetings using relevant metrics, and devotes significant time directly coaching team members to achieve desired results
Develops and coaches team members to provide a high level of customer service and be productive in the role
Resolves escalated inquiries, issues, and related service follow-up for internal and external customers
Collaborates with other Fire claim environments on evaluating and settling contents claims
Analyzes trends and statistical reports, and provides recommendations for improving efficiency and effectiveness within assigned area
Quality Claim Lead Jobs
By Gallagher At , Mechanicsburg, 17055, Pa

We offer competitive salaries and benefits, including:

Claim Manager Jobs
By Beazley At , $102,000 - $216,000 a year
Work management skills: Time and workload management, Self-starter, Planning, Achievement orientation, Productivity focus
Interpersonal skills: Ability to influence others, Client and broker management skills, Purposeful communication, Flexibility, Active listening
Identification of issues and trends in the portfolio, consult management/peers if required, and take appropriate and/or corrective action.
Adhere to Beazley’s procedures for the selection and retention of 3rd party professionals and manage relationships to the benefit of Beazley.
Ensure the management of claims conforms to the agreed standardised processes and use of
Support the Claims Business Management Team and Claims Solutions Team to identify and implement business performance improvement opportunities.
Claim Reviewer - Life
By MetLife At Oriskany, NY, United States
Strong data entry skills required.
Essential Business Experience and Technical Skills:
Answers complex telephone inquiries related to Group Life Claim insurance benefits.
Excellent oral and written communication skills.
Expectation of working a combination of the following shifts: 8:00am-4:30pm EST and/or 11:30am-8:00pm EST
Ability to adjust to multiple demands and shifting priorities.

Are you looking for an exciting new opportunity to use your technical skills? We are looking for a Claim Technician to join our team and help us provide exceptional customer service. You will be responsible for processing and managing claims, ensuring accuracy and timeliness of all paperwork, and providing excellent customer service. If you have a passion for problem solving and a commitment to excellence, this is the job for you!

Overview Claim Technicians are responsible for processing and managing insurance claims. They review claims to ensure accuracy and completeness, investigate claims to determine liability, and negotiate settlements with claimants. They also provide customer service to claimants and policyholders, and may assist with the development of new claims procedures. Detailed Job Description Claim Technicians are responsible for processing and managing insurance claims. They review claims to ensure accuracy and completeness, investigate claims to determine liability, and negotiate settlements with claimants. They also provide customer service to claimants and policyholders, and may assist with the development of new claims procedures. Claim Technicians must be familiar with the insurance industry and the claims process. They must be able to interpret policy language and apply it to claims. They must also be able to analyze and interpret data, and have strong communication and negotiation skills. Job Skills Required
• Knowledge of insurance industry and claims process
• Ability to interpret policy language and apply it to claims
• Analytical and interpretive skills
• Strong communication and negotiation skills
• Customer service skills
• Computer proficiency
Job Qualifications
• Bachelor’s degree in business, finance, or a related field
• Previous experience in the insurance industry
• Professional certification in insurance or claims processing
Job Knowledge
• Knowledge of insurance industry and claims process
• Understanding of policy language and its application to claims
• Knowledge of claims processing procedures
• Understanding of customer service principles
Job Experience
• Previous experience in the insurance industry
• Previous experience in claims processing
• Previous experience in customer service
Job Responsibilities
• Review claims to ensure accuracy and completeness
• Investigate claims to determine liability
• Negotiate settlements with claimants
• Provide customer service to claimants and policyholders
• Assist with the development of new claims procedures
• Maintain accurate records of claims processing activities