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 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.
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
Rn, Stop Loss High Level Claim
By Horizon Blue Cross Blue Shield of New Jersey At , Newark, 07105, Nj $75,300 - $100,800 a year
Prefers pending or obtained certification in case management or other applicable clinical specialties.
Insures potential high risk claimants are engaged in care management protocols.
Elicits support from sales and account management, brokers, consultants and group customers to insure care management engagement with high risk members.
Works proactively with pharmacy management to insure efficient and appropriate specialty drug usage and site of service delivery.
Acts as a resource to sales and account management teams in communicating case management services interaction with stop loss management
Performs other duties as may be assigned by management.
Claim Assistant Jobs
By Sunrise Systems, Inc. At Houston, TX, United States
Professional organizational skills and the ability to effectively manage multiple priorities
Input data entry correspondence into system, diaries information for claims reps and/or team leader and prepares form letters
Professional written and oral communication skills including effective telephone skills
Demonstrated initiative as evidenced by the ability to self-manage, organize and prioritize work
Strong working knowledge of computer systems and various Microsoft applications such as Word and Outlook
Receive new losses and verifies accuracy of information via coverage

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