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Claims Adjudicator1 Jobs

Claims Clerk Jobs
By Safeway Insurance At ,

This position is responsible for maintaining an efficient flow of work within the claims office by performing such tasks as processing drafts, answering the phone, taking loss reports, maintaining ...

Claims Administrator Jobs
By Sage, Sacramento At United States
Qualifications, Skills and Experience required:
Job Duties and Essential Functions include
• 3 years of disability and/or ADA administrative experience.
• Strong knowledge of MS Excel and MS Word.
• When applicable, initiate return-to-work accommodations while adhering to relevant Federal regulations.
• When required, coordinate between short term disability insurance carriers, worker’s compensation insurance providers and the employee.
Director, Claims Jobs
By New York University At , New York, 10012, Ny $135,000 - $175,000 a year

Required Skills, Knowledge and Abilities:

Preferred Skills, Knowledge and Abilities:

Claims Qa Auditor - Claims - Paramount
By ProMedica At , Toledo, 43606, Oh
Experience or strong working knowledge of benefit/pricing configuration, provider database maintenance, or related configuration experience desired.
Associates degree in Finance/auditing strongly preferred
Spreadsheet and database skills required. Demonstrated Excel at least level 2
Excellent written, verbal, and interpersonal communication skills required
Quality assurance program experience highly desirable
Good working knowledge of HCFA, State of Ohio and Michigan compliance regulations, and institutional/professional ECS submission formats highly desirable.
072811-Claims Pa2 Jobs
By Capgemini At , , Tx

Visit us at www.capgemini.com . People matter, results count.

Reinsurance Claims/Accounting Jobs
By Re- At New York, NY, United States
Successful management of workload; able to manage expectations of all Clients and Stakeholders, under regular supervision.
Analyzes Key Performance Indicators (KPIs) and other system tools to manage basic transactional processes in a regulatory compliant manner.
5 years of office experience in a related industry such as Primary Insurance, Claims or Underwriting
Demonstrated experience with Word, Outlook and Excel
Positive attitude, willingness to offer and execute ideas and solutions to enhance processes within a changing environment.
Knowledge of contract law, contract provisions, reinsurance concepts and principles, basic regulatory controls and general business trends.
Claims Clerk Jobs
By Canon Business Process Services At O'Fallon, MO, United States
H.S. Diploma or equivalent No prior experience required
Requires good computational math skills. Must be familiar with personal computers and possess good keyboard skills
Must have good communication, comprehension and interpersonal skills
Must be detail oriented and have good organizational skills
Interfaces with Adjuster, Agent and insured to obtain information to assure completeness of information and update client systems
Prepares reports and insurance claim forms for damage or loss
Claims Clerk Jobs
By Canon Business Process Services At Marlton, NJ, United States
H.S. Diploma or equivalent No prior experience required
Requires good computational math skills. Must be familiar with personal computers and possess good keyboard skills
Must have good communication, comprehension and interpersonal skills
Must be detail oriented and have good organizational skills
Interfaces with Adjuster, Agent and insured to obtain information to assure completeness of information and update client systems
Prepares reports and insurance claim forms for damage or loss
Claims Administrator Jobs
By County Materials Corporation At Marathon City, WI, United States
Any other tasks as assigned by management.
Familiar with standard risk management and insurance concepts, practices, procedures, laws, and regulations
Digital app capabilities for payroll, benefits, and communication
Maintain contact with adjusters, agents, employees, third party insurance companies, medical clinics, and nurse case managers during the claim process.
Communicate policies and procedures for claims to managers, supervisors, and other team members.
Administer the company’s drug testing program; communicate the company’s drug testing policy to managers, supervisors, and other employees.
Claims Administrator Jobs
By VSP Vision Care At California, United States

Typically Has The Following Skills Or Abilities

Claims Technician Jobs
By BlueCross BlueShield of South Carolina At Florence, SC, United States
No previous work experience required
Strong organizational and analytical skills
Knowledgeable in word processing and spreadsheet applications
Receive, open, sort, and distribute incoming departmental mail or work requests
Check workflow documents to ensure required information is available
Request any missing documentation as needed
Claims Clerk Jobs
By Canon Business Process Services At Plano, TX, United States
H.S. Diploma or equivalent No prior experience required
Requires good computational math skills. Must be familiar with personal computers and possess good keyboard skills
Must have good communication, comprehension and interpersonal skills
Must be detail oriented and have good organizational skills
Interfaces with Adjuster, Agent and insured to obtain information to assure completeness of information and update client systems
Prepares reports and insurance claim forms for damage or loss
Director Of Claims Jobs
By Minnesota Counties Computer Cooperative At Saint Paul Church, MN, United States
At least three years of supervisory/management experience
Solid understanding of electronic claims system capabilities from a management and adjustment perspective
Ensures compliance with claim handling/claim management philosophy, policies, protocol and standards
Conduct research regarding risk management and liability issues and prepare and present reports as needed
Work in conjunction with the Claim Managers and staff counsel to identify panel of approved legal counsel
Offer direction regarding selection of appropriate defense counsel
Vp, Claims Jobs
By BerkleyNet (a Berkley Company) At Manassas, VA, United States
10+ years of management experience with employees both in-person and remote
Develop and implement policies and procedures which meet the needs of the company, customers, regulatory requirement, and audit controls.
Develop and manage relationships with outside vendors, consultants, contractors, and other Berkley companies in line with company policies and guidelines.
Ensuring compliance requirements are met through Large Loss Reporting to the WRB organization and reinsurers.
15+ years of multi-jurisdictional workers compensation insurance claim experience; multi-line experience a plus.
Possess a working knowledge of all functional aspects of insurance company and third-party administrator (i.e. claims, underwriting, marketing, loss control, etc.)
Claims Clerk Jobs
By Canon Business Process Services At Rocklin, CA, United States
H.S. Diploma or equivalent No prior experience required
Requires good computational math skills. Must be familiar with personal computers and possess good keyboard skills
Must have good communication, comprehension and interpersonal skills
Must be detail oriented and have good organizational skills
Interfaces with Adjuster, Agent and insured to obtain information to assure completeness of information and update client systems
Prepares reports and insurance claim forms for damage or loss
Claims Pa2 Jobs
By Capgemini At , , Tx

About Capgemini Capgemini is a global leader in consulting, digital transformation, technology and engineering services. The Group is at the forefront of innovation to address the entire breadth ...

Manager, Claims Jobs
By FCCI Insurance At , Sarasota, 34240, Fl
* Strong working knowledge of claim file management techniques and processes.
Support staff management of litigated cases with focus on adherence to guidelines, effective defense, and cost containment.
In exchange for your talents, FCCI offers competitive salaries and an excellent benefits package.
Manage a Commercial Litigation team that primarily handles complex and/or litigated Auto and GL claims in Florida and Georgia.
Manage exposures and ensure that reserves are appropriate at the case level for assigned team.
* Six or more years of commercial liability experience with two years in a leadership role
Director, Claims Operations Jobs
By Magellan Health At , From $93,955 a year
Manages oversight of the Claims operational teams responsible for the timely and accurate processing of claims.
Manages relationships with internal business partners to ensure that claims projects, planning and prioritization meet the business’ needs.
Ensures team is managed responsibly as to support budgetary objectives as well as goals or performance guarantees for the client.
License and Certifications - Required
License and Certifications - Preferred
Establishes an effective matrixed partnering relationship with service centers and corporate departments.
Claims Administrator Jobs
By Simpluris, Inc. At Costa Mesa, CA, United States
Excellent communication and organizational skills
Process all response forms including opt in, opt out, and claims with attention to detail and a high level of accuracy
Review response forms, escalation, and resolve
Identify and process disputed response forms
Review processing criteria and begin processing cases with minimal supervision
Scan responses for cases and projects
Claims Manager Jobs
By Alaska Marine Lines At , Seattle, 98106, Wa $85,000 - $91,000 a year
Manage subrogation correspondence/recoveries and facilitate salvage or disposal of cargo.
Assist with compliance of DOT, EPA, OSHA, USCG regulations and other federal, state and local requirements as required.
Initiate cargo claims investigation, process claims and assist in mitigation efforts and implementing procedures to minimize future occurrence.
Coordinate services of Marine Surveyors when necessary
Communicate with attorneys during litigation processes
Produce monthly Newsletter to include HSSE topics and Cargo Claims information.