Claims Administrator - Remote | Wfh
By Get.It Recruit - Administrative At Chicago, IL, United States

At our company, we are proud to be recognized as a leader in the industry. With numerous accolades such as being named one of "Northeast Ohio's Top Workplaces" for seven consecutive years and winning ...

Claims Administrator - Remote | Wfh
By Get.It Recruit - Administrative At Pittsburgh, PA, United States

Benefits: Comprehensive benefits package, including 401(k) matching, health insurance, paid time off, pet insurance, and vision insurance. Company Overview About Us: the company is a renowned ...

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.
Payment Integrity Claims Administrator
By 6 Degrees Health Dx At Portland, OR, United States
Manages incoming manual claims from multiple clients to our secure server
Other responsibilities or projects as assigned
3-5 years of healthcare experience
Excellent verbal and written communication skills
Strong internal and external communication skills, both verbal and written
Must be able to operate computers and phones to support position requirements
Claims Administrator I Jobs
By REI At United States
Supports REI’s integrated disability management program.
Apply general logic and critical thinking skills to determine investigation questions unique to the circumstances of the case.
Tracks and maintains OSHA recordkeeping requirements where applicable.
Ensures REI locations have the applicable support documentation to support compliance with REI and State WC requirements.
General knowledge of the Workers’ Compensation, Automobile, and General Liability claims processes.
Three (3) or more years Workers’ Compensation claims experience.
Claims Administrator - Remote | Wfh
By Get.It Recruit - Administrative At Conshohocken, PA, United States

Are you ready to embark on an exciting journey with a dynamic industry leader in the world of pet insurance? We're looking for a Claims Administrator to join our exceptional team at a company renowned ...

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 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 Consultant Jobs
By Propel Insurance At United States

https://www.linkedin.com/jobs/view/claims-consultant-at-alera-group-inc-3585126775

Claims Director Jobs
By Doctors HealthCare Plans, Inc. At Coral Gables, FL, United States
7-10 claims leadership experience in health benefits specific environment.
Knowledge of claims practices as well as technical expertise.
Excellent oral and written communication skills.
Knowledge of current Medicare Advantage operational and regulatory guidelines established by CMS, AHCA and other federal and state regulatory guidelines.
Ability to work well under pressure and difficult situations Advance knowledge of industry best practices and medical terminology
Provide strategic leadership in the development, execution and monitoring of policies, procedures and initiatives that align with corporate goals and strategy.
Claims Clerk Jobs
By Canon Business Process Services At Lake Oswego, OR, 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 Tampa, FL, 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 Assistant Jobs
By Sunrise Systems, Inc. At Wilmington, DE, United States
Prepare Excel Indemnity & benefit payment ledgers for settlements for claims adjusters ( Data Entry into Excel Spreadsheet)
Must be have organizational skills and the ability to effectively manage multiple tasks and be able to prioritize
Good written and oral communication skills including effective telephone skills.
Experience with Microsoft applications such as Word and Outlook.
Complete file requests sent to operations by claims adjuster using proprietary database
Complete external subpoenas, research if needed and complete custodian of records forms.
Claims Assistant Jobs
By Sunrise Systems, Inc. At Glen Allen, VA, 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
Claims Administrator - Remote
By Brink’s Inc At Coppell, TX, United States
Work independently to resolve customer issues by providing feedback to management and business partners on opportunities for process enhancements
Manage customer interactions by serving the needs of our customers by resolving claim inquires within set timeframes and contractual SLAs
Manage claims activities in Salesforce or other CRM tools both accurately and timely
Support managers in analyzing, planning, decision-making and problem-solving activities
Intermediate Microsoft Office and Excel skills
2 years of experience in direct customer communication via email, phone and meetings
Claims Assistant Jobs
By Trustmark At Sterling Heights, MI, United States
Strong time management skills to prioritize workload.
Exceptional data entry skills with high attention to detail.
Create and distribute internal weekly and monthly Access Database reports and external monthly and annual disability payment reports.
Effective in the use of personal computers and related software. Proficiency in working with Microsoft Word, Excel, & Outlook.
Ability to learn new/proprietary systems and to adapt to various system platforms.
Ability to organize workflow and accept additional tasks and projects.
Director, Operations-Claims Jobs
By MedCost At United States
5 years’ experience with leadership responsibilities in administration of self-funded TPA (or comparable) healthcare and managed care plans.
Experience with code editing rules/systems, claim integrity methodology, stop loss management, flexible spending, HRA/HSA administration
Experience with vendor data connectivity management
Oversee the day-to-day claims processes including inventory management of claims, claim adjustments, recoupments, and refunds to meet quality and timeliness standards
Responsible for continuous quality improvement and assuring adherence to the MedCost Quality Management Program.
Responsible for financial management of designated Operational department budget and corporate fiscal responsibility.
Director, Claims Jobs
By Turner Construction Company At San Antonio, TX, United States
Strong organizational management skills, capable of directing, managing, and developing remote teams
Construction industry or related risk management experience, highly preferred
Self-starter with strong project management skills and capable of managing concurrent complex projects and tasks successfully to completion
Proficient in computer skills, Microsoft suite of applications, MS Outlook, and insurance-based risk management information systems
Provide direction of work, assign claims, and serve as regional escalation point for Claims Manager and Analysts.
Actively participate in and provide thorough and reliable guidance to Claims Managers for crisis response within assigned region and assigned clients.

Are you looking for an exciting opportunity to join a dynamic team of Claims Administrators? We are seeking a motivated individual to join our team and help us provide exceptional customer service to our clients. As a Claims Administrator, you will be responsible for processing and managing claims, ensuring accuracy and timeliness of payments, and providing excellent customer service. If you are a detail-oriented professional with strong organizational and communication skills, we want to hear from you!

Overview Claims Administrators are responsible for managing the claims process for an organization. They are responsible for ensuring that claims are processed in a timely and accurate manner, and that all relevant information is collected and documented. They also work to ensure that all claims are handled in accordance with applicable laws and regulations. Detailed Job Description Claims Administrators are responsible for managing the claims process for an organization. This includes ensuring that all claims are processed in a timely and accurate manner, and that all relevant information is collected and documented. They must also ensure that all claims are handled in accordance with applicable laws and regulations. Claims Administrators must be able to effectively communicate with claimants, adjusters, and other stakeholders in the claims process. They must also be able to analyze claims data and make decisions based on the data. Job Skills Required
• Excellent communication and interpersonal skills
• Strong analytical and problem-solving skills
• Ability to work independently and as part of a team
• Knowledge of applicable laws and regulations
• Proficiency in Microsoft Office Suite
• Ability to multitask and prioritize tasks
Job Qualifications
• Bachelor’s degree in business, finance, or a related field
• At least two years of experience in claims administration
• Knowledge of applicable laws and regulations
• Ability to work independently and as part of a team
• Excellent communication and interpersonal skills
• Strong analytical and problem-solving skills
• Proficiency in Microsoft Office Suite
Job Knowledge
• Knowledge of applicable laws and regulations
• Knowledge of claims processing procedures
• Knowledge of insurance policies and procedures
• Knowledge of customer service principles
• Knowledge of data analysis and reporting
Job Experience
• At least two years of experience in claims administration
• Experience in customer service
• Experience in data analysis and reporting
• Experience in claims processing
Job Responsibilities
• Manage the claims process for an organization
• Ensure that all claims are processed in a timely and accurate manner
• Collect and document all relevant information
• Ensure that all claims are handled in accordance with applicable laws and regulations
• Communicate with claimants, adjusters, and other stakeholders in the claims process
• Analyze claims data and make decisions based on the data
• Monitor claims processing activities and report any issues
• Provide customer service to claimants and other stakeholders