Siu/Claims Case Manager - Private Investigator
By Lemieux & Associates At Atlanta, GA, United States

Come grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking an experienced SIU/Claims Case Manager in our operations department. This is a full-time, ...

Claims Manager Jobs
By Reserv At Atlanta, GA, United States
Execute on performance management; attract, hire, retain and provide high level of training
Collaborate with internal teams, such as Account Management, Compliance, and Claim Operations, to resolve complex or escalated claims-related issues
Passionate claims professional who cares about their team, the customer, and their experience
Develop and implement strategies to mitigate fraudulent claims and ensure compliance with legal and regulatory requirements
Bachelor's degree in insurance, business administration, or a related field; relevant certifications (e.g., CPCU, AIC) are a plus
Provide a manageable pending for you to deliver the service in a way you’ve always wanted and a dedicated account

Are you looking for an exciting opportunity to use your expertise as a Claims Case Manager? We are looking for a motivated and experienced professional to join our team and help us provide exceptional customer service. If you have a passion for problem-solving and a desire to make a difference, this could be the perfect job for you!

Overview Claims Case Manager is responsible for managing the claims process from start to finish. They are responsible for ensuring that all claims are handled in a timely and accurate manner, and that all parties involved are kept informed of the progress. They must also ensure that all claims are settled in accordance with the applicable laws and regulations. Detailed Job Description Claims Case Managers are responsible for managing the entire claims process from start to finish. This includes gathering and analyzing information, preparing and filing claims, negotiating settlements, and ensuring that all parties involved are kept informed of the progress. They must also ensure that all claims are settled in accordance with the applicable laws and regulations. They must also be able to handle customer inquiries and complaints in a professional and timely manner. Claims Case Manager Job Skills Required
• Excellent communication skills
• Strong problem-solving and analytical skills
• Ability to work independently and as part of a team
• Knowledge of insurance regulations and laws
• Knowledge of claims processing systems
• Ability to handle customer inquiries and complaints
• Ability to work under pressure and meet deadlines
Claims Case Manager Job Qualifications
• Bachelor’s degree in business, finance, or a related field
• At least two years of experience in claims processing
• Knowledge of insurance regulations and laws
• Knowledge of claims processing systems
• Ability to handle customer inquiries and complaints
• Ability to work under pressure and meet deadlines
Claims Case Manager Job Knowledge
• Knowledge of insurance regulations and laws
• Knowledge of claims processing systems
• Knowledge of customer service principles
• Knowledge of medical terminology
• Knowledge of legal terminology
• Knowledge of computer systems and software
Claims Case Manager Job Experience
• At least two years of experience in claims processing
• Experience in customer service
• Experience in medical terminology
• Experience in legal terminology
Claims Case Manager Job Responsibilities
• Gather and analyze information to prepare and file claims
• Negotiate settlements with insurance companies
• Ensure that all parties involved are kept informed of the progress
• Handle customer inquiries and complaints in a professional and timely manner
• Ensure that all claims are settled in accordance with the applicable laws and regulations
• Monitor and review claims to ensure accuracy and timeliness
• Maintain records of all claims and settlements