Remote Claims Examiner Jobs
By Firstsource Healthcare At , Remote
Multiple computer application usage experience
Health claims processing experience a plus
Knowledge in the following a plus:
Specific qualifications for this medical financial services role include:
High School diploma or GED
Ability to read and interpret general business correspondence, procedure manuals, and specific plan documents
Claims Examiner Jobs
By Firstsource Healthcare At , Remote
Health claims processing experience a plus
Multiple computer application usage experience
Work From Home Claims Analyst-(Health Care)
Here are just some of the benefits you will enjoy in this financial services role:
Specific qualifications for this medical financial services role include:
High School diploma or GED
Aircraft Examiner (General) Jobs
By Naval Air Systems Command (NAVAIR) At Cherry Lane, NC, United States

Summary You will serve as an AIRCRAFT EXAMINER (GENERAL) of FLTREADCEN EAST. Responsibilities You will determine overall condition of electrical systems of aircraft, engines, and components. You will ...

Claims Representative - General Liability
By Berkshire Hathaway Direct Insurance Company At , Remote
Manages an active desk of fast-track property damage liability claims under businessowner policies
3+ years prior general liability claims adjusting experience preferred
Experience in bodily injuries claims preferred
Some highlights of our benefits are:
Analyzes coverage issues under the Businessowners coverage form, garagekeepers, hired non-owned auto, auto services and other standard industry forms
Analyzes, investigates, and evaluates new loss notices and claim tenders
Commercial Title Examiner - Remote
By First American Financial Corporation At , Sunrise, Fl $19.65 - $34.20 an hour
Communication skills, both verbal and written
Knowledge of legal terms helpful
3+ years directly related experience
Performs title examination and examines the chain of title for a wide range of title orders, primarily commercial/residential
Resolves most issues such as missing information, incomplete, inaccurate or contradictory information contained in the title documentation
Prepares initial title commitment documentation based on the application of procedural guidelines
Claims Examiner Jobs
By CSI Companies At Jacksonville, FL, United States
Investigate claims with potential fraudulent activity and review findings with management.
Education: High School diploma or equivalent.
Stay up-to-date with related state laws, anti-fraud compliance requirements, product standards, and service standards.
Employment Type: Contract to Hire
Working Hours: Standard business hours between 8am - 5pm EST
Location: Jacksonville, FL 32256 (Fully in-office)
Compensation Claims Examiner - Remote | Wfh
By Get It Recruit - Healthcare At Long Beach, CA, United States

Are you a seasoned Workers' Compensation Claims professional with a passion for helping people navigate through challenging times? Are you eager to be a part of a dynamic and supportive team that ...

(Remote) Claims Representative - General Liability
By Sedgwick At Illinois, United States
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Professional certification as applicable to line of business preferred.
Opportunity to work in a remote or agile environment.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
(Remote) Claims Examiner - Liability
By Sedgwick At Texas, United States
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Professional certification as applicable to line of business preferred.
Opportunity to work in a remote or agile environment.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
General Liability Claims Adjuster
By TheBest Claims Solutions At Santa Monica, CA, United States

3+ years of commercial claims handling experience which should include general liability and commercial auto

Carrier and/or TPA claims handling experience

General Liability Claims Adjuster
By TheBest Claims Solutions At Folsom, CA, United States
5+ years experience handling Commercial General Liability claims
Experience with severe injury / death claims, sexual harassment and/or wrongful termination claims
Experience with mediations and MSCs
Experience handling Public Entity accounts
Claims Examiner Jobs
By Health Special Risk, Inc. At United States
Insurance knowledge/experience with medical terms and billing is a plus.
Knowledge of HIPPA, pre-existing conditions, and coordination of benefits required.
Ensure that all claims are handled in a timely manner to meet state-mandated requirements.
Minimum of 3 years of previous claims processing/adjudication experience. Trizetto QicLink or RIMS experience is a plus.
In-depth knowledge and ability to read and interpret medical policies to determine claim eligibility.
Strong detail-oriented and analytical skills.
Claims Examiner Jobs
By Sedgwick At Pennsylvania, United States
Coordinates vendor referrals for additional investigation and/or litigation management.
Refers cases as appropriate to supervisor and management.
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
Manages the litigation process; ensures timely and cost effective claims resolution.
Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
(Remote) Claims Examiner - General Liability / Bodily Injury
By Sedgwick At Illinois, United States
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Professional certification as applicable to line of business preferred.
Opportunity to work in a remote or agile environment.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
General Liability Claims Adjuster | Remote
By The Jonus Group At United States
Process assigned claims and determine benefits due pursuant to the client contract.
Work proactively towards claims resolution with defense counsel and clients, while adhering to audit requirements and resolving claims in a timely manner.
2 - 10+ years of Commercial General Liability claims experience.
Experience drafting coverage position letters
Strong verbal and written communication skills
Flex schedule and ability to work remotely
Claims Examiner Jobs
By Blue Cross and Blue Shield of Kansas At Topeka, KS, United States

Upon completion of training, extensive knowledge of business-related skills and trained product lines required.

High School graduate or equivalent required.

Liability Adjuster - Remote
By Allstate At Chicago, IL, United States
You must maintain all licensing required for your role. This includes any continuing education and/or other state-affiliated requirements for licensing renewal
Effective time management and organization to handle multiple claims simultaneously
Competitive salary based on experience and qualifications
A technology bundle that includes all equipment needed to perform your work from home (laptop, monitors, headset, keyboard, mouse)
Previous customer service experience in a fast paced, high volume work environment
Strong knowledge of insurance principles, policies, and claim procedures
Claims Examiner I - Evicore - Remote
By The Cigna Group At United States
Experience with Plexus Claims Management (PCM), Truist and Cigna Portal preferred
1+ years of experience with eviCore delegated plans with working knowledge of horizon Health plan preferred
1+ years of experience in medical claims processing required
Utilize expertise to appropriately apply claim concepts, rules and departmental practices, ensuring accuracy, and timeliness of claims payment
Confirm member eligibility, claim pricing and verify authorization and service appropriateness.
Follow appropriate workflows to confirm necessary information such as member eligibility and claim pricing
Mpl Claims Examiner Jobs
By JCW At United States
Pursuit of additional certifications such as CPCU, ARMS, or AINS designation is also valued.
The role involves driving litigation by managing the deployment and utilization of defense counsel and identifying suspected fraudulent claims.
Participation in Claims Projects, reserving roundtables, and pre-trial roundtables is required.
Please apply here, or email your resume to [email protected] for further consideration!
General Liability Adjuster - Remote
By Questpro At United States
Coordinates the vendor referrals for additional investigation and/or litigation management.
Manages claims through well-developed action plans to an appropriate and timely resolution.
Calculates and pays benefits due; approves and makes timely claim payments. and adjustments, and settles claims within designated authority level.
Manages the litigation process; ensures timely and cost-effective claims resolution.
5 years of experience handling complex commercial general liability claims.
REMOTE Commercial General Liability Claims Adjusters

Are you looking for a challenging and rewarding career in the insurance industry? We are looking for a motivated and experienced Remote General Liability Claims Examiner to join our team. In this role, you will be responsible for investigating, evaluating, and resolving general liability claims. You will be expected to analyze coverage, investigate facts, and negotiate settlements. If you are looking for an opportunity to use your expertise to make a difference, this is the job for you!

Overview:

A Remote General Liability Claims Examiner is responsible for examining, investigating, and evaluating general liability claims. They must be able to analyze and interpret policy language, investigate and evaluate claims, and make decisions regarding coverage and liability. They must also be able to communicate effectively with claimants, attorneys, and other parties involved in the claims process.

Detailed Job Description:

A Remote General Liability Claims Examiner is responsible for examining, investigating, and evaluating general liability claims. They must be able to analyze and interpret policy language, investigate and evaluate claims, and make decisions regarding coverage and liability. They must also be able to communicate effectively with claimants, attorneys, and other parties involved in the claims process. They must be able to review and analyze medical records, police reports, and other evidence to determine the validity of the claim. They must also be able to negotiate settlements and make recommendations to management regarding the resolution of claims.

What is Remote General Liability Claims Examiner Job Skills Required?

• Excellent communication and interpersonal skills
• Strong analytical and problem-solving skills
• Ability to interpret policy language
• Ability to investigate and evaluate claims
• Ability to negotiate settlements
• Ability to make decisions regarding coverage and liability
• Knowledge of legal and regulatory requirements
• Knowledge of medical terminology
• Knowledge of insurance industry practices

What is Remote General Liability Claims Examiner Job Qualifications?

• Bachelor’s degree in a related field
• 5+ years of experience in a claims-related role
• Professional certification in a related field (e.g. CPCU, AIC, etc.)
• Knowledge of legal and regulatory requirements
• Knowledge of medical terminology
• Knowledge of insurance industry practices

What is Remote General Liability Claims Examiner Job Knowledge?

• Knowledge of legal and regulatory requirements
• Knowledge of medical terminology
• Knowledge of insurance industry practices
• Knowledge of claims-handling procedures
• Knowledge of negotiation techniques

What is Remote General Liability Claims Examiner Job Experience?

• 5+ years of experience in a claims-related role
• Experience in examining, investigating, and evaluating general liability claims
• Experience in analyzing and interpreting policy language
• Experience in negotiating settlements
• Experience in making decisions regarding coverage and liability

What is Remote General Liability Claims Examiner Job Responsibilities?

• Examine, investigate, and evaluate general liability claims
• Analyze and interpret policy language
• Investigate and evaluate claims
• Make decisions regarding coverage and liability
• Communicate effectively with claimants, attorneys, and other parties involved in the claims process
• Review and analyze medical records, police