Subrogation Regional Claims Leader (100% Remote)
By National General At United States
Applies highly advanced conflict management and problem resolution skills in managing internal and external customer relationships
Partners with senior leadership to determine and develop talent management strategies
Leads and implements change management initiatives for the MCO/RCO or Centralized Services Office
Applies highly advanced knowledge of training facilitation and coaching skills
Manages and resolves escalated customer communications, concerns, conflicts or issues
Assures MCO/RCO or Centralized Services Office compliance with company policies, procedures and reporting requirements
Claims Specialist Jobs
By UnifyWork At , Cleveland
Click "Apply Now" to get started.
*Career coach available during business hours only (EST).
*Our employer partners are equal opportunity employers.*
Priority Claims Specialist Iii
By Hanger, Inc. At United States
Retrieve and properly identify any document received from Revenue Cycle Management (RCM) system
4 years of related experience in payor policies to include all areas of reimbursement, medical policy and payor appeal requirements.
Demonstrated ability to pull data and migrate into online records management systems such as OnBase;
Develop and manage relationships with colleagues in a professional
Prepare complex claims reimbursement submissions in a managed care environment
Serve as an advocate and resource to clinic administration in the areas of reimbursement and managed care
Lead Ltd Claims Specialist
By MetLife At United States
Essential Business Experience and Technical Skills:
•Bachelor’s degree and knowledge of STD/FML, state leave laws, worker’s compensation, ERISA, and Social Security.
MetLife maintains a drug-free workplace.
Claims Specialist Iii Jobs
By LoanCare At United States
Maintain clear records and reports for management review regarding claims filed and non-recoverable items
Minimum of 4 years work experience in the legal field or default mortgage servicing
Working knowledge of accepted business practices in the mortgage industry and or strong understanding of claims process
Good analytical, written and verbal communication skills
LPS-MSP (Mortgage Servicing Platform) experience preferable, but not necessary
Knowledge of Microsoft office- Excel and Word
Ltl Claims Specialist Jobs
By TRAFFIX At United States
Provide claim resolution details to management, customer service, and finance/accounting
Bachelor's degree in supply chain and/or insurance/finance field or equivalent combination of education and experience preferred
Goal oriented, always willing to seek knowledge and improve upon skills in order to drive new ideas
Set up new customers with a filing template, and weekly reporting to their specific requirements
1-3 years LTL claims OS&D experience required
Strong communication skills, professional demeanor on phone calls and in emails to a wide variety of professionals at all levels
Claims Specialist Jobs
By StaffChase At United States

Job Summary: We are seeking a skilled and experienced Customer Care Representative with at least one year of experience in both inbound and outbound calling to join our team. As a Customer Care ...

Commercial Claims Specialist Jobs
By Questpro At United States

Prior experience handling large and complex claims involving litigation would be a huge plus.

3 plus years of commercial auto BI, GL claims.

Specialist, Claims Jobs
By Molina Healthcare At United States
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Uses claims knowledge to conducts research and analysis for assigned claims projects
Apply regulatory and contractual requirements and communicate if system and/or Claims documentation requires updates
Manages work assignments to ensure accurate completion by the established timelines
3-5 years medical claims processing experience
5-7 years medical claims processing experience

Are you looking for an exciting opportunity to join a dynamic team of Subrogation Claims Specialists? We are looking for a motivated individual to join our team and help us recover funds for our clients. You will be responsible for researching and analyzing claims, negotiating settlements, and managing the subrogation process. If you have a passion for problem-solving and a commitment to excellence, this could be the perfect job for you!

Overview A Subrogation Claims Specialist is responsible for handling claims related to subrogation, which is the process of recovering money from a third party that is responsible for a loss. The Subrogation Claims Specialist is responsible for researching, investigating, and negotiating claims to ensure that the company is able to recover the maximum amount of money possible. Detailed Job Description The Subrogation Claims Specialist is responsible for researching, investigating, and negotiating claims related to subrogation. The specialist will review claims to determine the validity of the claim and the amount of money that can be recovered. The specialist will also review legal documents and other evidence to determine the best course of action for recovering the money. The specialist will then negotiate with the third party to reach a settlement agreement. The specialist will also be responsible for preparing and filing legal documents, as well as communicating with attorneys and other parties involved in the claim. Job Skills Required
• Strong analytical and problem-solving skills
• Excellent communication and negotiation skills
• Ability to work independently and as part of a team
• Knowledge of legal documents and processes
• Ability to manage multiple tasks and prioritize work
• Knowledge of insurance policies and procedures
Job Qualifications
• Bachelor’s degree in business, law, or a related field
• At least two years of experience in claims handling or subrogation
• Knowledge of insurance policies and procedures
• Ability to work independently and as part of a team
• Excellent communication and negotiation skills
Job Knowledge
• Knowledge of legal documents and processes
• Knowledge of insurance policies and procedures
• Knowledge of subrogation laws and regulations
• Knowledge of negotiation techniques
Job Experience
• At least two years of experience in claims handling or subrogation
• Experience in researching and investigating claims
• Experience in preparing and filing legal documents
• Experience in negotiating settlements
Job Responsibilities
• Research and investigate claims related to subrogation
• Review legal documents and other evidence to determine the best course of action
• Negotiate with third parties to reach a settlement agreement
• Prepare and file legal documents
• Communicate with attorneys and other parties involved in the claim
• Monitor and track claims to ensure timely resolution