Field Claims Representative Auto-Owners Insurance CompanyField Claims RepresentativeLouisville, KentuckyAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
Claims Consultant - Advertising / Personal Injury CNA Financial CorpClaims Consultant - Advertising / Personal InjuryLouisville, KY$72,000–$141,000 / yearIndividual contributor responsible for the overall strategic management and resolution of highly complex claims that involve personal and advertising injury exposures, including but not limited to intellectual property, class action, and commercial disparagement. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost-effective manner and ensuring timely issuance of disbursements.
Claims Adjuster- Bilingual American International GroupClaims Adjuster- BilingualJeffersonville, INAIG Warranty delivers a full range of service solutions including warranty management administration, extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. Your Contribution: The Claims Examiner- Bilingual are the ones our clients turn to in times of need and will act with speed, composure, compassion and knowledge to solve problems and the work they do every day is the heart of AIG's business.
Pharmacy Claims Processor / Remote BrightSpring Health ServicesPharmacy Claims Processor / RemoteLouisville, KYRemoteResearches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines. Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
SIU Investigator Allied UniversalSIU InvestigatorLouisville, KentuckyFull timeAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
NewInside Property Adjuster Allstate Insurance CompanyInside Property AdjusterKYRemote$53,500–$77,800 / yearBusiness Acumen, Case Management, Claims Administration, Claims Negotiations, Documentation, Homeowners Claims, Insurance Claims Investigations, Insurance Underwriting, Negotiation, Property Claims, Property Damage, Property Damage Claims, Property Insurance, Property Insurance Claims, Property Repairs, Residential Estimating, Stakeholder Relationship Management, Xact, Xactimate, Xactimate (Estimating Software), Xactimate Estimating. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Claims Examiner Workers Comp - Southeast (FL, GA, NC, SC, AL, AR, KY) Sedgwick Claims Management Services, Inc.Claims Examiner Workers Comp - Southeast (FL, GA, NC, SC, AL, AR, KY)KYRemoteMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Remote Claims Representative - 630669B Metro Public AdjustmentRemote Claims Representative - 630669BMemphis, INRemoteMetro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.
Remote Claims Representative - 630669 Metro Public AdjustmentRemote Claims Representative - 630669New Albany, INRemoteMetro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.
NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistLouisville, KentuckySkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Surveillance Investigator Allied UniversalSurveillance InvestigatorLouisville, KentuckyThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Investigator Ethos Risk ServicesInvestigatorLouisville, KYFull timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
NewLarge Loss BI Adjuster (UM/UIM) Allstate Insurance CompanyLarge Loss BI Adjuster (UM/UIM)KY$85,000–$145,075 / yearAnalytical Thinking, Auto Insurance Claims, Automobile Accidents, Casualty Insurance, Claims Resolution, Client Counseling, Complex Claims, Conflict Management, Fatal Accidents, Industry Trend Analysis, Insurance, Insurance Claims, Insurance Coverage, Insurance Investigation, Large Loss Claims, Liability Investigations, Litigation, Negotiation, Personal Injury Claims, Torts. Works with Product, Protection, Law, and Claims on new products introduced to the Field and the sales force, and develops Claim Bulletins to provide new forms and/or endorsements that impact claim handling practices.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistKY$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Bodily Injury & Homeowners Liability Adjuster Allstate Insurance CompanyBodily Injury & Homeowners Liability AdjusterKY$53,500–$86,400 / yearAuto Insurance Claims, Case Management, Casualty Insurance, Casualty Management, Claims Administration, Claims Resolution, Claims Review, Commercial Liability, De-Escalation, Home Insurance, Homeowners Claims, Homeowners Insurance, Homeowners Insurance Claims, Insurance Policies, Liability Insurance, Liability Management, Litigation, Multitasking, Personal Injury Claims, Property & Casualty Insurance, Relationship Management, Tort Liability. Team members may have the opportunity to gain exposure to a variety of claim types and handling responsibilities, including extended handling, litigation, and homeowners liability claims, based on business needs, performance, and development goals.
Customer Service Representative - State Farm Agent Team Member Bill Moriarty - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberCrestwood, KYFull timeAs a Customer Service Representative - State Farm Agent Team Member with Bill Moriarty - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. We celebrate workiversaries and birthdays with office lunches, and I believe in rewarding hard work—this year, I’m sending both full-time team members to our condo in Destin for a well-earned getaway.
Customer Service Representative - State Farm Agent Team Member Ben Mathes - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberCorydon, INFull timeAs a Customer Service Representative - State Farm Agent Team Member with Ben Mathes - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Bryan Jackson - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberJeffersonville, INPart timeAs a Customer Service Representative - State Farm Agent Team Member with Bryan Jackson - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Pharmacy Graduate Intern (Non-US Education) Walgreen CoPharmacy Graduate Intern (Non-US Education)Louisville, KY$35.55–$41.80 / hourUnder direct supervision of a licensed pharmacist, counsels patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
Pharmacy Intern Grad Walgreen CoPharmacy Intern GradJeffersonville, IN$33.50–$45.30 / hourCounsels patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).