Field Property Claims Representative - Insurance - Base Salary to 129k/year - Fresno, CA AllSearch Professional Staffing Inc.Field Property Claims Representative - Insurance - Base Salary to 129k/year - Fresno, CAFresno, CA$77,000–$129,000 / yearThis role requires extensive field property adjusting experience, advanced estimating and coverage analysis expertise, and experience negotiating high-value property claim settlements. Conduct field inspections of damaged buildings and properties, including roofs, basements, attics, and other areas necessary to assess property damage.
Casualty Claims Intake Representative I J.B. HuntCasualty Claims Intake Representative ILowell, ArkansasEnsure accurate, timely, and complete documentation of safety events with attention to the direct effects on business units’ financial performance, the company’s overall DOT safety rating, driver coaching, establishment of training programs, analysis of trends, and resolution or defense of litigated matters Leverage strong verbal and written communication skills to coordinate effectively with claimants, internal and external stakeholders, law enforcement and legal representatives. Utilize independent knowledge to assess all collected information, as well as identify missing, incorrect, or updated claim information, to determine appropriate course of action, support timely mitigation of financial exposure, and ensure compliance with company policy and local/state/federal laws; actions include, but are not limited to, providing information to the claimant, retaining independent field adjusters, determining the need for and coordinating drug test, and escalating complex issues to the appropriate internal parties.
Casualty Claims Intake Representative I J.B. Hunt Transport Services IncCasualty Claims Intake Representative IAREnsure accurate, timely, and complete documentation of safety events with attention to the direct effects on business units' financial performance, the company's overall DOT safety rating, driver coaching, establishment of training programs, analysis of trends, and resolution or defense of litigated matters Leverage strong verbal and written communication skills to coordinate effectively with claimants, internal and external stakeholders, law enforcement and legal representatives. Utilize independent knowledge to assess all collected information, as well as identify missing, incorrect, or updated claim information, to determine appropriate course of action, support timely mitigation of financial exposure, and ensure compliance with company policy and local/state/federal laws; actions include, but are not limited to, providing information to the claimant, retaining independent field adjusters, determining the need for and coordinating drug test, and escalating complex issues to the appropriate internal parties.
Claims Examiner - Workers Compensation Maxim Healthcare Services IncClaims Examiner - Workers CompensationColumbia, MDParticipates in calls with local offices, third-party administrators (TPAs), medical providers, attorneys, and other Maxim team members, in order to agree upon, communicate, and execute claim handling plans. Working independently and in coordination with other WC team members, the WC Examiner I will consult with the WC Manager regarding reserve adjustments, a plan of action, and the appropriate settlement value of assigned claim files.
Biller - Claims & Denials - Full-Cycle Biller CPSIBiller - Claims & Denials - Full-Cycle BillerCAEssential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Coordinates business office functions and personnel that may include, but is not limited to patient billing, credit and collections, and data entry. Responsible for assisting manager in the management of employees which would include coaching, training and performing necessary disciplinary actions including following up on action plans for their employees.
California Workers' Compensation Claims Supervisor | Remote King'S Insurance StaffingCalifornia Workers' Compensation Claims Supervisor | RemoteCaliforniaRemoteThis individual will be responsible for leading and mentoring a team of California Workers' Compensation Claims Examiners while providing technical guidance, oversight, and support on moderate to complex Lost Time/Indemnity claims. Qualified candidates must possess extensive knowledge of California Workers' Compensation laws and regulations, along with prior leadership or supervisory experience.
staff - Registered Nurse (RN) - Occupational Health - $62-100 per hour Tenet North Calstaff - Registered Nurse (RN) - Occupational Health - $62-100 per hourSan Ramon, CA$62–$100 / hourScreens employees during return to work and fit for duty scenarios to determine ability to work utilizing Job Function Matching testing and other resources, as determined when necessary. Acts as First Responder to employees injured on the job in conjunction with the EmergencyRoom: Monitors follow up care and maintains current medical status of employees in Workers’ Compensation cases.
MBU Program Claims Leader Eatontown, NJ or Remote Crum & Forster Holdings Corp.MBU Program Claims Leader Eatontown, NJ or RemoteEatontown, NJRemoteInformation about the Role, Line of Business and Team: The successful candidate will work as part of the Operations team to proactively manage a team of claims professionals including the Claims Program Management teams, Training & Development team, and oversight of Stop Loss and Travel vertical operations. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
Claims Assistant HCC Life InsuranceClaims AssistantLos Angeles, CA$20.26–$27.85 / hourWe offer competitive compensation, great benefits, a hybrid schedule, and the strength, stability, growth, and profitability that comes from being a member of the Tokio Marine Group of Companies. Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an opportunity for a Claims Assistant at our office in downtown Los Angeles.
AVP, Claims Quality Assurance & Performance Management Argo Group International Holdings IncAVP, Claims Quality Assurance & Performance ManagementNew York City, NY$137,496–$189,516 / yearQualifications / Experience Required: A specialized knowledge of managing Quality Assurance programs typically achieved through: Bachelor's degree required; JD, advanced degree, CPCU, AIC, SCLA, Six Sigma/Lean, PMP, Prosci, Guidewire certification, or similar insurance, claims, audit, process improvement, project management, or change management credential preferred. In addition, the role will expand QA output into a broader claims performance management capability by linking QA findings to Guidewire data, KPI trends, process assessment analytics, adjuster and manager performance evaluation, and senior leadership reporting across Argo's claims organization.
Avp, Claims Quality Assurance & Performance Management Argo Group International Holdings Ltd.Avp, Claims Quality Assurance & Performance ManagementChicago, IL$137,496–$189,516 / yearQualifications / Experience Required: A specialized knowledge of managing Quality Assurance programs typically achieved through: Bachelor's degree required; JD, advanced degree, CPCU, AIC, SCLA, Six Sigma/Lean, PMP, Prosci, Guidewire certification, or similar insurance, claims, audit, process improvement, project management, or change management credential preferred. In addition, the role will expand QA output into a broader claims performance management capability by linking QA findings to Guidewire data, KPI trends, process assessment analytics, adjuster and manager performance evaluation, and senior leadership reporting across Argo's claims organization.
1071 Senior Contract Manager Harvest Technical Services1071 Senior Contract ManagerVacaville, CaliforniaThe aims are to protect the company’s rights and entitlements as provided in the contracts, ensure the Contractors’ obligations are fulfilled, ensure the company is fulfilling their obligations, optimizing value-for-money, reducing contract risks, lowest Total Cost of Ownership (TCO), on time/schedule delivery, quality and in-cost project purchases to support the goal for The company’s growth investments. As a member of the Global Capital Sourcing team, a Senior Contracts & Claims Manager is sought to be responsible for the commercial management of a variety of projects within large and medium green or brown field CAPEX schemes (CAPEX project sizes/spend of min 5 m USD).
Team Lead Claims - Workers Compensation IconmaTeam Lead Claims - Workers CompensationSyracuse, NYResponsibilities: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Team Lead Claims - Workers Compensation Iconma LLCTeam Lead Claims - Workers CompensationSyracuse, NYResponsibilities: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Director, Claims Triage Argo Group International Holdings IncDirector, Claims TriageNew York City, NY$120,360–$141,780 / yearWorking with the SVP - Global Claims Operations partner with key Claims Management to develop plans aimed at achieving efficiencies so that incoming claims are triaged correctly and quickly assigned to the appropriate department and the Triage department can meet its Critical Success Goals and the Company can meet both growth and profitability targets. Qualifications / Experience Required: Proven people management experience, an advanced knowledge of triage claims and process improvement, and an exceptional customer service focus, typically obtained through: Minimum 7 years claims operations experience, including 4 years in a People Leadership capacity.
Director, Claims Triage Argo Group International Holdings Ltd.Director, Claims TriageOmaha, NEWorking with the SVP - Global Claims Operations partner with key Claims Management to develop plans aimed at achieving efficiencies so that incoming claims are triaged correctly and quickly assigned to the appropriate department and the Triage department can meet its Critical Success Goals and the Company can meet both growth and profitability targets. Qualifications / Experience Required: Proven people management experience, an advanced knowledge of triage claims and process improvement, and an exceptional customer service focus, typically obtained through: Minimum 7 years claims operations experience, including 4 years in a People Leadership capacity.
Claims Assistant HCC Life Insurance CompanyClaims AssistantLos Angeles, CA$20.26–$27.85 / hourWe offer competitive compensation, great benefits, a hybrid schedule, and the strength, stability, growth, and profitability that comes from being a member of the Tokio Marine Group of Companies. Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an opportunity for a Claims Assistant at our office in downtown Los Angeles.
Claims Supervisor - SIU Plymouth Rock Management Company of New JerseyClaims Supervisor - SIUBoston, MA$98,000–$126,500 / yearThe Claims Supervisor, SIU will oversee the operation of a unit of SIU Investigators and Analysts with varying levels of experience who handle investigations on suspect claim and underwriting matters. About the Company: The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service.
NewField Property Claims Adjuster: Omaha, NE Farmers Insurance GroupField Property Claims Adjuster: Omaha, NEOmaha, NERemote$24.70–$41.88 / hourExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
NewDirector Finance and Revenue Cycle Miller VeinDirector Finance and Revenue CycleFarmington Hills, MIThe Finance Revenue Cycle Director is responsible for overseeing all aspects of the revenue cycle, including insurance verification, prior authorizations, claims management, payment posting, denial management, accounts receivable, collections, reimbursement optimization, and related financial performance. The Director provides strategic leadership, develops departmental goals, monitors financial and revenue cycle performance, and partners with leadership to support the organization's financial objectives.