Correspond and interview with agents, witnesses, or claimants to compile information Take accurate and detailed statements from all involved parties Calculate and approve payment of claims within a certain monetary limit Negotiate and settle property losses with little oversight Coordinate with legal counsel in handling cases correctly Negotiation and Settlement Negotiate

Claims Adjuster I Job Locations US FL Maitland Requisition ID 2024 16356 Category Claims Workers Compensation Position Type Regular Full Time Overview The Workers' Compensation Adjuster I is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds,

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Promptly investigate all assigned claims for coverage, liability, damages, subrogation and contribution Ensures timely disposition of all claims in accordance with regulatory and statutory requirements Within granted authority, establish appropriate loss and expense reserves with documented rationale Maintain and adjust reserves over the life of the claim to reflect chang

Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. Job Description We are seeking a Lead Claims Analyst for our Allocation Solutions Department. In this role you will be responsi

The selected candidate for this position will live within a commutable distance (approximately 50 miles) from the Jacksonville office. VISA sponsorship is not available for this position. Settling Claims fairly is the cornerstone of our business. As one of the State's largest property insurers, we have a fantastic opportunity for highly skilled, analytical thinking manage

Complex Claims Adjuster Lawyers Professional Liability Job Locations US United States Requisition ID 2024 16359 Category Claims Specialty Lines Position Type Regular Full Time Overview Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Complex /Specialty Adjuster. This position can be located in one of our claims offices with the possibi

Investigates, evaluates, reserves and resolves Automobile, General Liability and Property claims for self insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims for TPA clients in a timely manner and in accordance with client, company and regulatory guidelines. Responsibiliti

Promptly investigates all assigned claims with minimal supervision, including those of a more complex nature Determines coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alerts Supervisor and Special Investigations Unit to potentially suspect claims Ensures timely denial or payment of benefits in accordance with jurisdi

Apply Job Type Full time Description With general supervision, verify claims processing, system accuracy, and data entry accuracy, identify and communicate errors, and track errors for trends.Essential Functions Perform scheduled quality assurance audits for both In Network and Out of Network claimsRecord and track audit errors; identify trends and opportunities to improve

Responsible for all areas of customer service as it pertains to the acquisition and/ or retention of members for Sentara Health Plan, Inc. This includes functions associated with the administration of all group information processing of claims, interaction with members, providers and employers. Special reports and projects to include initial review and analysis, recommend

The Risk Adjustment Coder is responsible for conducting Electronic Medical Record (EMR) chart audits for prospective Medicare Risk Adjustment (MRA) ICD 10 codes (International Classification of Diseases, version 10)/Hierarchical Condition Category (HCC) coding in advance of patient visits. This position will prepare coding review for the physician to utilize at the patien

Complex/Specialty Claims Adjuster Job Locations US United States Requisition ID 2023 16096 Category Claims Specialty Lines Position Type Regular Full Time Overview Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Construction Defect Commercial Claims Adjuster II. This position can be located in one of our claims offices, with the possi

The position is responsible for the investigation, evaluation, negotiation and settlement of personal and commercial claims of moderate complexity, including dispute resolution and/or recovery. This position requires successful completion of Citizens Fundamentals Claims School, which includes obtaining an overall passing score. ESSENTIAL FUNCTIONS THE FOLLOWING ARE THE US

Investigates, evaluates and resolves Commercial Automobile, and General Liability claims for self insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with client, company and regulatory guidelines. This position is typically assigned cl