Direct handling of small to medium size Workers' Compensation claims Timely insured and claimant communication Coverage Analysis File documentation and diary management Claim entry and claim transaction Agent communication Other duties as assigned Some travel may be required Qualifications Excellent phone etiquette along with strong oral and written communicative skills (

Serve as single point of contact to the physician network and is an accountable owner, responsive to physician needs. Knowledgeable about incentive programs, contract reimbursement, Optum's internal processes and priorities, and other Optum initiatives, as applicable Monitors performance of assigned PCPs, identifies low performing PCPs and works with IPA leadership to dev

As a member of the Customer Service Center Call Center Team, ensure efficient and timely processing of all work assignments into applicable business systems with strict adherence to all established procedures to assist in the attainment of service level goals throughout the CSC. Responsibilities Provide accurate and timely resolution to claims customer service inquiries A

Position will report directly to the Claims Manager and will assist in the administration of the company's claims program to include the reporting, processing of claims as well as coordination with TPA on open active claims as needed. Will also assist with general duties within the Risk Management department as assigned. Essential Duties/Responsibilities Claim administrat

Commercial Trucking Claims Adjuster Bodily Injury Job Locations US United States Requisition ID 2024 16321 Category Claims General Liability Position Type Regular Full Time Overview The Claims Adjuster II is responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and inte

Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company crop insurance policies Ensure compliant and cost effective application of crop policies by leveraging knowledge of basic insurance statutes and regulations and complying with state and federal regulatory require

GTS Account Protege Requisition ID 2024 25183 Job Locations US Position Type Regular Full Time Category Claims Business Unit GUS_GTS US Excellence In Everything We Touch Position Summary Under the direct supervision of management, the GTS Account Protege participates in the comprehensive training curriculum of the GTS Protege Program. Duties will include estimating damage

Senior/Executive Claims Specialist Environmental Job Locations US NJ MORRISTOWN Job ID 2024 3775 Category Claims Type Regular Division Surplus & Specialty Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions P

Claims Specialist AGL Requisition ID 2024 25180 Job Locations US VA Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Administers and resolves non complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inventory and ensures proper and timel

The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must understand (1) the procedures bi

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en