(DFML). The Lead Claims Examiner/Job Service Representative II will review, analyze and evaluate disputed claims to ensure... Representative II, who reports to the Senior Manager of Benefit Operations & Program Integrity is based in Boston...
, review coverages, arrange appraisals, and settles claims. You will report to the CAT Property Claims Manager... endorsements. Conducts on-site inspections when needed, evaluates damages, and handles claim negotiations with insureds, claimants...
involvement and frequent claim file review. Maintain a supervisor diary on direct report files, as well as a diary... property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise...
requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.... This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the...
Claim technical quality reviews for direct handled Financial Lines claims. Assist in the sharing and distribution of review... results through written reports and presentations. Facilitate the calibration process for claim managers that perform manager...
and/or the Claims Manager in the resolution of claim appeals and disputes by providing documentation for review. Researches... of all required documentation for each claim submitted. · Collaborates with providers, plan participants, other claims payers, or any other party...
. Provide feedback on claim trends and development. Provide input to underwriters on review of potential and existing insured..., liability and damages to set an appropriate claim strategy, settlement and file reserves within approved claims authority...
ADP is hiring a Claims Lead Examiner. RESPONSIBILITIES: Assist Claims Manager in monitoring the workers... compensation program within the ADPTS/PEO structure. Review and resolve complaints raised by exterior business partners. Identify...
to both internal and external clients on various policies, coverages, risk management issues and emerging risk. 7. Aide Claim Manager... with key customers; and assist in the direction of carrier-provided claim adjusting services. 4. Confirm coverage...
requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement...
subrogation team specializing in high-value claims ( $10K) and total losses. Reporting to the Senior Manager of Subrogation..., or other dispute resolution methods You prepare detailed claim summaries and provide regular updates in the claims management system...
functions. * Answer all warranty and company emails promptly, before the 24-hour deadline. Track and monitor claim status... or GED Computer proficiency in programs such as Excel and Word documents. Essential Functions: * Review warranty claims...
P6. Review Contractor's notice of claim in accordance with the Contract, determine validity. Day-to-day tracking..., review, and management of delay claims assigned to the successful candidate. Audit contractor's claim costs, including...
: Review and issue reimbursements, notifying designated contacts accurately and in a timely manner. Claim Tracking Logs... guidance of the Claims Manager and Lead Claims Auditor. Effective Correspondence: Correspond accurately and timely...
, summary data file and Claim Level Invoice each quarter and review to ensure completeness of information received. Upload data.... Review suspect claim records and determines if record should be disputed for payment. Resolve disputes and propose...
and/or the Claims Manager in the resolution of claim appeals and disputes by providing documentation for review. Researches... of all required documentation for each claim submitted. · Collaborates with providers, plan participants, other claims payers, or any other party...
skills to effect fair and prompt disposal of cases and to contribute to a reduction in claim losses. Entering/Review claim... manager to determine the claim allowance and duration of disability fall within industry standards and best practices...
customers. Adheres to high standards of professional conduct while providing delivery of outstanding claim's service. May... perform other responsibilities as assigned. Reporting Relationships: Reports to Claims Manager. Individual contributor role...
(i.e. independent medical examinations, referral for rehabilitation, utilization review, etc.) to manage each claim. Maintains contact... a varying degree of workers compensation claim complexity for all Nationwide channels; inclusive but not limited...
review, verify and process insurance claims following the company policies/SOPs. Documentation Review - Analyze claim... documents, medical records, benefit summary to determine claim eligibility and process the claim as per the benefit...