9 field claims representative jobs found

Position Summary The Quality Assurance Specialist is responsible for auditing and adjusting all healthcare claims to ensure accuracy, completeness, and compliance with internal policies and external regulatory requirements. This role enhances operational effectiveness by identifying training needs and recommending process improvements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Assists with the auditing and adjustments of all types of claims. Ensures the completion and submission of all required audit reports to management. Analyzes and identifies training needs based on audit results and system issues. Reviews and adjust a wide variety of claims to ensure accuracy, completeness, and compliance with established policies and procedures. Provides backup support for various claims processing and customer service functions as needed....

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Sr. Field Auto Appraiser, you will within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in compliance with state laws and regulations. Accountable for...

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees...

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees...

Oxford is seeking an organized and highly motivated Account Manager to join our growing Revenue Team. This key contributor will serve as a critical link between clients, brokers, and the company, providing exceptional service and support, while reporting to one of our Senior Account Executives. The position requires a proactive approach to client and broker management, handling both new business and renewal policies and servicing needs, and maintaining comprehensive documentation while adhering to important deadlines and regulatory compliance. Ideal candidates are detail-oriented, thrive in a dynamic, client-focused, fast-paced environment, and excel in providing personalized service. We are looking for a motivated individual who is eager to contribute to our company's growth with exciting opportunities and sizeable premiums.  Job Responsibilities New Business and Renewal Process Management : Oversee all aspects of the new business and renewal process, including...

The Claims Accountant is responsible for managing and analyzing financial transactions related to insurance claims. This role ensures the accuracy of claims payments, reserves, and reporting while maintaining compliance with regulatory requirements and company policies. The position works closely with the claims department, accounting, and auditors to improve financial processes and support strategic decision-making. Your Impact: Track, reconcile, and analyze loss payments to ensure accuracy and proper accounting treatment. Reconcile claims bank accounts daily/monthly and resolve discrepancies between bank statements, claims disbursements, and accounting records. Reconcile TPA funds held balance. Ensure timely and accurate month-end and year-end closings related to claims. Identify and resolve discrepancies in claims transactions. Develop and implement process improvements to increase efficiency and accuracy. Partner with the claims department to support accurate...

Why Join GEICO? At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.   Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive on relentless innovation to exceed our customers' expectations while making a real impact on local communities nationwide.   Founded in 1936, GEICO is a member of the Berkshire Hathaway family of companies and one of the largest auto insurers in the United States. When you join our company, we want you to feel valued, supported, and proud to work here. That's why we offer the GEICO Pledge: Great Company, Great Culture, Great Rewards, and Great Careers. GSOC Supervisor (Morning & Overnight Shift) GEICO seeks a Supervisor – GEICO Security Operations Center (GSOC), a role combining knowledge in the principles of physical security and technical expertise with leadership capabilities...

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees...

Know your rights Inform yourself of your rights and responsibilities by reviewing the content provided in the list below. Employment Eligibility (e-Verify):  English & Spanish Right to work:  English  /  Spanish It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Position Overview: The primary duties of a field adjuster are to inspect the loss and prepare documents detailing the claim. Applicant must be located within the DMV area. Essential Job Functions: • Communicate with desk examiners, insureds, attorneys, and other experts to gather information on claims • Negotiate settlements with the insured and/or their representatives • Prepare reports based on the policy language and submit payment recommendations to the desk examiners • Prepare detailed estimates of the damage • Manage workload and submit closing documents in a timely fashion •...