6 medical only claims specialist jobs found

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.   Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities.   Our field team members are located in every state in which we operate.   Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best. It’s one thing to know workers’ comp. It’s another to know people. But knowing both? That creates an altogether different experience. So, if you’re ready for an altogether different workplace...

The FNOL Specialist ensures the delivery of excellent customer support through fast and accurate communication, making necessary changes to plans, coordinating with other team members and departments to resolve inquiries and issues for customers, branch representatives and managing general agents. This role combines Customer Service, FNOL reporting and administrative tasks. Minimum Qualifications: High School Diploma or equivalency required At least 3 years of customer service experience required; experience in a call center environment preferred At least 2 years of experience in a claim’s environment Experience using 3-4 systems/programs simultaneously Bi-Lingual in Spanish is a plus Primary Job Functions: Serve as the first point of contact for policyholders, managing 40-60 inbound calls per day while simultaneously handling claims administration tasks, including data entry, document processing, and managing claim files with clear, empathetic...

The Vehicle Service Contract Specialist will handle incoming claim calls and determine coverage in accordance with contract terms. They will review repair shop diagnoses and estimates to evaluate coverage and determine if inspections are necessary. Additionally, they will provide exceptional customer service throughout the claims process. Minimum Qualifications: High School Diploma or Equivalency required. 2 plus years of experience repairing as vehicle technician and /or service department.  Industry certification a plus. (Factory training and ASE’s certification). Communicate claim decisions—approval or denial—clearly to customers, along with next steps. For covered repairs, obtain and review estimates to facilitate timely payment authorization. Verify accuracy of labor times and parts pricing within repair estimates. Negotiate scope of work and pricing with repair facilities when needed. Meet service level agreements (SLAs) for call handling and claim...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Orlando, FL : 12650 Ingenuity Drive, Orlando FL 32826 ✨ What we offer: A stable, consistent work environment —both in-office and virtual A comprehensive training program to help you support employees and customers...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: Market and generate sales of insurance products through existing agents/brokers. Work closely with members in POD to renew business with enhanced focus on retention and upselling opportunities.   This is a remote role. Our teams are able to collaborate using video and screen sharing technology which means you'll feel like you’re part of the team while also enjoying the convenience of working from...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: The Producer Development Representative role is focused on building foundational knowledge and skills across account management, inside sales, brokerage, and underwriting. This role provides hands-on exposure to core insurance functions while supporting team and office activities. The position is intended for individuals at the beginning of their career who are developing the capabilities needed for...