92 claims service specialist i jobs found

Under immediate supervision, investigate and dispose of first and third party claims. All payments will be approved until authority has been granted. Extremely limited settlement authority as determined by Claim Manager. Key Responsibilities Timely completion of all case activities, maximizing customer service and minimizing net loss payout. Contacts all insureds, claimants and witnesses that may have information relating to the loss, either in person, by telephone or in writing. Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system. Evaluates case facts determining coverage, liability and reserves, and reports on settlement; maintains a reminder system. With guidance, negotiates settlements with individuals, attorneys, and other insurance carriers within their granted settlement authority level. Will keep management informed of activities and problems with in...

Why Arbella? At Arbella, we’re focused on people. We work hard to attract and retain the best. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, and competitive salaries and benefits packages. We invest in our employees and encourage them to grow so that we, too, can grow as a company. Other perks include: • Company nurse, nutritional counseling, and mental health resources • Tuition assistance programs • Opportunities to get involved: Arbella Activities Committee, Diversity and Inclusion Council, and more • A company committed to community: volunteer opportunities, employee- led community efforts, and the Arbella Insurance Foundation • Robust training, mentorship, and professional/personal development programs • Colleagues who genuinely care about each other Arbella is committed to building a workplace that’s diverse, inclusive, and equitable for everyone. We’ve created a culture...

Why Arbella? At Arbella, we’re focused on people. We work hard to attract and retain the best. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, and competitive salaries and benefits packages. We invest in our employees and encourage them to grow so that we, too, can grow as a company. Other perks include: • Company nurse, nutritional counseling, and mental health resources • Tuition assistance programs • Opportunities to get involved: Arbella Activities Committee, Diversity and Inclusion Council, and more • A company committed to community: volunteer opportunities, employee- led community efforts, and the Arbella Insurance Foundation • Robust training, mentorship, and professional/personal development programs • Colleagues who genuinely care about each other Arbella is committed to building a workplace that’s diverse, inclusive, and equitable for everyone. We’ve created a culture...

Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. Description Are you interested in joining a claims team at a company known for its consistent year-over-year growth? Liberty Mutual offers an excellent opportunity as a Senior Claims Specialist!   The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims...

NJM’s Workers’ Compensation Claims Team is seeking a Regional Claims Specialist . This is a full-time position and offers a hybrid schedule after training. The Regional Claims Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim, and outlining and recommending an action plan to manage the claim. The Regional Claim Specialist will work with and communicate to all internal and external stakeholders, including:  NJM policyholders, injured workers, medical providers, the NJM Medical Services Administration Department, the NJM Special Investigation Unit, WC Legal Staff, and other departments within NJM, as well as outside defense counsel and vendors. This role can be based in NJM’s West Trenton, Hammonton, or Parsippany, NJ office locations. Hours: Monday to Friday 8:00AM- 4:15PM (Hours can very depending on start time). Responsibilities: Execute on...

The CareIQ Intake Specialist provides administrative customer service assistance to claimants, providers, and claims management by receiving and entering new ancillary healthcare referrals. Utilizing proprietary systems and knowledge from training, a CareIQ Intake Specialist will provide excellent telephonic and written customer service to both inbound and outbound customers. A CareIQ Intake Specialist operates with a high focus on accuracy and urgency to ensure that service orders are received quickly in alignment with the claimant and customer needs. For continuity of business, candidate must live and work in the Central and Eastern time zones    ESSENTIAL FUNCTIONS AND RESPONSIBILITES: Provides quality and friendly telephonic customer service in an inbound and outbound high-volume call-center environment. Completes accurate data review and entry. Able to learn and operate corporate proprietary systems. Enters assigned electronic (email/fax/data...

The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early...

Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We’re an innovative organization that’s small enough to be agile and big enough to make a difference in our industry.    Our flexible workplace is continuously evolving to ensure all employees feel:   Comfortable bringing their whole selves to work.   Confident that they will be treated respectfully.   Recognized for their performance and provided with equal opportunities to succeed.   At Argo, skill meets opportunity. If you’re wired to raise your hand and ask, “Where can I help?”, you’ll thrive with us.   Argo Group, a global multiline underwriter of specialty insurance and reinsurance products in the property and casualty market, offers a comprehensive line of high-quality products and services designed to meet the unique coverage and claims-handling needs of our clients. We foster an inclusive culture that embraces...

Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We’re an innovative organization that’s small enough to be agile and big enough to make a difference in our industry.    Our flexible workplace is continuously evolving to ensure all employees feel:   Comfortable bringing their whole selves to work.   Confident that they will be treated respectfully.   Recognized for their performance and provided with equal opportunities to succeed.   At Argo, skill meets opportunity. If you’re wired to raise your hand and ask, “Where can I help?”, you’ll thrive with us.   Argo Group, a global multiline underwriter of specialty insurance and reinsurance products in the property and casualty market, offers a comprehensive line of high-quality products and services designed to meet the unique coverage and claims-handling needs of our clients. We foster an inclusive culture that embraces...

Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We’re an innovative organization that’s small enough to be agile and big enough to make a difference in our industry.    Our flexible workplace is continuously evolving to ensure all employees feel:   Comfortable bringing their whole selves to work.   Confident that they will be treated respectfully.   Recognized for their performance and provided with equal opportunities to succeed.   At Argo, skill meets opportunity. If you’re wired to raise your hand and ask, “Where can I help?”, you’ll thrive with us.   Argo Group, a global multiline underwriter of specialty insurance and reinsurance products in the property and casualty market, offers a comprehensive line of high-quality products and services designed to meet the unique coverage and claims-handling needs of our clients. We foster an inclusive culture that embraces...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Why Choose a Career with the AAA The Auto Club Group (ACG) Established brand that has been around for over 100 years.  Our members know and trust us! Branch Offices house travel, membership, insurance sales and support employees You will be challenged to drive new business with competitive products and help retain The Auto Club Group's 14+ million members. Excellent Opportunities to Build a Career Path: The Member Representative can be the start of a long-term career with The Auto Club Group.   Your position could lead to a rewarding career and opportunities to grow and pursue other ACG roles such as:  Other Branch positions – Insurance Sales Agent, Travel Agent or Other Departments such as: Call Centers (ERS, Sales and Service,...

NJM’s Workers’ Compensation Claims Team is seeking a Claim Account Specialist. This is a full-time position and offers a hybrid schedule after training. The Claims Account Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim and implement an action plan to manage the claim. The Claims Account Specialist will work with and communicate to NJM policyholders, injured workers, medical providers, the NJM Medical Services Administration Department, the NJM Special Investigation Unit, WC Legal Staff, other departments within NJM, and vendors as needed. This role is based in NJM’s- Hammonton, NJ office location. Responsibilities: Execute on strategic and operational goals and objectives of the WCC department and company business goals, guidelines, and programs Recommend process improvements where applicable to improve department efficiency, work product, and...

NJM’s Workers’ Compensation Claims Team is seeking a Claim Account Specialist. This is a full-time position and offers a hybrid schedule after training. The Claims Account Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim and implement an action plan to manage the claim. The Claims Account Specialist will work with and communicate to NJM policyholders, injured workers, medical providers, the NJM Medical Services Administration Department, the NJM Special Investigation Unit, WC Legal Staff, other departments within NJM, and vendors as needed. This role is based in NJM’s- West Trenton, NJ office location. Responsibilities: Execute on strategic and operational goals and objectives of the WCC department and company business goals, guidelines, and programs Recommend process improvements where applicable to improve department efficiency, work product,...

The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service 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 of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel.  This position will be hybrid (Glen Allen, VA office).   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established reserving authority limits Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional projects and duties as assigned KNOWLEDGE & SKILLS: Excellent Customer Service Skills Excellent written and verbal communication...

The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service 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 of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the...

Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We’re an innovative organization that’s small enough to be agile and big enough to make a difference in our industry.    Our flexible workplace is continuously evolving to ensure all employees feel:   Comfortable bringing their whole selves to work.   Confident that they will be treated respectfully.   Recognized for their performance and provided with equal opportunities to succeed.   At Argo, skill meets opportunity. If you’re wired to raise your hand and ask, “Where can I help?”, you’ll thrive with us.   Who are you?   You are curious, energetic and dread the idea of the routine daily grind. You’ve got broad abilities in a variety of marketing and communications skillsets and enjoy moving from project to project quickly. You enjoy working with a variety of people inside and outside of the office. You love being part of...

Excellence In Everything We Touch Position Summary The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjuster’s content claims handling operations: Acting/operating as a third party, intermediary between the Insurance Company's property adjusters, and their policyholders with respect to conducting valuations of policyholder's/claimant's total loss contents, which are most commonly caused by theft, water, fire and other perils. Focusing on the accurate and timely processing of content claims, via the use of edjuster’s claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system – exclaim. Operating from their appropriately set up and equipped home-based offices, edjuster’s Content Claims Specialists are consistently (daily/weekly basis) assigned new claim files. Operating from their...

Excellence In Everything We Touch Position Summary The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjuster’s content claims handling operations: Acting/operating as a third party, intermediary between the Insurance Company's property adjusters, and their policyholders with respect to conducting valuations of policyholder's/claimant's total loss contents, which are most commonly caused by theft, water, fire and other perils. Focusing on the accurate and timely processing of content claims, via the use of edjuster’s claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system – exclaim. Operating from their appropriately set up and equipped home-based offices, edjuster’s Content Claims Specialists are consistently (daily/weekly basis) assigned new claim files. Operating from their...

Excellence In Everything We Touch Position Summary The role of the Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four keys areas of edjuster's content claims handling operations: Acting/operating as a third party, intermediary between the Insurance Company’s property adjusters, and their policyholders with respect to conducting valuations of policyholder’s/claimant’s total loss contents, which are most commonly caused by theft, water, fire and other perils. Focusing on the accurate and timely processing of content claims, via the use of edjuster’s claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system – exclaim. Operating from their appropriately set up and equipped home-based offices, edjuster’s Content Claims Specialists are consistently (daily/weekly basis) assigned new claim files. Operating from their...