130 claims service specialist i jobs found

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...

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...

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...

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 collaborative 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.   At Argo Group, you can make a direct impact while working in an organization small enough to be agile and big enough to make a difference. We ask you to bring a growth mindset and a desire to share your unique perspective with our dynamic teams. Argo Group, a global multiline underwriter of specialty insurance and...

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:   Salary Job Description:   his position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for training, meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. Auto Claim Representative II – Florida – The Auto Club Group What you will do: The Auto Club Group is seeking prospective Claim Representative II who can work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements and establish clear evaluation and resolution plans for...

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 collaborative 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.   At Argo Group, you can make a direct impact while working in an organization small enough to be agile and big enough to make a difference. We ask you to bring a growth mindset and a desire to share your unique perspective with our dynamic teams. Argo Group, a global multiline underwriter of specialty insurance and...

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 collaborative 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.   At Argo Group, you can make a direct impact while working in an organization small enough to be agile and big enough to make a difference. We ask you to bring a growth mindset and a desire to share your unique perspective with our dynamic teams. Argo Group, a global multiline underwriter of specialty insurance and...

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 collaborative 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.   At Argo Group, you can make a direct impact while working in an organization small enough to be agile and big enough to make a difference. We ask you to bring a growth mindset and a desire to share your unique perspective with our dynamic teams. Argo Group, a global multiline underwriter of specialty insurance and...

NJM is seeking a Workers’ Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time position and offers a hybrid schedule after training with a required Tuesday, Thursday and another day in our West Trenton or Hammonton office. The WC 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 WC Claims Specialist will work with and communicate to all internal and external stakeholders, including:  NJM policyholders, injured workers, medical providers, the NJM Medical Claims Services Department, the NJM Special Investigation Unit, the NJM WC Legal Staff, and other departments within NJM, as well as outside defense counsel and vendors.  At NJM, our WC Claims Department empowers our employees to focus on delivering guidance and empathy to our customers because the claims experience is...

NJM is seeking a Workers’ Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time position and offers a hybrid schedule after training with a required Tuesday, Thursday and another day in our West Trenton or Hammonton office. The WC 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 WC Claims Specialist will work with and communicate to all internal and external stakeholders, including:  NJM policyholders, injured workers, medical providers, the NJM Medical Claims Services Department, the NJM Special Investigation Unit, the NJM WC Legal Staff, and other departments within NJM, as well as outside defense counsel and vendors.  At NJM, our WC Claims Department empowers our employees to focus on delivering guidance and empathy to our customers because the claims experience is...

CorVel is seeking a Medical Access Assistant (Provider Relations Specialist). The Provider Relations Specialist assists injured workers, claims examiners, attorneys, providers, etc. in locating providers within the medical provider network (MPN), verifying provider inclusion in an MPN and scheduling appointments upon request for the injured worker. This position includes a moderate volume of inbound calls and a high volume of outbound calls. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receive incoming calls, emails and faxes from the Medical Access Assistant line Provide excellent customer service and act as network liaison to injured workers, claims examiners and providers Triage requests and ensure they are completed within required timeframes Locate providers of a particular specialty within a designated area as requested by the caller Verify providers are within a specified network and/or have a contract with CorVel Schedule...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! Examine, analyze, and determine the extent of the company's liability concerning casualty or property loss or damages on claims filed. Calculate payments and approve payment of claims within a certain monetary limit. Essential Functions: Examine claim forms and other records to determine appropriate insurance coverage Interpret account insurance coverage in order to settle claim Analyze information obtained by investigation and report findings in order to evaluate claims and determine the coverage...

Make your mark in AL/GL Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact The Casualty Claims Specialist I is responsible for investigating, evaluating, and negotiating general and auto liability claims while maintaining a high standard of customer service.  This includes prompt contact with insureds and follow up to complete timely and accurate reserves and claim resolution.  Analyzing coverage Evaluating liability and damages Establishing accurate reserves throughout the life of the file Maintaining and managing a diary system to efficiently manage and resolve cases...

Overview Position Summary: If you’re passionate about helping people restore their lives when the unexpected happens to their homes and providing the best customer experience, then our Mercury Insurance Property Claims team could be the place for you! Upon completion of the training program, ideal candidates will transition into a property claims field adjusting position traveling to loss sites that have been damaged by fire, water, weather, or other unexpected events. You may also handle some claims via virtual technology and/or collaborate with vendors.    The Property Claims Field Adjuster will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle minor to moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Company and policyholders, and provide exceptional service to our customers.   This position will be supporting...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for managing a team of Senior Claims Examiners and Claims Examiners II, handling a wide variety of low to moderately high exposure construction defect and construction property damage liability primary and excess claims. This position will report to the Director of Construction claims and be responsible for conveying the organization’s objectives and priorities to staff and measure progress towards stated goals.   Responsibilities Confirm coverage of claims by...

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...

Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an immediate opening in their Claims Support Unit for a Claims Assistant. This individual will work in tangent with Claims Professionals to ensure administration of benefits due injured workers is timely and accurate, demonstrating ability to apply regulations governing benefit administration in alignment with Company guidelines, escalating issues, approval needs, and questions timely to management.   ESSENTIAL RESPONSIBILITIES Reviews and prioritizes daily diary instructions from Claims Professional and/or Supervisor, ensuring appropriate urgency is given to time sensitive tasks (e.g., payments, regulatory notices), and promptly notifying of any impediment to task completion. Communicates with Claims Professional and/or Supervisor to clarify and rectify discrepancies and/or obtain proper approval prior to completion. Accurately assesses benefit eligibility pursuant to State regulatory...

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 is a hybrid position. 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 skills Ability to learn rapidly to develop knowledge and...

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 collaborative 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.   At Argo Group, you can make a direct impact while working in an organization small enough to be agile and big enough to make a difference. We ask you to bring a growth mindset and a desire to share your unique perspective with our dynamic teams. Argo Group, a global multiline underwriter of specialty insurance and...