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    • GIS - Gamma Iota Sigma - International Risk Management, Insurance and Actuarial Science Collegiate Fraternity
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senior account claims representative

189 senior account claims representative jobs found

PMA Companies
01/26/2023  
Senior Account Claims Representative - Workers Compensation
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.   Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate claims...
PMA Companies Blue Bell, PA, USA
PMA Companies
01/18/2023  
Senior Account Claims Representative - Workers Compensation
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.   Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate claims...
PMA Companies Blue Bell, PA, USA
PMA Companies
12/13/2022  
Senior Account Claims Representative - CA Remote Opportunity
As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: Promptly investigates all assigned claims with minimal supervision, including those of a more complex nature Determines coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alerts Supervisor and Special Investigations Unit to potentially suspect claims Ensures timely denial or payment of benefits in accordance with jurisdictional requirements Within granted authority, establishes appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to...
PMA Companies Roseville, CA, USA
PMA Companies
12/13/2022  
Senior Account Claims Representative - Workers Compensation Remote Opportunity
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.   Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate claims...
PMA Companies Wallingford, CT, USA
PMA Companies
12/13/2022  
Senior Account Claims Representative
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.   Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate claims...
PMA Companies Blue Bell, PA, USA
PMA Companies
12/13/2022  
Senior Account Claims Representative - Workers Compensation Remote Opportunity
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.   Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate claims...
PMA Companies Minneapolis, MN, USA
PMA Companies
12/08/2022  
Senior Account Claims Representative - Workers Compensation
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.   Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate claims...
PMA Companies Blue Bell, PA, USA
PMA Companies
11/25/2022  
Senior Account Claims Representative - CA Remote Opportunity
As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: Promptly investigates all assigned claims with minimal supervision, including those of a more complex nature Determines coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alerts Supervisor and Special Investigations Unit to potentially suspect claims Ensures timely denial or payment of benefits in accordance with jurisdictional requirements Within granted authority, establishes appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to...
PMA Companies Roseville, CA, USA
PMA Companies
11/21/2022  
Senior Account Claims Representative - Workers Compensation Remote Opportunity
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.   Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate claims...
PMA Companies Wallingford, CT, USA
Gallagher
01/31/2023  
Account Representative Senior
Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. Position Summary: The Senior Account Representative coordinates activities with the Account Managers, Account Executives, Producers, Brokers in servicing designated book of business relating to marketing, claims, administration, renewals, sales. Typically assigned to clients having the most complex needs with no renewal goals associated with assigned accounts. Day-to-day client contacts are generally mid- or lower-level client staff, but have knowledge and experience needed to support senior-level client staff. List of Essential Duties: Independently provides support to assigned group of...
Gallagher Salem, OR, USA
Gallagher
01/23/2023  
Account Representative
Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. Position Summary: The Account Representative assists Account Manager, Account Executives, Producers, Brokers in servicing designated group of clients or book of business as it relates to marketing, claims, administration, and sales. Essential Duties & Responsibilities: Typically assigned to accounts having less complex needs with no renewal goals associated with assigned accounts. Under direction of more senior staff, provides administrative support to an assigned group of clients. Resolves customer service inquiries that require research and interactions with carriers or...
Gallagher Buffalo, NY, USA
Gallagher
01/23/2023  
Client Representative
Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. Position Summary: The Account Representative assists Account Manager, Account Executives, Producers, Brokers in servicing designated group of clients or book of business as it relates to marketing, claims, administration, and sales. Essential Duties & Responsibilities: Typically assigned to accounts having less complex needs with no renewal goals associated with assigned accounts. Under direction of more senior staff, provides administrative support to an assigned group of clients. Resolves customer service inquiries that require research and interactions with carriers or...
Gallagher Rolling Meadows, IL, USA
Gallagher
01/20/2023  
Client Representative
Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. Position Summary: The Account Representative assists Account Manager, Account Executives, Producers, Brokers in servicing designated group of clients or book of business as it relates to marketing, claims, administration, and sales. Essential Duties & Responsibilities: Typically assigned to accounts having less complex needs with no renewal goals associated with assigned accounts. Under direction of more senior staff, provides administrative support to an assigned group of clients. Resolves customer service inquiries that require research and interactions with carriers or...
Gallagher Rolling Meadows, IL, USA
UnitedHealth Group
01/18/2023  
Patient Accounting Customer Service Specialist - MarinHealth - San Rafael, CA
$2,000 Sign On Bonus For External Candidates Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life’s best work.SM The Customer Service Specialist is a liaison between the community and the hospital.  They must be able to work tactfully and efficiently with all patients, the public and other hospital employees.  In the interest of outstanding customer service, they must be highly trained in business office operations, knowledge of all third-party payor arrangement, self-pay and charity patients.  Possess advanced knowledge and experience of all Patient Accounting functions. The Customer Service...
UnitedHealth Group San Rafael, CA, USA
UnitedHealth Group
01/09/2023  
Patient Accounting Customer Service Specialist - MarinHealth - San Rafael, CA
$2,000 Sign On Bonus For External Candidates Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life’s best work.SM The Customer Service Specialist is a liaison between the community and the hospital.  They must be able to work tactfully and efficiently with all patients, the public and other hospital employees.  In the interest of outstanding customer service, they must be highly trained in business office operations, knowledge of all third-party payor arrangement, self-pay and charity patients.  Possess advanced knowledge and experience of all Patient Accounting functions. The Customer Service...
UnitedHealth Group San Rafael, CA, USA
Gallagher
01/09/2023  
Account Representative
Risk Placement Services, Inc. is one of the nation's largest specialty wholesale insurance brokerage firms. We work with top-rated carriers to design robust coverage for our clients. Our employees are fueled by a culture built around teamwork, creativity and responsiveness. Position Summary: Position Summary: The Account Representative Assists Account Manager, Account Executives, Producers, Brokers in servicing designated group of clients or book of business as it relates to marketing, claims, administration, and sales. Essential Duties & Responsibilities: Typically assigned to accounts having fewer complex needs with no renewal goals associated with assigned accounts. Under direction of more senior staff, provides administrative support to an assigned group of clients. Resolves customer service inquiries that require research and interactions with carriers or agents. Generally, requires assistance when resolving more complex problems. Responds to...
Gallagher West Des Moines, IA, USA
Gallagher
01/09/2023  
Account Representative
Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. Position Summary: The Account Representative assists Account Manager, Account Executives, Producers, Brokers in servicing designated group of clients or book of business as it relates to marketing, claims, administration, and sales. Essential Duties & Responsibilities: Typically assigned to accounts having less complex needs with no renewal goals associated with assigned accounts. Under direction of more senior staff, provides administrative support to an assigned group of clients. Resolves customer service inquiries that require research and interactions with carriers or...
Gallagher Buffalo, NY, USA
UnitedHealth Group
12/21/2022  
Patient Accounting Customer Service Specialist - MarinHealth - San Rafael, CA
$2,000 Sign On Bonus For External Candidates Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life’s best work.SM The Customer Service Specialist is a liaison between the community and the hospital.  They must be able to work tactfully and efficiently with all patients, the public and other hospital employees.  In the interest of outstanding customer service, they must be highly trained in business office operations, knowledge of all third-party payor arrangement, self-pay and charity patients.  Possess advanced knowledge and experience of all Patient Accounting functions. The Customer Service...
UnitedHealth Group San Rafael, CA, USA
Gallagher
12/13/2022  
Account Representative
Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. Position Summary: The Account Representative assists Account Manager, Account Executives, Producers, Brokers in servicing designated group of clients or book of business as it relates to marketing, claims, administration, and sales. Essential Duties & Responsibilities: Typically assigned to accounts having less complex needs with no renewal goals associated with assigned accounts. Under direction of more senior staff, provides administrative support to an assigned group of clients. Resolves customer service inquiries that require research and interactions with carriers or...
Gallagher Evesham, NJ, USA
Gallagher
12/13/2022  
Account Representative
Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. Position Summary: The Account Representative assists Account Manager, Account Executives, Producers, Brokers in servicing designated group of clients or book of business as it relates to marketing, claims, administration, and sales. Essential Duties & Responsibilities: Typically assigned to accounts having less complex needs with no renewal goals associated with assigned accounts. Under direction of more senior staff, provides administrative support to an assigned group of clients. Resolves customer service inquiries that require research and interactions with carriers or...
Gallagher Buffalo, NY, USA
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