32 subrogation rep jobs found

General Responsibilities: • Improve the technical file quality of files within the team. • Act as a team facilitator to help remove team barriers and take an active role in the resolution of team issues. • Be an integral member of the Claims Office WC Management Team. • Be responsible for ongoing team development, ensuring loss dollar management, and provide value-added customer service. • Have an understanding commitment to Team Building and ESIS management principles. • Have the ability to understand and utilize current information systems (i.e., Risk Advantage, Measures & Monitors, e-Desk etc.). • Be able to collect and analyze data to identify individual opportunities for improvement. • Work with individuals to assess their knowledge and skill issues and develop plans for improvement. • Act to promote ESIS Claims Management Division strategies and values. • Have ability to understand and address Human Resource issues and problems. •...

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing  your life's best work . SM Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases. This position is full-time, Monday -...

Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve best outcome Supervisory...

This is a remote position for experienced adjusters. Hours will be Monday-Friday, 8-5pm Pacific Standard Time. Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims...

Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve best outcome Supervisory...

ESIS Claims Team Leader ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of Chubb, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities seriously and are proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually. We specialize in large accounts which have multi-state operations. For information regarding ESIS please visit www.esis.com . ESIS recognizes each risk management program is unique, and we are committed to providing consultative and innovative solutions to drive superior results. Our culture and vision enables us to effectively operate as an extension of our clients’ risk management...

Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve best outcome Supervisory...

Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve best outcome Supervisory...

This is a remote position for experienced adjusters. Hours will be Monday-Friday, 8-5pm Pacific Standard Time. Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims...

This position is remote. Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve...

This position is remote. Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve...

This is a remote position for experienced adjusters. Hours will be Monday-Friday, 8-5pm Pacific Standard Time. Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims...

ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of Chubb, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities seriously and are proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually. We specialize in large accounts which have multi-state operations. For information regarding ESIS please visit www.esis.com . ESIS recognizes each risk management program is unique, and we are committed to providing consultative and innovative solutions to drive superior results. Our culture and vision enables us to effectively operate as an extension of our clients’ risk management program, aligning combined goals to form a...

This is a remote position for experienced adjusters. Hours will be Monday-Friday, 8-5pm Pacific Standard Time. Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims...

At UnitedHealthcare , we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life’s best work.SM Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable...

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 Field Based Certified Compliance Auditor  will work with a team on researching issues to determine feasibility of reducing medical costs through prospective solutions of claim system processes and claim business rules. This position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 08:00am – 05:00pm.  Primary Responsibilities: Examine, assess, and document business operations and procedures to ensure data...

Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve best outcome Supervisory...

Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve best outcome Supervisory...

Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve best outcome Supervisory...

Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve best outcome Supervisory...