The Subrogation Manager manages the development and implementation of strategies, programs, processes, standards and practices related to the identification and collection of subrogation. Manage a team of managers responsible for subrogation recovery. Facilitate continuous development of people, processes, and culture to ensure customer service industry leadership. You wil

Investigate complex insurance fraud activity involving multi line claims, build and maintain meaningful industry social network and assist special investigations leadership in promoting fraud awareness and detection with internal partners, agents, and customers. Reporting to the SIU Manager, you will work in the field and remote office setting. Position Compensation Range

PIP Claim Manager I Florida The Auto Club Group What you will do The Auto Club Group is seeking prospective PIP Claim Manager I who willmanage the daily operations and administer policies and procedures within our PIP Claim unit. In this position, you will have the opportunity to Perform specialized claims functions within assigned region such as organizing and managing c

Highest level individual contributor directly responsible for inventory of complex, severity Financial Institutions and Management Liability claims. Excels in a best practices claim environment, thoroughly documenting the claim process. Responsible for the timely evaluation, reserving and disposition of assigned claims Documents coverage, investigation, damages, reserve r

We have an FCMB Customer Service Advocate II job opening at BlueCross BlueShield of South Carolina. In this position, your duties include responding to routine correspondence and telephone inquiries related to claims or appeals. You will be tasked with identifying inaccurately processed claims, completing adjustments, and taking steps to reprocess them accordingly. Why sh

We have an FCMB Customer Service Advocate II job opening at BlueCross BlueShield of South Carolina. In this position, your duties include responding to routine correspondence and telephone inquiries related to claims or appeals. You will be tasked with identifying inaccurately processed claims, completing adjustments, and taking steps to reprocess them accordingly. Why sh

You'll investigate and settle vehicle accident claims over the phone and through written correspondence. This level of claims adjuster will handle 1st and 3rd party claims. They will investigate and determine coverage and liability and make the appropriate payments based on their decisions. This level of adjuster could also investigate and handle fire, theft and claims sus

Senior Claims Examiner Workers Compensation Requisition ID 2024 25415 Job Locations US MA Dedham Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moder

The Mail Processing rep works within the Posting and Processing Team to ensure the incoming payment received via electronic means (eft, portal, treasury, etc.) is appropriately reviewed and assigned to the applicable account and that said funds are applicably prepared for posting via the cash posting team. HOURS/WORK SCHEDULE Monday through Friday full time in office appr

Why This Role is Important to Us The Provider Services Department provides a single point of contact for questions, problem solving, and access to care, for providers on behalf of members of the Senior Care Options (SCO) and One Care Programs. The Provider Services Representative (PSR) position is responsible for providing accurate, prompt, and courteous service in respon

Provide general claims support by reviewing and processing claims Calculate other insurance and benefits Participate in meetings to share, discuss, and solution for question or error trends, as well as potential process improvements Consistently meet established productivity, schedule adherence, and quality standards You'll be rewarded and recognized for your performance

Job Description Summary Under the general guidance of the Fast Track Supervisor, this remote position is responsible for assigned loss reports and performs tasks associated with settling high frequency, low complexity automobile insurance claims with a focus on customer service, prompt investigation and rapid disposition. You will specialize in settling routine 1st and 3rd

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

Senior Workers' Comp Injury Counselor Location US CA Carlsbad ID 2024 1447 Category Other Position Type Full Time Overview The Senior Workers' Compensation Injury Counselor is responsible for managing work related injuries suffered by employees of Bergelectric Corp.; acting as the liaison between the Company, injured worker, insurance companies, and medical professionals;

Review, research, solve and process assigned work. This would include navigating multiple computer systems and platforms (e.g. verify pricing, prior authorizations, applicable benefits) Ensure that the proper benefits are applied to each claim by using the appropriate tools, processes and procedures (e.g. claims processing policies and procedures, grievance procedures, st