-
Claims Specialist
2 weeks ago
HealthPartners Minneapolis, United StatesThis position ensures that insurance and other 3rd party claims are submitted and/or paid in a timely manner and are compliant with applicable regulations and payer requirements. Specific assignments may include: pre-adjudication and/or follow-up, fa Claims Specialist, Claims, Sp ...
-
Claims Specialist
3 weeks ago
Voya Financial Minneapolis, United StatesTogether we fight for everyones opportunity for a better financial future. We will do this together with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyones access to opportunitie Claims Specialist, Claims, Specia ...
-
Claims Specialist
2 weeks ago
Liberty Mutual Insurance Minneapolis, United StatesSchedule: Full-Time Salary Range: USD $ $ Job Category: Claims 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 th ...
-
Claims Specialist
3 weeks ago
Broadspire Minneapolis, United StatesClaims Specialist - Workers Compensation · 1 week ago · Be among the first 25 applicants · Excellence In Everything We Touch · Position Summary · Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims. Documents and monit ...
-
Claims Specialist
3 weeks ago
Broadspire Minneapolis, United StatesExcellence In Everything We Touch · Position Summary · Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inventory and ensures proper and timely closing of files. Makes decisions on cl ...
-
Content Claims Specialist
1 week ago
Crawford & Company Minneapolis, United StatesExcellence 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 bet ...
-
Claims Specialist, PC
3 weeks ago
Holmes Murphy & Associates Minneapolis, United StatesHave you thought how rewarding it would be to use your knowledge and experience to help clients improve their claim process and outcomes? Do you enjoy helping clients and solving problems? If that sounds like you, consider joining our team · Holmes Murphy is one of the nation's ...
-
Estate Claims Specialist
3 weeks ago
DCM Services Minneapolis, United StatesMake your next move your best move · Why you'll love working at DCM Services: · 4 weeks of Paid Time off (PTO), monthly bonuses, holiday pay, 401k company match, company paid short-term and long-term disability insurance, and more · To make sure you are successful you will rec ...
-
Claim Appeals Specialist
3 weeks ago
Tactile Medical Minneapolis, United StatesOverview: · The Claim Appeals Specialist is responsible for researching and addressing claim issues related to medical necessity in which a request for additional information or denial of payment has been received. This position works closely with payers and our Billing and Coll ...
-
Estate Claims Specialist
3 weeks ago
DCM Services, LLC Minneapolis, United StatesApply · Description · Make your next move your best move · Why you'll love working at DCM Services: · 4 weeks of Paid Time off (PTO), monthly bonuses, holiday pay, 401k company match, company paid short-term and long-term disability insurance, and more · To make sure you are s ...
-
Indemnity Claims Specialist
1 week ago
CorVel Enterprise Comp, Inc. Minneapolis, United StatesJob Description · Job DescriptionINDEMNITY CLAIMS SPECIALIST is responsible for the analysis and management of complex workers' compensation claims. This position will review, investigate, and make decisions regarding coverage, compensability, and appropriateness of claims. The p ...
-
Estate Claims Specialist
18 hours ago
DCM SERVICES LLC Minneapolis, United StatesJob Description · Job DescriptionDescription:Make your next move your best move · Why you'll love working at DCM Services: · 4 weeks of Paid Time off (PTO), monthly bonuses, holiday pay, 401k company match, company paid short-term and long-term disability insurance, and more · To ...
-
Content Claims Specialist
1 week ago
Crawford & Company Minneapolis, United States Regular, Full time· Content Claims Specialist - Field - Level II · Requisition ID · Job Locations · US-MN-Minneapolis | US-MN-Saint Cloud | Rochester | US-WI-Eau Claire · Position Type · Regular Full-Time · Category · Claims · Business Unit · CUS_Loss Adjusting US · Excellence In Everything We To ...
-
Estate Claims Specialist
3 weeks ago
DCM Services, LLC Minneapolis, United States Regular, Full time· Description · Make your next move your best move · Why you'll love working at DCM Services: · 4 weeks of Paid Time off (PTO), monthly bonuses, holiday pay, 401k company match, company paid short-term and long-term disability insurance, and more · To make sure you are successfu ...
-
Workers Compensation Claims Specialist
2 weeks ago
Liberty Mutual Insurance Minneapolis, United StatesPay 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 p ...
-
Sr. P&C Claims Specialist
3 weeks ago
W. R. Berkley Minneapolis, United StatesTo adjust claims as assigned, to perform all claim duties associated with the investigation, evaluation and resolution of all claims assigned. Understands and can apply coverage for the claims assigned. Issues appropriate RO - Rs and disclaimers. Con Claims Specialist, Claims, Sp ...
-
Sr. P&C Claims Specialist
3 weeks ago
Berkley Minneapolis, United StatesCompany Details: · Berkley Risk is a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insur ...
-
Claims Specialist
1 week ago
CorVel Acton, United StatesThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of ...
-
Claims Specialist
1 week ago
Cloud Contents Anoka, United StatesJob Description · Job DescriptionSalary: $18 - $22ph DOQ · Claims Specialist - Ramsey, MN · Cloud Contents is seeking growth minded team members who are looking for a long-term, recession-proof opportunity. Cloud Contents is a full-service personal property restoration company th ...
-
Claims Specialist
1 week ago
CorVel Enterprise Comp, Inc. Acton, United StatesJob Description · Job DescriptionThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims prof ...
Claims Specialist - Minneapolis, United States - Broadspire
Description
Claims Specialist - Workers Compensation1 week ago
Be among the first 25 applicants
Excellence In Everything We Touch
Position Summary
Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inventory and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority.
Responsibilities
Conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages.
Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims.
Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.
Identifies wage loss expenses and wage exposures on medical claims.Documents receipt and contents of medical reports. Interacts frequently with claimant to understand nature and extent of injury and medical conditions. Reviews and handles other correspondence within authority including material from the team members, and/or clients.
Approves payments of medical bills on lost time disability claims within area of payment authority up to, but not exceeding, $2,500 after compensability has been determined.
Evaluates medical claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations.
Keeps Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to Team Manager for direction.
With the team managers guidance, provides input on the completion of status reports, initiate's activity checks and/or widow's statement of dependency forms.
Completes all reporting forms and file documentation.Adheres to client and carrier guidelines and prepares written updates for supervisor to review.
Performs other related duties as required or requested.
Requirements
College degree or the equivalent of education and experience.
Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc).
Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster/supervisory/management level.Demonstrates a thorough working knowledge of claim processing and claim policies and procedures.
Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions
Demonstrates effective and diplomatic oral and written communication skills.
Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others.
About Us
Why Crawford?
Because a claim is more than a number — it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days.
And by helping to restore their lives, we are helping to restore our community – one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve.
united in purpose, vision and values. Learn more at .
When you accept a job with Crawford, you become a part of the One Crawford family.
Our total compensation plans provide each of our employees with far more than just a great salary
Pay and incentive plans that recognize performance excellence
Benefit programs that empower financial, physical, and mental wellness
Training programs that promote continuous learning and career progression while enhancing job performance
Sustainability programs that give back to the communities in which we live and work
A culture of respect, collaboration, entrepreneurial spirit and inclusion
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity.
All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford.
No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.
Seniority levelSeniority level
Entry level
Employment type
Employment type
Full-time
Job function
Job function
Finance and Sales
Industries
Insurance
Referrals increase your chances of interviewing at Broadspire by 2x
Get notified about new
Claims Specialist
jobs in
Minneapolis, MN .
Minneapolis, MN
$60,000 - $80,000
2 days ago
Minneapolis, MN
$70,000 - $80,000
6 days ago
Commercial Property Field Claim Adjuster (Minneapolis/St. Paul, MN)
Senior Property Field Claims Adjuster (Remote/Hybrid) - Minneapolis Territory
St Paul, MN
$43,800 - $72,200
3 months ago
We're unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr
