- Responsible for managing data extraction regarding potential Claims from fax, email or other communication sources.
- Examine, evaluates claims for denial, subrogation and possible fraud and report to
- Enter claims in system; review claims, update/correct information in system
- Assist in maintaining all medical documentation and records regarding workers' compensation cases
- Make & maintain contacts (4 point contact) with client, adjuster, employee and provider
- Report claims to carrier and VP of Risk Management
- Manage correspondence; answer emails and phone calls, note files
- Participate in claims reviews with Client representatives when needed.
- Ensure all claimants complete all necessary paperwork regarding claim case, i.e. incident report, medical release form, LD forms and special programs are being carried out initially
- Strong computer literacy
- Knowledge of insurance related laws and medical and legal terminology
- Excellent written/oral communication skills and ability to interact with personnel at various levels
- Excellent organizational skills
- Strong sense of accuracy and attention to detail
- Ability to exercise tact and discretion in handling of confidential material
- Ability to manage multiple projects, tasks and priorities to achieve desired goals
- Ability to work effectively with employees at all levels within the organization
- 2 years insurance industry experience preferred
- Associates degree preferred, or equivalent years of experience
- Establish and maintain effective liaising between claimant, adjuster, provider and client.
- Provide VP of Risk Management with weekly/monthly overview and assurances that all services have been effective.
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Aon Corporation New York, United StatesPosting Description: · **Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your experience with a globally respected firm, this may be the next step in your career** · **How this role is different**: · Our leaders pride th ...
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Nationwide New York, United StatesIf you're passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you At Nationwide, "on your side" go ...
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Aon Corporation New York, United StatesPosting Description: · **Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your experience with a globally respected firm, this may be the next step in your career** · **How this role is different**: · Our leaders pride th ...
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NYC Careers Manhattan, United States**Claims Specialist, Level II - Property Damage**: · - Apply**Claims Specialist, Level II - Property Damage**: · - Agency: OFFICE OF THE COMPTROLLER · - Posted on: 04/13/2024- Job type: Full-time · Location · MANHATTAN · - Title Classification: Exam may be required · Department · ...
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Dragonetti Brothers Landscaping Brooklyn, United States**Insurance Claims Specialist Construction (60% of position)** · Further responsibilities include obtaining favorable results through investigating, evaluating, reserving, reporting, recommending, negotiating, and managing litigation. · **Required Skills**: · - 5 years minimum re ...
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MetLife New York, United StatesCity/Cities- Bloomfield, Oriskany- State(s)- Connecticut, New York- Country- United States- Working Schedule- Full-Time- Commutable Distance Required- Yes- Relocation Assistance Available- No- Posted Date- 02-May-2024- Job ID- 2567**Description and Requirements**: · Short Term Di ...
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Plymouth Rock Assurance Uniondale, United StatesOverview: · Join our team as a Claims Quality Assurance Specialist and take the helm in ensuring our claim operations meet and exceed industry standards. As a vital member of our team, you'll play a pivotal role in auditing processes across various facets including customer expe ...
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Charge/claims Edits Specialist I #full Time
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61st Street Service Corp New York, United States Full time**Job Summary**: · Charge/Claim Edits Specialist I is responsible for reviewing and performing appropriate actions on charges and claims. This position is the point person within the department responsible for making all charge and claim corrections. The individual in this role w ...
Claims Specialist - Lynbrook, United States - Foundation Risk Partners
Description
Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Claims Specialist to their growing team at the Durnan Group in Rockville Centre, NY.Claims Specialist works under direct supervision of the Vice President of Risk Management, receiving and processing incoming workers compensation claims, assisting in the claims management process and managing communication with regard to claims.
The typical pay range for this role is $65,000-70,000, this range represents the estimated low and high end of the salary range for this position. Actual salaries will vary and may be above or below the range based on factors including but not limited to performance, location, and experience. The range listed is just one component of FRP's total compensation package for employees.
Disclaimer:
While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary.
Equal Employment Opportunity (EEO):
FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law.
Benefits:
FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental. We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays
