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Claims Examiner
4 days ago
US Tech Solutions, Inc. Atlanta, United States PermanentJob Title: Claims Examiner · Location: Remote · Duration: 06 months contract (C2H) · Job Description: · Responsibilities: · • Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to ...
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Claims Examiner
5 days ago
Sedgwick Georgia, United StatesTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...
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Claims Examiner
1 week ago
US Tech Solutions Atlanta, United StatesJob Title: Claims Examiner · Location: Remote · Duration: 06 months contract (C2H) · Job Description: · Responsibilities: · Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to co ...
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Claims Examiner
3 weeks ago
Mindlance Atlanta, United StatesJob Title: Claims Examiner - Workers Compensation · Location: Remote · Job Length: 3 Months (Possibility of extension) · Managers Note: · Alaska work comp license or a Property & Casualty adjusters license. · Job Overview: · Analyze complex or technically difficult workers' ...
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Claims Examiner
3 weeks ago
Hiscox USA Atlanta, United StatesJob Type: · Permanent · Build a brilliant future with Hiscox · Job Description · The Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team, This person will also: Adjusts and resolves moderately complex claims ...
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Associate Claims Examiner
2 weeks ago
Berkshire Hathaway Specialty Insurance Atlanta, United StatesWho are we? · A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire ...
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Associate Claims Examiner
2 weeks ago
Berkshire Hathaway Specialty Insurance Atlanta, United StatesJob Description · Job DescriptionWho are we? · A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers aro ...
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Senior Claims Examiner
2 weeks ago
Berkshire Hathaway Specialty Insurance Atlanta, United StatesJob Description · Job DescriptionWho are we? · A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers aro ...
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Claims Examiner
3 weeks ago
ICONMA Atlanta, United StatesTo analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specifi ...
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Litigation Claims Examiner
3 weeks ago
Reserv Atlanta, United StatesJob Description · Job DescriptionDescriptionAbout ReservReserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is ...
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Senior Claims Examiner, Healthcare
2 weeks ago
Berkshire Hathaway Specialty Insurance Atlanta, United StatesJob Description · Job DescriptionWho are we? · A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers arou ...
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Senior Claims Examiner
4 days ago
The Ladders Atlanta, United StatesJob Type: · Permanent · Build a brilliant future with Hiscox · Build a brilliant future with Hiscox · The Senior Claims Examiner adjudicates assigned claims within given authority. Duties include, but are not limited to: Resolves moderate to complex claims that includes all p ...
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UI Claims Examiner Associate
2 weeks ago
GeorgiaGov Georgia, United StatesUI Claims Examiner Associate (UI Claims Examiner I) · Job Code: RCP070 · Pay Grade: F · The Georgia Department of Labor is accepting applications to fill multiple UI Claims Examiner Associate positions in the Benefits Payment Control Unit. · These are twelve-month time-limi ...
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Medicare Claims Examiner
2 weeks ago
Bankers Fidelity Life Insurance Cor Atlanta, United States**Summary**: · The claims examiner is responsible for processing the Medicare Supplement claims adjudication. The role is responsible for the accurate input of claims information as well as reviewing and analyzing claims to determine eligibility. In addition, the claim examiner m ...
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Senior Workers Compensation Claims Examiner
2 weeks ago
AIG - American International Group, Inc. Atlanta, United StatesAt AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. Its an opportunity to grow your skills and experience as a valued member of the t Workers Compensation, Claims, ...
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Senior Claims Examiner
4 days ago
The Ladders Alpharetta, United StatesAt Coaction, we're a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients. · We're committed to br ...
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Claims Examiner- General Liability
2 weeks ago
Sedgwick Atlanta, United StatesTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...
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Senior Claim Examiner
3 weeks ago
Chubb Alpharetta, United StatesJob Description · The Chubb North American Property team services several business units within Chubb, with books of business involving large property programs written on manuscript quota share policies with contract Independent Adjusters as well as Excess and Surplus Lines. Thi ...
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Assistant Claims Examiner(Hybrid Tucker GA)
2 weeks ago
Gainwell Technologies LLC Georgia, United StatesGreat companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your cont ...
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Senior Claims Examiner, New York Labor Law
4 weeks ago
Arch Capital Group, Ltd. Alpharetta, United StatesIdentify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis. Develop and implement strategy relative to coverage issues which corr Claims, Examiner, Senior, Ins ...
Claims Examiner - Atlanta, United States - ICONMA
Description
· To analyze complex or technically difficult workers compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
· Analyzes and processes complex or technically difficult workers compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
· Negotiates settlement of claims within designated authority.
· Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
· Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
· Prepares necessary state fillings within statutory limits.
· Manages the litigation process; ensures timely and cost effective claims resolution.
· Coordinates vendor referrals for additional investigation and/or litigation management.
· Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
· Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
· Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
· Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
· Ensures claim files are properly documented and claims coding is correct.
· Refers cases as appropriate to supervisor and management.
· Performs other duties as assigned.
· Supports the organizations quality program(s).