- Conduct triage upon receipt of claim to determine best method to scope and adjudicate the loss.
- Through interviewing or other methods, obtains necessary information from the claimant and from experts such as health care practitioners, accountants, and others to fully and accurately assess the extent of the loss.
- Work cooperatively with expert witnesses, attorneys, public adjusters, and carrier's examiners as needed to conduct investigations, confirm findings, and support evaluations.
- Apply understanding of insurance policies and policy interpretation, establishing appropriate loss estimates based on all relevant information and findings.
- Establish and recommends the reasonable and proper amount the insurance company should pay on a claim.
- Ensure the accuracy of information collected and reported and guards against fraudulent claims, based on critical issues identified and accurate conclusions drawn.
- Prepare accurate, clear, thorough, and concise reports and letters to insurance carriers on conclusions and recommendations. Follows established policies, procedures, and processes in preparing information, and submits reports and documents in a timely manner and in accordance with insurer's standards and expectations. Effectively uses software systems as necessary to produce accurate estimates.
- Maintain accurate, thorough notes, journal entries, and time and expense records as required. Submits reimbursement reports in keeping with organization and client policies, procedures and practices, and accepted industry standards. Applies knowledge of both time-and-expense and fee-for-service procedures, according to the stipulations of the agreement with the insurer.
- Obtain manager guidance as necessary, and in accordance with Eberl policy and practice, in formulating recommendations and completing evaluations and reports.
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Claims Adjuster
2 days ago
New Mexico Municipal League New Mexico, United StatesThe New Mexico Self-Insurers Fund is seeking an experienced Claims Adjuster to perform a variety of advanced level, technical and administrative duties as needed to expedite the review, processing, investigation, and disposition of various claims filed against Fund policies and p ...
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Claims Adjuster
5 days ago
New Mexico Self-Insurers' Fund Albuquerque, United StatesJob Description · Job DescriptionThe New Mexico Self-Insurers Fund is seeking an experienced Claims Adjuster to perform a variety of advanced level, technical and administrative duties as needed to expedite the review, processing, investigation, and disposition of various claims ...
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Claims Adjuster
3 days ago
Insurance Placement Solutions Albuquerque, United States Full timeInsurance Placement Solutions has an immediate opening for a Remote Workers Compensation Claims Adjuster with our client. As a member of our client's claims team, utilize your knowledge of workers' compensation to independently investigate, evaluate and resolve assigned claims in ...
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Workers' Compensation Claim Adjuster I
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Multi-Line Claim Adjuster, Senior
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CCMSI Albuquerque, United StatesOverview: · At · CCMSI · , · we · look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Ow ...
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Workers' Compensation Claim Adjuster I
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CCMSI Albuquerque, United StatesOverview: · At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, ...
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501 CSAA Insurance Services, Inc. New Mexico, United States Full timeJob Information · We're Mobilitas, a commercial insurance company created by CSAA Insurance. Our mission is to reinvent commercial insurance in the mobility space by providing technologically advanced solutions for today's way of doing business. At Mobilitas, we believe in what' ...
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Medical Billing Specialist
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Perinatal Associates of New Mexico Albuquerque, NM, United StatesPerinatal Associates of New Mexico (PANM) is an award-winning employer offering outstanding benefits and an exceptional work environment. _See what it is like to work for one of New Mexico's Top 100 Workplaces in 2023_ · The PANM is excited to announce the opening of _*one(1) ful ...
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Medical Billing Specialist
5 days ago
Perinatal Associates of New Mexico Albuquerque, United StatesPerinatal Associates of New Mexico (PANM) is an award-winning employer offering outstanding benefits and an exceptional work environment. _See what it is like to work for one of New Mexico's Top 100 Workplaces in 2023_ · The PANM is excited to announce the opening of _*one(1) ful ...
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Medical Billing Specialist
21 hours ago
Perinatal Associates of New Mexico Albuquerque, United StatesJob Description · Perinatal Associates of New Mexico (PANM) is an award-winning employer offering outstanding benefits and an exceptional work environment. See what it is like to work for one of New Mexico's Top 100 Workplaces in 2023 · The PANM is excited to announce the opening ...
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Daily Property Field Adjuster
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Medical Claim Specialist
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Accounting Technician
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Medical Claim Specialist
4 days ago
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Workers' Compensation Adjuster
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Accounting Technician
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AVP, Health Plan Operations
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Central Billing Representative I
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Auto Damage Adjuster
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Progressive Insurance Albuquerque, United StatesThis position includes a $5,000 starting bonus · Join Forbes' 2024 Best Employer for Diversity · As an auto damage claims adjuster, you'll serve as Progressive's point of contact with customers - directing and making decisions regarding the repair process from beginning to end. ...
Independent Claims Adjuster - New Mexico, United States - Eberl Claims Service
Description
We are looking for experienced adjusters to handle daily claims for our carriers in New Mexico. A Daily Claims Adjuster determines and communicates the extent of loss or damage associated with commercial/residential claims, assisting the insurer in fulfilling its obligation to policyholders and helping to safeguard the insurer's reputation and efficacy.
PRIMARY JOB RESPONSIBILITIES:
