- Service includes shadow adjusting and acting as a liaison between the injured worker, client and TPA responsible for adjudicating workers' compensation losses.
- This involves ongoing detailed claims analysis, accident and subrogation investigation identifying red flags and potential fraud.
- Additional responsibilities include accurate reserving practices, facilitating light duty, oversight of both medical and legal management.
- Ability to evaluate settlement value and coverage issues.
- Mitigating claim severity and driving positive claim outcomes by leading our TPA towards claim resolution.
- Preparing and presenting strategic claim reviews with client and/or carrier.
- Team player with exceptional customer service skills
- High work standards, results orientation and self-motivated.
- Strong complaints handling, dispute resolution and ability to manage difficult situations.
- Ability to meet deadlines and ensure all tasks are completed within service guidelines.
- Ability to make sound decisions with confidence.
- Strong analytical skills with an eye for detail.
- Ability to effectively coach and assist Claims Specialists and Claims Associates.
- High School/GED, some college preferred.
- 3+ years of insurance or claims work experience required.
- 1-2 years of experience in complex claims.
- Insurance or claims designation preferred.
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Claims Specialist
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Randstad Chandler, United StatesJob Description · Job DescriptionWorking as a Randstad Associate answering investors' questions about different retail account types, making changes to accounts, and helping them to navigate the company website. You'll be much more than a customer service professional. You'll be ...
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claims specialists
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Randstad Chandler, United Statesclaims specialists. · chandler , arizona · posted 3 days ago · job details · summary · $ $20 per hour · temp to perm · no requirements · category office and administrative support occupations · referenceAB_ · job details · Randstad is looking to hire several Claims Spe ...
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Vensure Employer Services Chandler, United StatesJob Description · Job DescriptionPosition Summary · Workers' Compensation Claims Specialist will service our Executive-level clients worker's compensation claims with minimal supervision. This role requires that the Specialist monitor their assigned employers' workers' compensati ...
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Bellwether Staffing Solutions Scottsdale, United StatesWe are currently recruiting for a variety of Claims positions in multiple locations: Scottsdale, AZ, Atlanta, GA, NY (NYC or Westchester, NY), or Chicago, IL. The positions are a hybrid schedule in the closest US office (2 days in-office and 3 days remote). · We are looking for C ...
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Liberty Mutual Insurance Chandler, 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 ...
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Auto Claims Specialist
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CHUBB Phoenix, United States Regular - Full timeThe Auto Claims Specialist is responsible for handling and managing complex coverage, liability investigations, and settlement negotiations for 1st and 3rd party auto claims. They will analyze first reports, contact insured/claimants promptly, and evaluate contract language to id ...
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Hiscox Scottsdale, United States Full timeJob Type: · Permanent Build a brilliant future with Hiscox · . · Work with amazing people and be part of a unique culture · ...
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Automotive Claims Specialist
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Cox Automotive Tolleson, United StatesDescription · Job Description: · This position facilitates the resolution of customer complaints (includes all vehicles and online transactions) after a sale and is responsible for the timely and successful arbitration of vehicles between buyer and seller in accordance with auct ...
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Claims Training Specialist
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Crawford & Company Phoenix, United States Permanent Full timePosition Summary · Plans, designs, organizes and conducts training programs in corporate service lines for field and home office personnel and for clients; makes special presentations to potential clients. · Responsibilities · Designs virtual, classroom and on-line instruction ...
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Group Claims Specialist
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Lincoln National Corporation Phoenix, United StatesWe are excited to bring on a highly motivated Group Claims Specialist to support our ever-growing claims organization in a work from home environment. We are specifically seeking candidates who reside in the mountain or pacific time zones to support Claims Specialist, Claims, Spe ...
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Auto Claims Specialist
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Chubb Phoenix, United StatesJob Description · The Auto Claims Specialist is responsible for handling and managing complex coverage, liability investigations, and settlement negotiations for 1st and 3rd party auto claims. They will analyze first reports, contact insured/claimants promptly, and evaluate cont ...
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Medical Claims Specialist
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RemX Phoenix, United StatesJob Description · Job DescriptionDo you have experience with medical claims processing and prior authorizations? · Are you interested in a great opportunity with career growth potential? · Apply Today We are hiring quickly · JOB DETAILS · Title: Medical Claims Specialist · Pay: $ ...
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Property Claim Specialist
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Chubb Phoenix, United StatesJob Description · Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insura ...
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Claims Administrative Support Specialist
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Progressive Gilbert, United States**Job Number**:229388** · - Join Forbes' 2024 Best Employer for Diversity · As a **claims administrative support specialist**, you'll play a vital role supporting our claims branch offices. In addition to ensuring essential administrative functions run smoothly, you may also inte ...
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Leaves Claims Specialist
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Lincoln Financial Services Phoenix, United StatesAlternate Locations: Work from Home; Boise, ID (Idaho); Glendale, CA (California); Phoenix, AZ (Arizona); US Midwest; US Southwest; US West · Work Arrangement: · Remote : Work at home employee residing outside of a commutable distance to an office location. · Relocation assis ...
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CRS Temporary Housing Phoenix, United StatesJob Details · Job Location · Corporate Headquarters - Phoenix, AZ · Remote Type · Hybrid · Position Type · Full Time · Description · CRS Temporary Housing is a leader in our industry providing temporary housing solutions to individuals who are displaced from their home due ...
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Claims Specialist
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Maricopa County Phoenix, United StatesPosting Date · 05/10/24 · Application Deadline · 05/17/24 · Pay Range · $ $27.50 hourly · Job Type · Unclassified · Department · County Attorney · About the Position · If you believe there's strength in numbers and speak the language of accounting, then we want you to join our te ...
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Claim Specialist- Field Property Inspection
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State Farm Mutual Automobile Insurance Company Gilbert, United StatesGilbert, Arizona · - Claims and Investigation · - Regular Full Time · - 36981 · **Job Description**: · **Overview** · Build your career at one of the top companies for professional growth in the U.S. Khakis optional · At State Farm we invest in our employees by providing a compet ...
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Senior Liability Claims Specialist
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CorVel Enterprise Comp, Inc. Phoenix, United StatesJob Description · Job DescriptionCorVel in is seeking a Senior Liability Claims Specialist. The Senior Liability Claims Specialist manages within company best practices complex and non-complex Liability claims. Additionally, the Specialist will work within delegated authority to ...
Sr. WC Claims Specialist - Chandler, United States - Vensure Employer Services
Description
About UsVensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). The company and its service providers collectively serve over 95,000 businesses and process over $135B in annual payroll. As a "One Employer Solution" headquartered in Chandler, Arizona, Vensure helps thousands of businesses streamline and grow their operations with custom strategies that benefit both employers and employees. Find out more by visiting .
Position Summary
Senior Worker's Compensation Claims Specialist position is responsible for servicing our Elite-level clients workers' compensation claims with minimal to no supervision required. This role requires that the associate monitor their assigned employers' workers' compensation claims, from inception thru closure, to ensure that all salient aspects of claim adjudication are being effectively and efficiently performed.
Essential Duties and Responsibilities
