- Review and determine course of action on each file assigned, utilizing technical knowledge and experience for the purpose of supporting final disposition of a loss
- Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage liability, status and damages that are applicable for each claim
- Honor/decline/negotiate first and third-party liability claims upon completion of coverage/policy investigation and analysis of damages and liability
- Work directly with internal and external customers to develop evidence and establish facts on assigned claims
- Organize, plan and prioritize work activities to keep up with current assignments and to ensure prompt conclusion of claims
- Prepare and present claim evaluations for the appropriate settlement authority
- Notify the Underwriting Department of any adverse information uncovered in the course of the investigation
- Familiarity with unfair claim practices in states where we do business
- Conduct business with vendors in a professional manner while maintaining a reasonable expense factor and upholding the company's reputation for quality service
- Provide customer service both to internal and external customers
- Handle other duties as assigned
- 2-3 years previous auto insurance or other auto related experience A MUST
- Excellent analytical, organizational, interpersonal and communication (verbal, written, phone) skills
- General working knowledge of policies, file procedures, state rules and regulations
- Ability to pass written examinations where required by state statutes to become a licensed Claims Adjuster
- Prior claims experience
- Ability to use on-line claims system
- Bi-lingual a plus
- Medical and Dental
- Telemedicine Benefit
- Vision Reimbursement
- 401k with a generous company match
- Paid Time Off
- Paid Holidays
- Tuition Reimbursement
- Wellness Program
- Life and AD&D
- Short-term and Long-Term Disability
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Claims Specialist, Property
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USA Clinics Group Northbrook, United StatesUSA Clinics Group is seeking an experienced and highly detailed **Revenue Cycle Claims Specialist **to join our Revenue Cycle team The **Revenue Cycle Claims Specialist** is the primary source for managing patient's delinquent accounts including sending patients to collections. T ...
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Context4 Healthcare Naperville, United StatesContext4 Healthcare, Inc., located in Naperville, Illinois, is a world class employer where ingenuity and passion are welcomed. We are a market leader in healthcare compliance, reimbursement and regulatory products. We value our employees, clients, and partners and dedicate our e ...
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CorVel Enterprise Comp, Inc. Downers Grove, United StatesJob Description · Job Description · CorVel is hiring a remote Senior Claims Specialist. The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to d ...
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Senior Claims Specialist
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CorVel Corporation Downers Grove, United States OTHERThe Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation a ...
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Senior Claims Specialist
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CorVel Downers Grove, United StatesThe Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation a ...
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Senior Claims Specialist
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CorVel Enterprise Comp, Inc. Downers Grove, United StatesJob Description · Job Description · The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case manage ...
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Senior Claims Specialist
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CorVel Enterprise Comp, Inc. Downers Grove, United StatesJob Description · Job DescriptionCorVel is hiring a remote Senior Claims Specialist. The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determ ...
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Senior Claims Specialist
4 days ago
CorVel Enterprise Comp, Inc. Downers Grove, United StatesJob Description · Job DescriptionThe Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers an ...
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Senior Claims Specialist
1 week ago
CorVel Corporation Downers Grove, United States OTHERCorVel is hiring a remote Senior Claims Specialist. The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely wi ...
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Claims Resolution Specialist Hybrid
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UroPartners LLC. Westchester, United StatesJob Description · Job Description Description: GENERAL SUMMARY · The Claims Resolution Specialist is responsible for monitoring the charge capture process and identifying issues and process improvement opportunities within the Mid-Revenue Cycle. The position is responsible for ...
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Claims Resolution Specialist Hybrid
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UroPartners LLC. Westchester, United StatesGENERAL SUMMARY · The Claims Resolution Specialist is responsible for monitoring the charge capture process and identifying issues and process improvement opportunities within the Mid-Revenue Cycle. The position is responsible for revenue leakage root cause analysis and resoluti ...
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Workers' Compensation Claims Specialist
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CorVel Corporation Downers Grove, United States OTHERCorVel is hiring a Claims Specialist for our VA office. The Claims Specialist manages lower-level, non-complex and non-problematic Medical Only workers' compensation claims along with Lost Time claims involving greater complexity - within company best practices & within delegated ...
Auto Liability Claims Specialist-Oak Brook - Warrior Insurance Network
Description
Job Description
Job DescriptionWe are Growing
Coming Soon-Claims Office Opening in Oak Brook
We are First Chicago Insurance Company We have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that we are opening a new Claims office in Oak Brook
If you are an experienced CLAIMS PROFFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFFESSIONAL
We are seeking experienced Auto Property Damage Claims Specialists to join our new office in Oak Brook
This talented individual must possess previous experience in the investigation, determination of coverage, prompt evaluation of both First- and Third-Party auto property damage claims with an eye towards prompt, courteous and economical resolution of both First and Third Party related property damage claims.
DUTIES & RESPONSIBILITIES:
QUALIFICATIONS REQUIRED:
Preferred:
The Warrior Insurance Network's member companies offer a competitive benefits package to all full-time employees to include: