type claims; takes appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned..., confirms policy coverages and directs acknowledgement of claims. Interprets and makes decisions using independent judgment...
Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims... promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews...
accurate and timely reserves. Recognize and pursue recovery. Adhere to all statutory and regulatory fair claims practices.... Recognize and identify potential fraudulent claims. Effectively manage the use, work product and expenses of outside vendors...
Job Description: 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...
accurate and timely reserves. Recognize and pursue recovery. Adhere to all statutory and regulatory fair claims practices.... Recognize and identify potential fraudulent claims. Effectively manage the use, work product and expenses of outside vendors...
. Description: Under limited supervision, the Claims Investigator is responsible for the accurate and timely processing of Victims Compensation... claims. Investigators at this level are assigned claims, which require a high level of skill in the application of rules...
judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. Manages... all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel...
, and medical claims. Principal Duties and Responsibilities Adjudicates Traditional Life, Variable Life, and Annuity death... claims. Receives claims calls from customers and resolves inquiries over the phone and in writing. Advocates the use of the...
Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims... promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews...
accurate and timely reserves. Recognize and pursue recovery. Adhere to all statutory and regulatory fair claims practices.... Recognize and identify potential fraudulent claims. Effectively manage the use, work product and expenses of outside vendors...
daily total loss claims handling. Ensuring adherence to salvage requirements per state guidelines & effectively manage the... negotiations of upfront storage fees and rental expenses. Effectively investigating claims, reserving evaluation and resolution...
accurate and timely reserves. Recognize and pursue recovery. Adhere to all statutory and regulatory fair claims practices.... Recognize and identify potential fraudulent claims. Effectively manage the use, work product and expenses of outside vendors...
Overview: To review, research, and resolve claims for all Medi-Cal claim types within established production... of the claim. Generates provider communication, such as letters. Routes and tracks claims requiring review by other staff...
' 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...
to CA only. PRIMARY PURPOSE: 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...
accurate and timely reserves. Recognize and pursue recovery. Adhere to all statutory and regulatory fair claims practices.... Recognize and identify potential fraudulent claims. Effectively manage the use, work product and expenses of outside vendors...
needed to determine the disposition of life, annuity, health and disability claims within authority limits. Benefit and coverage decisions... and evaluates claims submitted on the company's life, annuity, health and disability products. Determines the company's liability...
Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims... promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews...
as well as Excess and Surplus Lines. This “individual contributor” position will service claims in the Westchester Excess and Surplus... the investigation and analysis of Commercial Property Claims, with a minimum of 1-2 years experience in the handling...
Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims... promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews...