Claims Adjuster Professional

Job DescriptionConducts initial inquiry with client as to circumstances and extent of damage upon receipt of claim notification (basic information and facts gathering)In case of catastrophic event – must open file 15 to 20 claims per dayRegister notified claims in the systemReceive documents/communication letters and adjuster's reportFollow-up submission...

Duties and ResponsibilitiesChecks and processes claims for in-house adjustment/assessment.Attends and conducts inspections of properties with claims requiring in-house adjustment.Verifies claims' Policy Coverage/s.Canvasses/negotiates with dealers and suppliers on prices of part/s for replacement.Negotiates with claimants on the for and amount of claims...

Job DescriptionInvestigate and process claims related to lost, damaged, or delayed goods in transit.Gather evidence, such as pre-shipment videos and photos, to support claims.Work closely with WHOps and CCTV team to ensure that the set guidelines are being followed.Collaborate with the Logistics, Payments and Finance team to ensure all RTS Parcels for claims...

Duties and ResponsibilitiesCoordinating closely with insurance brokers, agents, and loss adjusters.Dealing courteously with customer complaints and appeals.Working intensely on complex or fraudulent cases that require experience and specialist knowledge.Handling recovery losses under subrogation from third parties and other insurance companies.Maintaining...

YOUR ROLEVerification of cover in order to determine if indeed there is coverage/policy in-force when the loss occursMakes the necessary recommendation on a claim (such as for final action or to require further documents or information) or makes a final decision on claim, in accordance with the claim's authorityHandles the necessary communication that should...

Duties and Responsibilities:Claims ProductionReviews claims daily based on medical necessity, coverage guidelines, coding & payment standard and applicable regulatory and compliance requirements.Reviews claims above $25,000 in estimated payments.Reviews services for appropriateness of charges and ensures payments are consistent with authorization information...

Manage new claims, verifying policy coverage and ensuring timely resolution.Maintain accurate records of all claims activities.Communicate effectively with clients, adjusters, and insurance carriers.Assist clients with claim inquiries and provide excellent customer service.Prepare detailed claim reports.Underwriting SupportPrepare and process new and renewal...

We are seeking a dynamic and organized Claims & Underwriting Coordinator to manage and streamline our claims and underwriting processes. This role requires a blend of analytical skills, customer service expertise, and a strong understanding of non-life insurance principles.Responsibilities:Claims Management:Process and manage new claims, verifying policy...

About the Role:The Insurance Claims Coordinator plays a vital part in our team, responsible for overseeing and managing insurance claims from initiation to resolution. This role demands attention to detail, effective communication skills, and a deep understanding of insurance claims processes.We are seeking a Claims Processor with a Bachelor's degree in a...

Key Responsibilities:We are seeking a dedicated and detail-oriented IDR Claims Support Specialist to join our team. This is a full-time, work-from-home position, offering the opportunity to work with an Australian Claims Management Services company.As an IDR Claims Support Specialist, you will be responsible for:Reviewing, processing, and settling claims in...

Join our innovative healthcare team as a Claims Processor, working from the comfort of your home while making a meaningful impact on our members' lives. We're seeking an experienced professional to help advance our member-centric approach to healthcare through expert claims review and adjudication using our state-of-the-art claims system. As a Claims...

Key ResponsibilitiesAnalyze and process In-Patient, Out-Patient Hospital Bills, and Professional Fees claims in accordance with agreed SLAs (Service Level of Agreements)Ensure accuracy and completeness of claims data, adhering to regulatory requirements and company standardsCommunicate effectively with customers, stakeholders, and internal teams to resolve...

The Claims Insurance Coordinator will be responsible for overseeing and managing insurance claims from initiation through resolution. This role requires attention to detail, effective communication skills, and a deep understanding of insurance claims processes.Graduate of Bachelor's degree in a related field2+ years of experience in claims coordination,...

About This OpportunityWe are seeking a Healthcare Claims Coordinator to join our team at Systemantech Inc. As a key member of our claims department, you will be responsible for reviewing and processing patient claims in a timely and efficient manner.Main DutiesReview patient claims to ensure accurate and complete information.Process claims according to...

Job Summary:The Insurance Claims Supervisor is responsible for overseeing the claims processing team to ensure efficient and accurate handling of insurance claims. This role involves supervising daily operations, maintaining compliance with regulatory and policy standards, and delivering excellent service to clients. The ideal candidate will have strong...

In this role, you will have the opportunity to work with a talented team of professionals who share your passion for animal health and welfare. As a Veterinary Claims Advisor, you will play a critical role in ensuring that our customers receive the best possible claims experience.You will be responsible for handling claims in an efficient, honest, and fair...

Job Description:We are looking for a skilled Healthcare Claims Collections Representative to join our team at Optum. As a key member of our operations team, you will be responsible for ensuring timely and accurate processing of healthcare claims.You will work closely with healthcare providers to resolve payment disputes and collect outstanding balances.You...

About the Role">The Medical Claims Examiner position at Nezda Technologies, Inc. involves reviewing medical reports, job responsibilities, and insurance policies to determine eligibility for short-term and long-term disability benefits.">Key Responsibilities">Evaluate medical records, job roles, and insurance contracts to assess suitability for disability...

Job OverviewAs a skilled Healthcare Claims Specialist, you will play a vital role in the healthcare industry by collecting unpaid claims and providing exceptional customer service. Your primary responsibility will be to interact with customers, gather support data to ensure invoice accuracy, and work through specific claims discrepancies.Key...

RequirementsProven experience in claims processing or underwriting within the non-life insurance industry.Strong understanding of insurance policies and procedures.Excellent communication, interpersonal, and customer service skills.Proficiency in agency management systems and Microsoft Office Suite.Strong organizational and time-management...