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  • Claims Representative

    Mica 4.0company rating

    Remote Claims Coordinator Job

    Claim Representative Opportunity at MICA - Join Our Utah Team! Do you live in Utah and are you ready to take your career in insurance to the next level? At Mutual Insurance Company of Arizona (MICA), we've been providing medical professional liability insurance since 1976, earning our reputation as the leading provider in Arizona and expanding into Utah, Colorado, Nevada, and Montana. We are now seeking a Claim Representative to join our Utah-based team to investigate, manage, and evaluate minimal to high exposure claims and suit files in accordance with our guidelines. This includes identifying coverage issues, setting adequate reserves, assessing degree of liability, and determining case value. Why Join MICA? At MICA, our Claim Department plays a pivotal role in our mission to protect and defend the practice of medicine. As a Claim Representative, you'll have the opportunity to focus on quality over quantity, managing lower pending caseloads to ensure a thorough and thoughtful approach to each claim. You'll handle cases from start to resolution, gaining a comprehensive understanding of the entire claims process while evaluating and resolving interesting, high-exposure claims. We're committed to setting you up for success, offering extensive training and the tools you need to excel. At MICA, your skills and insights aren't just valued-they're celebrated. You'll join a collaborative, supportive team that prioritizes your professional development and career satisfaction. This isn't just a job; it's your chance to make a meaningful difference in the healthcare community while building a career you can truly be proud of. What You'll Do: · Review claims and lawsuits · Obtain and review medical records and corresponding literature · Conduct interviews and prepare summaries · Select defense counsel and consultants with appropriate input · Attend key depositions and discuss defense strategy with assigned counsel · Evaluate defensibility, verdict range, and settlement value · Prepare and present appropriate cases to management for settlement authority · Negotiate settlements What We're Looking For: · 3+ years of progressively complex casualty/property claims experience · Excellent oral and written communication skills · Must demonstrate good judgment · Able to develop effective working relationships · Able to keep sensitive information confidential. · Bachelor's degree preferred · Valid driver's license · Field experience preferred. · 25% travel required · Must have a valid driver's license and must be able to meet MICA's insurability requirements. · Willing to travel within the assigned territory (most travel is same day within the Utah area, other areas include Colorado, Nevada and Montana) What We Offer: Competitive starting salary Day 1 benefits, including comprehensive insurance with low deductibles Remote position and a 37.5-hour workweek 13 paid holidays (including 3 floating days) 401(k) with 6% company match Pension plan Tuition reimbursement up to $5,250 per year Auto Allowance for $9,600 per year Apply Today! Send your resume to ********************* to start your journey with MICA. At MICA, we are committed to diversity and are proud to be an equal-opportunity employer
    $29k-39k yearly est. 4d ago
  • Claims Representative I - REMOTE

    Ryder System 4.4company rating

    Remote Claims Coordinator Job

    Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (************************************************ This position handles small to medium 3rd party property damage and cargo claims under Ryder's self-insured, self-administered liability program. ESSENTIAL FUNCTIONS Investigates, evaluate and resolves low to medium exposure 3rd party property damage and cargo claims pursued against Ryder Ensures the most appropriate and cost effective resolution of all claims is reached, and that a high level customer service is attained The position handles cases in compliance with state statues to avoid fines and penalties and the loss of right to self-insure ADDITIONAL RESPONSIBILITIES Performs other duties as assigned. EDUCATION Bachelor's degree and/or equivalent experience preferred. EXPERIENCE One (1) to 5 years' experience in Casualty claims SKILLS Demonstrated ability to handle low to medium exposure 3rd party property damage and cargo claims Strong commitment to the principles of customer focus Effective interpersonal skills and ability to communicate clearly in verbal and written communications Strong negotiation skills and ability to deal effectively with customers and claimants. Comprehensive understanding of all relevant laws, regulations and legal terminology involving property damage and cargo claims LICENSES Current Active Adjuster license. TRAVEL 0-10% Job Category: Risk Management Compensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Compensation ranges for the position are below: Pay Type : Salaried Minimum Pay Range: 60,000.00 Maximum Pay Range: 70,000.00 The position may also be eligible to receive an annual bonus, commission, and/or long-term incentive plan based on the level and/or type. Benefits Information: For all Full-time positions only : Ryder offers comprehensive health and welfare benefits, to include medical, prescription, dental, vision, life insurance and disability insurance options, as well as paid time off for vacation, illness, bereavement, family and parental leave, and a tax-advantaged 401(k) retirement savings plan. Ryder is proud to be an Equal Opportunity Employer and Drug Free workplace. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Security Notice for Applicants: Ryder will only communicate with an applicant directly from a [@ryder.com] email address and will never conduct an interview online through a chat type forum, messaging app (such as WhatsApp or Telegram), or via an online questionnaire. During an interview, Ryder will never ask for any form of payment or banking details and will never solicit personal information outside of the formal submitted application through ********************* . Should you have any questions regarding the application process or to verify the legitimacy of an interview or Ryder representative, please contact Ryder at ***************** or ************. Current Employees: If you are a current employee at Ryder (not a Contractor or temporary employee through a staffing agency), please click here (*************************************************** to log in to Workday to apply using the internal application process. Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (************************************************ \#wd
    $52k-59k yearly est. 3d ago
  • Group Life Claims Examiner

    The Jacobson Group 4.9company rating

    Remote Claims Coordinator Job

    Our client, a provider of life insurance and STD and LTD, is looking to bring on a Group Life Claims Examiner for a 6+ month assignment. This role will be hybrid with three days onsite and two days work from home. Job Responsibilities - This claims examiner, under supervision, will handle complex and contested Life claims. Key responsibilities include: Managing the entire claims lifecycle, from initiation to completion Handling sensitive beneficiary correspondence Preparing claims for legal review Ensuring compliance with regulations Handling calls and resolving claim issues with excellent customer service Specific insurance product knowledge - Group Life Systems/Software - Word and Excel Certifications, Education or Licenses - LOMA courses (preferred) Skill Set /Experience Requirements: 2+ years of Group Life claims experience (Must have experience with 2 of the below products) Life, Waiver of Premium, Wellness, Accidental, GAP, Permanent, Total Disability, Accelerated Death Knowledge of state regulations, statutes, and ERISA Comprehension of medical and insurance terminology Research, analytical, and decision-making skills required Must have contested life claims experience If this sounds like you, please apply today! Pay Range: The anticipated pay range for this position is $23 - $26/hourly. We understand that salary is an important factor in a job search, and we encourage you to apply even if you feel that your desired compensation may fall outside of the listed range. The final pay for this position is determined based on several factors including but not limited to, relevant experience, skills and certifications, education and training, geographic location, market conditions, and internal equity. We are committed to finding the right candidate for this role and are open to discussing how your unique qualifications align with our needs. Benefits: Our comprehensive benefits package includes: Medical insurance Dental insurance Vision insurance 401(k) retirement savings plan Equal Opportunity Employer: The Jacobson Group is committed to fostering an inclusive and equitable workplace that reflects the diverse communities we serve. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other protected characteristic as defined by applicable law. We believe that diversity of thought, background and experience strengthens our team and drives innovation. All employment decisions are based on qualifications, merit and business needs. If you require a reasonable accommodation to complete the application process or participate in an interview, please contact us at ********************* or ***************** to make a request. Refer a Colleague: Do you know someone who would be interested in this project? Submit your referral directly by emailing the Jacobson contact listed above or submitting them through this form. If your referral is hired for a contract assignment and meets all other eligibility criteria, you will receive a referral bonus!
    $23-26 hourly 4d ago
  • Auto Claims Representative

    Auto-Owners Insurance 4.3company rating

    Remote Claims Coordinator Job

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, this specific role could have the flexibility to work from home up to 3 days per week. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products Learn and comply with Company claim handling procedures Develop entry-level claim negotiation and settlement skills Build skills to effectively serve the needs of agents, insureds, and others Meet and communicate with claimants, legal counsel, and third-parties Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience Bachelor's degree or direct equivalent experience with property/casualty claims handling Ability to organize data, multi-task and make decisions independently Above average communication skills (written and verbal) Ability to write reports and compose correspondence Ability to resolve complex issues Ability to maintain confidentially and data security Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage Continually develop product knowledge through participation in approved educational programs Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
    $30k-39k yearly est. 4d ago
  • Claims Processor

    Russell Tobin 4.1company rating

    Remote Claims Coordinator Job

    Russell Tobin's client is hiring a Claims Processor in Mason, OH Employment Type: Contract Schedule: Monday-Friday 8am-4:30pm Pay rate: $15-$17.85/hr Responsibilities: Responsible for the timely and accurate completion of key tasks supporting the successful implementation of new Small Business Clients with and/or on behalf of a team of Implementation Specialists. Execute the preliminary steps to build a new client structure for implementation requests routed through the shared Salesforce queue; using standard client set-up guideline(s) and process(es) Initiation of and accurate and timely tracking for all completed tasks using the proprietary Salesforce Implementation Tracker Project Management tool Benefit set-up validation in the core Facets system and communicating to implementation owners any discrepancies with the expected outcome Execution of new client online portal access set-up; including sending the appropriate communication email templates, tracking status, and reporting any identified issues. Monitor team shared Outlook mailbox for incoming membership documents sent from clients, brokers or Third Party Administrators (TPA's) Review incoming membership documents (Microsoft Excel and Word) to confirm accuracy in formatting and validity of data; including communicating when updates are needed for successful membership enrollment and/or submission for processing. Requirements: Ability to learn and adopt new processes quickly and with ease Ability to work remotely and autonomously Accustomed to working in a high-paced, high-volume environment Strong attention to detail Medium-Advance level of expertise with Microsoft Excel • Proficient with Outlook Familiar with Cloud-based applications (i.e. OneDrive) Ability to multi-task and perform duties using multiple sources or systems; Data Entry experience preferred Ability to clearly articulate findings, issues, or concerns requiring resolution Benefits that Russell Tobin offers: Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.
    $15-17.9 hourly 13d ago
  • Job Coordinator

    Game Day Inc. 3.7company rating

    Claims Coordinator Job In Chantilly, VA

    Job Title: Sports Field Job Planner/Coordinator The Sports Field Job Planner/Coordinator is responsible for organizing the planning, and execution of sports field projects and maintenance services ensuring operational efficiency. This role includes managing schedules, planning job tasks, and coordinating the project timeline to ensure timely and successful project completion. As a hands-on position, this role is not remote and involves a combination of outdoor site work and office-based responsibilities. Key Responsibilities: 1. Project Planning: o Communicate with customers to understand goals for improvements and inspect facilities. Coordinate with Service Managers to plan work. 2. Scheduling & Job Planning: o Create and manage project/service schedules, ensuring tasks are prioritized and deadlines are met. o Plan, assign, and track job tasks for teams, ensuring optimal use of time and resources across all project stages. 3. Team Supervision & Leadership: o Assist Sports Field Managers to assign clear responsibilities and set expectations for performance and safety. o Foster teamwork and manage team dynamics to ensure smooth operations. 4. Timeline & Milestone Management: o Establish project/service timelines with clear milestones and ensure projects are completed on time. o Regularly update customers on progress, highlighting key achievements and upcoming tasks. 5. Site Inspections: o Oversee project quality, inspecting completed areas to ensure they meet design, safety, and regulatory standards. o Conduct regular site visits to ensure proper execution and adherence to project plans. 6. Client Communication & Satisfaction: o Serve as the primary point of contact for customers, providing regular updates and addressing any concerns or changes. o Ensure client expectations are met and exceed service standards. 7. Vendor & Supplier Coordination: o Manage relationships with vendors and suppliers, coordinating material orders, deliveries, and schedules. o Ensure timely delivery of materials and services, maintaining strong partnerships with suppliers. 8. Compliance & Safety: o Ensure all work is compliant with local regulations, zoning laws, and safety standards. o Uphold safety protocols on-site, promoting a culture of safety among team members. Qualifications: 1. Education: o High School Education required. College degree preferred. Candidates with equivalent professional experience in lieu of a formal degree will be considered. 2. Experience: o 3-5 years of experience in planning and scheduling or similar. o Skills: • Planning & Scheduling: o Strong proficiency in managing project/service schedules, budgets, and teams to ensure efficient operations and timely delivery. o Proven experience in creating detailed project plans, creating realistic schedules, and allocating tasks to ensure successful completion. o Ability to manage multiple projects simultaneously, prioritizing tasks and meeting deadlines in a fast-paced environment • Budget Management & Cost Control: o Experience in creating and managing project budgets, tracking expenses, and ensuring financial goals are met while maintaining quality and safety standards. • Technical Knowledge: o Working knowledge of Microsoft Office Suite (Work, Excel, PowerPoint & Outlook). • Communication: o Exceptional communication skills for client interactions, team management, and vendor coordination. • Problem-Solving: o Ability to address and resolve issues swiftly on-site, ensuring minimal disruption to project timelines. • Attention to Detail: o High standards for quality and operational efficiency. Additional Information: This is a non-remote, full-time position that involves both fieldwork and office-based responsibilities. This position will be expected to oversee day-to-day project tasks, work with Field Managers on team schedules, and ensure that all aspects of the project are running smoothly from start to finish.
    $44k-73k yearly est. 9d ago
  • Commercial Auto Claims Specialist | Remote

    King's Insurance Staffing 3.4company rating

    Remote Claims Coordinator Job

    Our client, a leading P&C insurance carrier, is seeking to add a Commercial Casualty Claims Examiner to their New Hampshire team. This role involves handling complex claims in both bodily injury and casualty, ensuring accurate, fair, and legally compliant resolutions. The ideal candidate will bring a strong background in insurance carrier operations, with extensive experience in claims evaluation and settlement negotiations. Key Responsibilities: Investigate and evaluate Commercial Casualty claims to determine liability and estimate damages. Negotiate settlements and manage litigation efficiently, ensuring timely and equitable outcomes. Analyze detailed information, including medical records, accident reports, and legal statements to assess claims accurately. Advise on coverage issues and contribute to the development of claims handling policies. Mentor junior adjusters and provide expert guidance on complex claims scenarios. Maintain comprehensive records of all claim activities, ensuring all documentation is accurate and up-to-date in the claims management system. Ensure compliance with all regulatory and internal guidelines during the claims process. Requirements: 6+ years of experience handling Commercial or Personal Lines Bodily Injury claims. Experience working for an insurance carrier is preferred. Active adjuster license is a plus. Strong negotiation skills with a proven track record of resolving claims effectively. Exceptional analytical and problem-solving abilities. Proficiency in claims management software and Microsoft Office. Bachelor's degree highly preferred. Salary & Benefits: $85,000 to $105,000+ annual base salary plus Bonus Generous PTO Opportunity to work remotely. Competitive 401k Employer Matching Contributions Comprehensive benefits package including health, dental, and vision coverage. Opportunities for advancement and professional growth. Supportive and inclusive team environment.
    $33k-42k yearly est. 4d ago
  • Casualty Claims Adjuster

    Selby Jennings

    Remote Claims Coordinator Job

    This known insurance company is seeking a talented and motivated Casualty Claims Adjuster. This client offers a dynamic work environment where your expertise and dedication are valued. Since being founded in 1910, their financial strength and stability provide a secure foundation for your career growth. Being a Casualty Claims Adjuster here means being responsible for the handling of a variety of minor to moderately complex Casualty (Auto and General Liability) across multiple lines of business, such as Personal, Farm and Commercial lines. The Casualty Claims Adjuster will properly investigate, accurately assess, and resolve Casualty claims in an expedient manner. The Ideal Candidate: 2+ of experience as an auto adjuster, with the ability to handle auto claims efficiently. Highly organized and capable of multitasking in a fast-paced environment. Strong teamwork and collaboration skills. Ability to work well within a team and contribute to a supportive and cooperative work environment. The Key Responsibilities: Customer Service & Communication: Exceed company guidelines for claims handling, maintain frequent communication with insureds and agents, and draft timely Reservation of Rights and denial letters. Claims Handling & Evaluation: Manage minor to moderately complex Auto and General Liability claims, including property damage and injury claims. Evaluate, negotiate, and settle automobile total loss claims and minor to moderately severe injury claims, including some attorney-represented cases. Liability & Fraud Investigation: Investigate and determine liability on Casualty claims, and thoroughly investigate claims for potential fraud. Property Damage & Appraisals: Assess property damage, review auto damage appraisals for compliance with guidelines, and arrange proper disposition of salvage. Reserves & Depreciation: Establish accurate and timely reserves, and apply depreciation accurately. Industry Tools & File Management: Utilize common industry tools, quickly learn company-specific software, and maintain accurate file notes, journal entries, photographs, and records. Agency Relationships & Subrogation: Develop strong relationships with agencies and pursue subrogation recovery. Independent Adjusters & Equipment Use: Oversee Independent Adjuster inspections and ensure proper use of company equipment. If you are an experienced auto adjuster with strong organizational and multitasking skills, and you thrive in a collaborative team environment, we want to hear from you! This is a remote position, offering the flexibility to work from the comfort of your home while being part of a dynamic and supportive team. Apply below!
    $41k-52k yearly est. 4d ago
  • Worker's Compensation Claims Supervisor

    Avis Budget Group 4.1company rating

    Claims Coordinator Job In Virginia Beach, VA

    The Impact you'll Make: Supervise external third-party adjusters who handle workers' compensation and auto property damage claims across the US and Canada. Essential duties and responsibilities, shown below, will vary accordingly based on assignment. What you'll do: Essential Duties and Responsibilities Manage a nationwide Workers' Compensation program, as well as third party property damage claims Provides authority within retention level and oversees handling of claims by external adjusters. Work closely with safety and HR to ensure claims are all units are aligned on strategy Coordinate quarterly regional work comp claim reviews. Provide guidance and training to TPAs as needed. Oversees the implementation of company standards with new vendors to ensure compliance with reporting and billing guidelines. Ensures daily management of claims governance inbox is completed Audit pending and closed casualty claims to ensure compliance with the organization's policies and procedures. Review casualty claims and communicate to management on claims that may exceed retention levels. Analyzes and evaluates state laws and regulations as they apply to the organization's casualty claims processes and procedures. Supervisory Responsibilities Supervises and oversees the third-party administrators to ensure the continued effectiveness in minimizing the company's exposure and expenses which would be incurred. Provides updates to management regarding developing claim trends . Provides reserve and settlement authority within retention level. What we are looking for: Qualifications (may vary by level) Bachelors Degree in Insurance, Finance, Accounting, or a related discipline. Minimum of 10 years experience in claims handling or a related function. Minimum of 1-3 years of supervisory experience. Excellent communications and interpersonal skills. Knowledge of insurance process and terms. Preferred coursework towards AIC designation, adjuster licensing program or other industry training programs. Strong project management skills. Must be proficient in Microsoft Office applications. Requires excellent analytical ability, attention to detail, and ability to work independently and in teams. Travel Requirements Minimal travel is required. Perks you'll get: Access to Medical, Dental, Vision, Life and Disability insurance Eligible to elect other voluntary benefits including: Group Auto Insurance, Group Home Insurance, Pet Insurance, Legal Assistance, Identity Theft Protection, FSA, Accident Insurance, Critical Illness Insurance, and additional life insurance coverages 401(k) Retirement Plan with company matched contributions Full training to learn the business and enhance professional skills Employee discounts, including discounted prices on the purchase of Avis/Budget cars Access to an Employee Assistance Program for services including counseling, financial and legal consultation, referrals for care service and more Community involvement opportunities Who are we? Glad you asked! Avis Budget Group is a leading provider of mobility options, with brands including Avis, Budget & Budget Truck, and Zipcar. With more than 70 years of experience and 11,000 locations in 180 countries, we are shaping the future of our industry and want you to join us in our mission. Apply today to get connected to an exciting career, a supportive family of employees and a world of opportunities. The fine print: Avis Budget Group is an equal opportunity employer - M/F/Veterans/Disabled. This role requires the ability to lift up to 15 pounds and enter and exit vehicles. This advertisement does not constitute a promise or guarantee of employment. This advertisement describes the general nature and level of this position only. Essential functions and responsibilities may change as business needs require. This position may be with any affiliate of Avis Budget Group.
    $24k-36k yearly est. 4d ago
  • Indemnity Claims Specialist

    Corvel Corporation 4.7company rating

    Remote Claims Coordinator Job

    The Indemnity Claims Specialist manages within company standards and best practices WC Indemnity claims within delegated limited authority to determine benefits due; manage subrogation and ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans to reduce overall cost of the claim Manages subrogation and litigation of claim as it applies Manages potential claim recoveries of all types Communicates claim status with the customer and claimant Adheres to client and carrier guidelines and participates in claims review as needed Develops and maintains professional customer relationships Complies with rules and regulations of applicable state Additional projects and duties as assigned KNOWLEDGE & SKILLS: Excellent written and verbal communication skills. Ability to assist team members to develop knowledge and understanding of claims practice. Ability to identify, analyze and solve problems. Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets Strong interpersonal, time management and organizational skills. Ability to work both independently and within a team environment. Knowledge of the entire claims administration and cost containment solution as applicable to liability. EDUCATION & EXPERIENCE: Bachelor's degree or a combination of education and related experience. Current and active All-Lines Texas Adjusters LicensePreferred 2 years of Claims ExperienceMunicipality experience a plus Litigation knowledge a plus PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc. ) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $50,593 - $81,593A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVELCorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote
    $50.6k-81.6k yearly 41d ago
  • Partnerships Coordinator

    Alta Media Partners

    Remote Claims Coordinator Job

    Who We Are Alta Media Partners is a digital performance marketing agency focused on helping direct to consumer brands realize the power of affiliate marketing as an incremental growth accelerator. With decades of experience managing affiliate strategy for DTC brands, our unique combination of experience, relationships and strategy makes us the ideal growth partner for brands looking to level up their affiliate partnership strategy. Location Our office is headquartered in Newport Beach, CA. This is a hybrid role, with 3 in office work days (Tues - Thurs) and 2 remote work days (M, F). Job Description We're looking for an Affiliate Partnerships Coordinator to join our growing digital performance marketing agency and support/grow a portfolio of direct-to-consumer e-commerce brands. In this role, you will work closely with media partners, clients and management to ensure that client objectives are exceeded. The ideal candidate is self-motivated, has a bias toward action, with great interpersonal and relationship building skills. Duties and Responsibilities Research, recruit and onboard new affiliate partners including social media influencers, bloggers, Tier I media outlets and e-commerce companies Build and grow relationships with writers and editors from well-known, authoritative media outlets Coordinate product sampling and maintain regular follow-ups with writers and creators to ensure feedback is provided for inclusion in articles, reviews and product round-ups Spearhead outreach for influencer/creator campaigns as needed Communicate effectively with clients and media partners using email, phone and video conferencing Conduct keyword research and leverage agency tools and automation platforms to identify prospective publisher partners for portfolio of clients Manage and analyze client performance reports and work with teams to optimize affiliate program growth Work with client marketing teams to coordinate new promotions and product launches with media partners, updating text links and sending newsletters as needed Follow up with affiliate partners regularly to ensure needs are being met and identify growth opportunities Execute daily compliance checks for portfolio of clients and communicate with partners as needed Skills and Qualifications Bachelor's degree preferred 0-2 years' experience in marketing, public relations, or related field Must have excellent verbal and written communication skills Strong work-ethic and proactive, action-driven mindset are a must Adept at identifying problems and presenting solutions Growth mentality; always seeking to do better, achieve new goals Detail-oriented and able to manage priorities independently Familiarity with influencer marketing, social media platforms (TikTok, Meta, YouTube) and how creators monetize with affiliate links is a plus Self-driven with willingness to take on new challenges with a positive mindset Outgoing personality with the ability to network and create new connections Proficient in Microsoft Office (Outlook, Excel, Word) with aptitude to learn new systems What We Offer Competitive compensation package Health & dental insurance Company 401(k) + employer match Flexible PTO policy Hybrid work environment Clear company vision, core values and commitment to team development Modern office space and walking distance to many restaurants and coffee shops (KIT, Kean, etc.) Regular team outings, happy hours, lunches, etc. The duties and responsibilities described herein are not a comprehensive list and that additional tasks may be assigned to the employee from time to time; or the scope of the job may change as necessitated by business demands.
    $40k-66k yearly est. 4d ago
  • Coordinator - Healthcare

    Meridian Illinois 4.6company rating

    Remote Claims Coordinator Job

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME. QUALIFIED APPLICANTS WILL RESIDE IN ONE OF THE FOLLOWING ILLINOIS COUNTIES: Bureau, Fulton, Henderson, Henry, Knox, Marshall, Mercer, Peoria, Putnam, Stark, Tazewell, Warren, or Woodford Counties. THE ROLE WILL TRAVEL APPROXIMATELY 10% INTO OFFICE HUB FOR QUARTERLY TEAM ENGAGEMENT MEETINGS. THE WORK SCHEDULE WILL BE MONDAY - FRIDAY 8AM - 4:30PM OR 8:30AM - 5pm. Position Purpose: Works with senior care management team to support care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically or through home-visits. Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plans Develops in-depth knowledge of care management services including responding to some complex or escalated issues Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care Performs service assessments/screening for members with some complex needs and documents the member's care needs. Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed Works with care management team with triaging, adjusting, and escalating complex requests to management Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards Ability to identify needs and make referrals to Care Manager, community cased organizations, and Disease Manager Provide education on benefits and resources available May assist with training and development needs Performs other duties as assigned Complies with all policies and standards Education/Experience: For Illinois Youth Care Contract: Bachelor's degree in nursing, social sciences, social work, or related field; One (1) year of supervised clinical experience in a human-services field Pay Range: $19.62 - $33.36 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $19.6-33.4 hourly 5d ago
  • Workforce Coordinator

    Akkodis

    Remote Claims Coordinator Job

    Akkodis is seeking a Workforce Coordinator for a Contract position with a client in Fully Remote (Within 50 Miles of Phoenix OR Beaverton). Ideally, we are looking for applicants with a solid background Workforce Coordinator and extensive experience with Project Coordinator, Workforce, Excel and Formulas. Pay Range: $20 to $23/hour. The rate may be negotiable based on experience, education, geographic location, and other factors. Required Qualifications: Demonstrated 3+ years direct Workforce Coordinator experience or similar practice. Strong English communication (verbal and written) skills with a strong customer service focus. Ability to work effectively in situations involving uncertainty, ambiguity or lack of information. Proven problem-solving and analytical skills with an ability to approach a problem logically and systematically. Ability to express complex technical and abstract concepts effectively both verbally and in writing. Ability to interact with all levels of managers and end-users in the organization. Ability to change planned direction on the fly and instantly re-calculate deliverable schedules and resourcing. Ability to provide statistical analysis on workforce data for a variety of uses. Ability to handle a large volume of ever changing task assignments with quick turnaround. Proficient with MS Office tools, particularly Excel. Ability to work in an environment with immediate deadlines and shifting priorities. Equal Opportunity Employer/Veterans/Disabled Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, an EAP program, commuter benefits, and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Disclaimer: These benefit offerings do not apply to client-recruited jobs and jobs that are direct hires to a client. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit ****************************************** The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: · The California Fair Chance Act · Los Angeles City Fair Chance Ordinance · Los Angeles County Fair Chance Ordinance for Employers · San Francisco Fair Chance Ordinance
    $20-23 hourly 2d ago
  • Content Claims Coordinator

    Motorsport-Total.com GmbH 4.0company rating

    Remote Claims Coordinator Job

    Contents Claims Coordinator - Virtual Who We Are Enservio provides services that help adjusters and claims professionals solve one of the biggest issues in property insurance - quantifying and valuing what's inside a policyholder's home. Minimizing back and forth with our customer by providing them the most accurate settlement reports to aid in their Content Claim process. Job Responsibilities: Ownership of claim files from intake through delivery, with focus on quality and cycle time. Manages all tasks and actions necessary to complete a successful claim assignment. Responds appropriately and professionally to customers both internally and externally. Collaborate with all business units and queues within Enservio; across both Valuation and Inventory Services. Effectively understand all requirements for specific claim handling and offer solutions to right-size the assignment. Adheres to all applicable service levels. Work closely with Adjuster Owners on accounts. Assists with special projects assigned by management. Provide customer service via Live Chat & Hotline. Qualifications: Desire to work in a fast-paced environment that is focused on success and continuous improvement of quality and process. Excellent oral and written communication skills. Strong listening, analytical and problem solving skills. Effective time management. Efficient resolution of claims within service agreements. Ability to prioritize in a fast paced environment with tight deadlines with strong attention to detail. Works independently, as well as part of a team. Ability to make decisions with minimal supervision. Handle multiple tasks simultaneously. Proficient in Microsoft Office Suite, especially Excel. 1-3 years of customer service experience. Property and Casualty claim knowledge helpful. Must be available to work flexible hours as business needs dictate, including late shift and overtime. College degree or equivalent experience required. It is impossible to list every requirement for, or responsibility of, any position. Similarly, we cannot identify all the skills a position may require since job responsibilities and the Company's needs may change over time. Therefore, the above job description is not comprehensive or exhaustive. The Company reserves the right to adjust, add to or eliminate any aspect of the above description. The Company also retains the right to require all employees to undertake additional or different job responsibilities when necessary to meet business needs. EQUAL OPPORTUNITY EMPLOYER SOLERA HOLDINGS, INC., AND ITS US SUBSIDIARIES (TOGETHER, SOLERA) IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE FIRM'S POLICY IS NOT TO DISCRIMINATE AGAINST ANY APPLICANT OR EMPLOYEE BASED ON RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, AGE, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, MARITAL STATUS, MENTAL OR PHYSICAL DISABILITY, AND GENETIC INFORMATION, OR ANY OTHER BASIS PROTECTED BY APPLICABLE LAW. THE FIRM ALSO PROHIBITS HARASSMENT OF APPLICANTS OR EMPLOYEES BASED ON ANY OF THESE PROTECTED CATEGORIES. **Content Claims Coordinator** Employment type Remote Working, Full time Published date Published on 11/23/2024 Location Location Location The role: This role reports directly into the Head of Implementation of the Region and will be responsible for delivering customer focused product implementations. This role will be part of the Implementation team in a country and region, and will work alongside other Implementation Managers, and the wider Professional Services team. Location Location
    $35k-43k yearly est. 29d ago
  • PSWCT/UP Senior Claims Coordinator

    Puget Sound ESD 3.6company rating

    Remote Claims Coordinator Job

    Puget Sound Workers' Compensation Trust and Unemployment Pool (PSWCT/UP) seeks a Senior Claims Coordinator to oversee administrative and claims adjudication support encompassing incident and claim intake, data integrity validation, claim file set-up, problem solving, maintaining services within established guidelines, regulations, and standards in support of school districts' claims and risk management efforts, and ensuring the best possible experience for injured workers, school districts, providers, vendors, and regulatory bodies. Puget Sound Educational Service District (Puget Sound ESD) is one of nine regional educational agencies serving school districts and state approved charter and private schools in Washington. Serving over 39% of Washington's K-12 public school students, our agency provides critical services designed to ensure that our students are ready to enter school, achieve at high levels in the K-12 system, and succeed in postsecondary endeavors. We are committed to becoming an Antiracist Multicultural Organization driven by equity in education. To learn more about Puget Sound ESD, visit Puget Sound Workers' Compensation Trust & Unemployment Pool (WCTUP), under the administrative oversight of Puget Sound Educational Service District (PSESD), is a group self-insured program that provides coverage for, and management of, workplace injuries and unemployment compensation claims for 33 school districts, PSESD, and their 45,000 employees in 6 counties within the state of Washington. PSESD is one of nine regional educational agencies serving school districts and state approved charter and private schools in Washington. Serving over 39% of Washington's K-12 public school students, our agency provides critical services designed to ensure that our students are ready to enter school, achieve at high levels in the K-12 system, and succeed in postsecondary endeavors. We are committed to becoming an Antiracist Multicultural Organization driven by equity in education. To learn more about PSESD, visit . **Minimum Qualifications** * Associates degree in job related field, or HS Diploma/GED and progressively responsible work-related experience. * Professional experience with insurance, legal or workers' compensation claims handling processes. **Preferred Qualifications** * Knowledge of Washington State claims handling processes. * Origami Claims Management System proficiency. * Currently hold or actively pursuing any claims management-related designations. Applicants are required to include the following attachments within the online application in order to be considered: * **Cover Letter:** Clearly reflect how you meet the minimum qualifications (and preferred qualifications if applicable). * **Resume:** Provide complete chronological resume including all work history along with dates of employment (month and year) and job responsibilities, education, and certifications. + Please note that salary placements for selected candidates will be based on related experience detailed in the resume provided via the application process. + **Additional Documents:** In some cases, additional documents may be required and will be specified in the job opening announcement/advertisement. **Location:** Office based in Renton with possibility of remote work (remote work to be completed within Washington State only) **Job Type:** Full time, year 'round **Hiring Salary Range: $72,321 - $94,892 (Band H)** **Full Salary Range: $72,321 - $104,742 (Band H)** **Department:** Workers' Compensation Trust and Unemployment Pool We attract, retain, and motivate exceptional people with an equitable and competitive compensation package. Salary offers consider candidate qualifications and relevant experience. New hires at Puget Sound ESD start employment on or around the 1st and 15th of each month. For awareness and planning purposes, linked are the dates through August, 2025. **Benefits** We offer comprehensive benefits: * Medical, dental, and vision through the * 24 annual leave days per year * 12 sick days * 12 paid holidays * Participation in Washington State Department of Retirement System * Tax Sheltered Annuity Plan * Subsidized ORCA card, free parking, and electric car charging stations (Renton office) Open until filled; for best consideration, submit complete application by **11/24/2024**. Interviews are tentatively scheduled for **12/4/2024 in person at Workers' Compensation Trust/PSESD**. **Jobs are listed here for information only.** **To apply for a specific open position, you must be a registered applicant in and apply specifically for each position for which you wish to be considered.** **The Puget Sound Workers' Compensation Trust and Unemployment Pool is a self-insured pool for workers' compensation coverage and unemployment compensation. Learn more at** **800 Oakesdale Avenue SW Renton, WA 98057 |** * PSWCT/UP * Unemployment Pool * WCT * Workers' Compensation * Workers' Compensation Trust
    $72.3k-104.7k yearly 29d ago
  • Claims Coordinator

    Just Auto Insurance, Inc.

    Remote Claims Coordinator Job

    Our insurance world is constantly changing and this role is an important part of driving and managing that change. The Claims Coordinator role will oversee claim activity for the company, under the direct supervision of the Head of Insurance Operations. Working directly with our TPA, an in-depth knowledge and experience of claim handling, claim workflows, legal and DOI laws and regulations is critical in the support of company business strategies. The position has the flexibility of working from home, with some office time during training and as needed. Department Insurance Operations Employment Type Full Time Location Remote, USA Workplace type Fully remote Compensation $28.00 - $32.00 / hour This role's hiring manager: Craig Dye ** What you will be doing:** * Personally directs assigned claim vendors to ensure equitable settlement of auto claims and the conveyance of claimant benefits. * Leads and directs the performance of assigned claim vendors in the delegation of coverage and settlement authority, litigation, and audits work product to ensure compliance with DOI regulation, company standards, and company claims handling practices. * Accepts a personal caseload and may assume claim assignments of various types, including glass claims, coverage investigations, communications to insureds, SIU, high value, complexity, or other priorities * Builds and maintains successful vendor relationships to achieve outstanding customer service and cycle times, indemnity, LAE, and customer retention results. Answers telephone or written inquiries from clients or vendor partners regarding a variety of claims, underwriting, coverage, billing procedures, and a host of policies and service-orientated matters. * Works effectively in a team environment with other Just accounting, technology, and underwriting/policy services teams. * Actively works with the department head to incrementally build an end-to-end internal claim operation. * Special projects as assigned by management. ** Experience you will have:** * 3+ years of insurance carrier claims experience in a position of independent authority while demonstrating progressive levels of responsibility, * 3+ years of direct customer interaction with a focus on service and problem-solving. * Insurance certification or education designations, ie.IIA, CPCU, or other insurance industry-related designation. * Strong teamwork capabilities including demonstrated success in building, maintaining, and managing successful internal and external relationships. * Ability to read and understand performance metric data, KPIs, and other claim performance data. * Strong multi-tasking skills to effectively complete work within all 3 silos of responsibility; Claims, Underwriting, and Policy Services. * Results orientation, entrepreneurial spirit, business acumen, self-motivation, and strong ability to work in a collaborative team environment. * Must be able to learn different computer programs and software applications. Working knowledge of software applications (i.e., Google Suite) * Must be able to work as a member of a team as well as independently. * Proven Broker Relations & Customer Management skill set * Negotiation, relationship building & influence skills * Strong interpersonal, written, and oral communication skills and focus on quality ** About Just** Just, is a revolutionary tech start-up, looking to disrupt the US auto insurance industry. Our vision is to dramatically improve road safety, while also making car insurance more fair and affordable to millions of people. At the core of our ground-breaking product is our app, which is super simple to use, built using the latest technology, and powered by our proprietary data algorithms. Customers love our product! We have a 4.5 rating on the Apple App Store. Our investors believe strongly in this vision too. We raised just over $20m so far. Our investors include Trust Ventures - a regulatory specialist VC, ManchesterStory - one of the largest US Insurance VCs, Crosscut Ventures - the leading LA-based VC, and Plug and Play - one of the world's largest Tech VCs and investor in many Silicon Valley brands that you know and love. We're gearing up for expansion into new States as well as looking forward to our Series-B funding round and want to grow our exceptional team to support this. Find out more: **Our Hiring Process** Department Insurance Operations Employment Type Full Time Location Remote, USA Workplace type Fully remote Compensation $28.00 - $32.00 / hour This role's hiring manager: Craig Dye . NameDomainExpirationDescription\_pinpoint\_session pinpointhq.com As soon as browser window is closed Allows us to associate file uploads to our file storage provider with your form submissions LSW\_WEB just.pinpointhq.com As soon as browser window is closed Allows our load balancer to send your specific traffic to the same backend server LSW\_WEB app.pinpointhq.com As soon as browser window is closed Allows our load balancer to send your specific traffic to the same backend server cc\_cookie just.pinpointhq.com Six months NameDomainExpirationDescriptionahoy\_visitor pinpointhq.com Two years We use an internal metrics collector to understand interactions with our website over time ahoy\_visit pinpointhq.com Four hours We use an internal metrics collector to understand interactions with our website over time
    29d ago
  • Claims Coordinator

    Talk To Me Technologies

    Remote Claims Coordinator Job

    As a Claims Coordinator, you will handle a crucial phase in our client's journey to communicate and live more independently. So, you'll learn everything about our exclusive line of speech-generating devices and the clients we serve so you can: Work closely with insurance companies regarding the process of funding our technology. Work closely with non-insurance funding sources on behalf of our clients. File claims through insurance and non-insurance funding sources. Communicate and correspond with insurance companies and clients regarding claims, providing clarification as needed. Closely monitor the status of claims and follow up as needed. If you love being part of an incredible team, but can be content and productive working independently, this might be the position for you! Key Skills: Commitment to detail. Excellent written and verbal communication skills. Proficient with excel and other tracking mechanisms. What We Offer: Our benefits and culture are focused on providing a worklife integration to best support our team. The benefits offered for this role include: Work hours are 8:00 - 4:30 M-F for training, flexible scheduling after training! Hybrid work from home after 6 months training 401k Plan with 3% Employer Contribution Generous Paid Time Off - 23 days annually (prorated first year) 10 Paid Holidays including a Floating Holiday Paid Parental, Adoption, & Foster Care Leave Comprehensive Benefits Package - Including Medical, Dental, Vision, & Company Provided Life Insurance Voluntary Dependent Care Account & Flex Spending Account Voluntary Life Insurance & Disability Insurance Coverages Supportive & Collaborative Culture Annual performance-based merit increases exceeding national average Growing Company with Internal Opportunities Training and Education Provided including Professional and Personal Wellness Community Involvement What We Do: Talk To Me Technologies is a leading provider of Alternative and Augmentative Communication (AAC) Devices, training, and support. Together, we provide a voice for those affected by the communication and physical challenges of autism, ALS, cerebral palsy, Down syndrome, stroke and many other similar conditions.
    $30k-38k yearly est. 13d ago
  • Collateral & Claim Settlement Coordinator

    Primary Residential Mortgage Inc. 4.7company rating

    Claims Coordinator Job In Virginia

    Process the completion of a loss mitigation or foreclosure determination. Compile all relevant documentation, update systems, update/submit collateral, compile/submit claims, and process invoices. Monitor payment of claims including items that were not reimbursed and timing. Update appropriate workstations, default reporting, and other internal reporting mechanisms through each step of the process. Ensure compliance with company policies, investor guidelines, and regulatory requirements. **General Responsibilities and Duties for Role:** Maintain workstation and notes to reflect the account status for proper internal communications. · Monitor incoming communications through group inbox, personal inbox, tickets, tasks, and other workflow queues. · Update monthly default reporting and review any exceptions that require system maintenance for FHA/SFDMS, USDA, VA/VALERI, FNMA, FHLMC, and PMI companies. · Remain apprised of all investor, agency, and regulatory updates to available programs. · Process updates to collateral and monitor/pay any associated invoices. · Follow collateral custodian protocol with appropriate document request forms, file management, etc. as outlined in the PRMI Collateral Policy. · Compile claim documentation and complete forms for submission: o Escrow advances o Delinquency arrears o Advances (fees/costs) o Property Inspections o Property Valuations o Origination documents o Investor/Agency Claim form · Timely submit claim documentation for reimbursement and monitor for errors/responses. · Monitor open and unpaid claims and follow-up with agency/investor on payment. · When funds are received, prepare posting instructions and general ledger updates for cash and accounting teams for processing. · Monitor for investor reporting and cash reporting exceptions with PMSI. · Draft collateral documents and update workstation/system for approved assumptions. · Draft collateral documents and update workstation/system for approved recasts. · Perform monthly reviews to validate workstation setup, default reporting, loan status, notes, etc. to ensure accuracy. **Qualifications** · Strong communication, analytical, and problem-solving skills · Excellent verbal and written communications skills · Ability to multi-task efficiently · Strong organizational skills and attention to detail · Knowledge of Microsoft Office applications (i.e. Word, Excel, Outlook, PowerPoint, etc.) **Preferences** · High School Diploma **Company Conformance Statements** In the performance of assigned tasks and duties all employees are expected to conform to the following: § Review and adhere to policies and guidelines contained within the Employee Handbook, including privacy and information security guidelines. § Act within delegated authorities and adheres to applicable policy and procedures associated with such authorities. § Contribute to establishing a respectful workplace where diversity is critical to innovation and growth. § Ensure every action and decision is aligned with PRMI values. § Partner with your management team to understand performance expectations and measurements. Effectively utilize feedback and coaching opportunities while seeking to learn and develop within your role at PRMI. § Realize team synergies through networking and partnerships across PRMI. § Embrace change; act as advocate and role model, promoting an approach of continuous improvement. § Maintain a high standard of customer care while actively listening to customers in an effort to understand their views and needs. Take ownership of problems and issues, taking into consideration the breadth of PRMI competencies in providing solutions. § Work independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations. § Work effectively as a team contributor on all assignments. § Perform quality work within deadlines. § Respect client and employee privacy. **Work Requirements** Each employee must be able to communicate clearly and effectively, utilize a computer, maintain a work schedule, and effectively perform in an office setting. To maintain and ensure secure privacy of borrower (and other protected) information, an essential function of this job may require physical attendance in a defined office space. (i.e. branch or corporate office location). Employment with PRMI requires compliance with and adherence to all applicable mortgage and fair lending laws and regulations as well as PRMI policies. The ability to work extended hours may be required. **Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time** **Skills** **Education** **Experience**
    $39k-48k yearly est. 30d ago
  • Sr. Medical Malpractice Claims Manager - Professional Liability *Remote*

    Providence Health & Services 4.2company rating

    Remote Claims Coordinator Job

    Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Providence is calling a Sr. Medical Malpractice Claims Manager - Professional Liability who will: Investigate, Evaluate, and Manage Professional, General and other Liability Claims under the PSJH Insurance Program: Communicate with patients, claimants, caregivers, providers, leadership Review and analyze medical records, interview witnesses, assist with the discovery process and communicate with facility risk manager regarding evaluation and investigation Be responsible for writing insurance policy coverage letters Analyze insurance policy documents to address coverage Set appropriate indemnity and expense reserves Select appropriate medical experts for case review Develop a plan of action for assigned claims and update the claims file following all material changes in status Review and approve statements for services and take proper steps to pay vendors Inform Senior Manager Operations of large or complex claims and claims with potential for media exposure Report claims with potential excess exposure to excess insurers Ensure compliance with relevant claims reporting procedures and required regulations Work with defense attorneys specializing in defense of medical negligence claims Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists Maintain Complete Documentation for Each Matter: Develop and document for each claim or lawsuit a plan of action for resolution by settlement, trial or other means Maintain the electronic file including all material communication, correspondence, analysis, expert opinions, interview summaries and all other material documents in accordance with the Claims Policies and Procedures Manual Coordinate with Facility Leadership, Risk Managers, Defense Counsel and others: Select defense counsel when appropriate from approved counsel list Coordinate and consult with risk management on disclosure conversations with patients and families Obtain authority for settlement or trial in accordance with policies and procedures or facilitate claims roundtables Assist in Regional CEO Conferences with Senior Manager Operations Facilitate and participate in case reviews with Risk Managers upon request Resolve Claims In Accordance with Policies and Regulations: Negotiate settlements Monitor trials and advise on disclosure and early resolution opportunities Report to relevant federal, state, and local regulatory agencies as required Close files in accordance with internal policies and procedures and facilitate appropriate reporting to NPDB and state agencies Participate in department and claims team projects as assigned to develop and improve procedures, policies; to improve efficiency of department work; and to assist the SVP Chief Risk Officer and Senior Manager Operations as needed Provide Input to Reduce Risk: Provide feedback and recommendations, evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issues Provide input for quality and patient safety projects, through the Risk & Integrity Services division and Risk, Claims, & Insurance department Providence welcomes 100% Remote Work to applicants who reside anywhere in the United States with the exception of the following States: Colorado Hawaii Massachusetts New York Ohio Pennsylvania Required qualifications for this position include: Bachelor's Degree in Business Administration, Finance, or another related field of study -OR- a combination of equivalent education and experience 7+ years of relevant general and professional liability claims processing or management experience 5+ years of direct supervisory or management experience Preferred qualifications for this position include: Certified Professional Healthcare Risk Management (CPHRM) 10+ years of medical malpractice experience Insurance Carrier Experience Third Party Professional Negligence Claims Experience Experience handling Medical Negligence Professional Liability Claims Experience handling Complex General Liability Claims Experience Investigating, evaluating and negotiating medical negligence claims Experience working with defense attorneys specializing in defense of medical negligence claims Experience analyzing medical professional and general liability insurance policy documents and addressing coverage Experience writing medical professional and general liability insurance policy coverage letters STARS / Riskonnect or similar claims management software experience Salary Range by Location: AK: Anchorage: Min: $51.16, Max: $82.36 AK: Kodiak, Seward, Valdez: Min: $53.33, Max: $85.85 California: Humboldt: Min: $53.33, Max: $85.85 California: All Northern California - Except Humboldt: Min: $59.84, Max: $96.32 California: All Southern California - Except Bakersfield: Min: $53.33, Max: $85.85 California: Bakersfield: Min: $51.16, Max: $82.36 Idaho: Min: $45.53, Max: $73.29 Montana: Except Great Falls: Min: $41.19, Max: $66.31 Montana: Great Falls: Min: $39.02 Max: $62.82 New Mexico: Min: $41.19, Max: $66.31 Nevada: Min: $53.33, Max: $85.85 Oregon: Non-Portland Service Area: Min: $47.70 Max: $76.78 Oregon: Portland Service Area: Min: $51.16, Max: $82.36 Texas: Min: $39.02 Max: $62.82 Washington: Western - Except Tukwila: Min: $53.33, Max: $85.85 Washington: Southwest - Olympia, Centralia & Below: Min: $51.16, Max: $82.36 Washington: Tukwila: Min: $53.33, Max: $85.85 Washington: Eastern: Min: $45.53, Max: $73.29 Washington: Southeastern: Min: $47.70 Max: $76.78 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
    $51k-110k yearly est. 16d ago
  • Claims Coordinator

    Genesis Home Improvement

    Claims Coordinator Job In Remington, VA

    A Claims Coordinator is needed for Genesis Restoration, LLC, the region's top choice in the restoration of properties damaged by mold, fire, smoke and/or water damage. The Claims Coordinator is the liaison between the Genesis Certified Restoration team, Insurance adjusters, and our customers. This vital role is responsible for file flow and ensuring compliance with program deadlines. You can be expected to schedule appointments, give information to callers (customers, employees, insurance companies, etc.), and assist Project Managers, Property Loss Specialists, and Reviewers with tracking progress on jobs. This role is responsible for accounts payable and receivable/billing duties as well. Job Description: Receive and process new claims ensuring documentation of all pertinent loss information. Enters claim information into software programs including updating Buildertrend/Restoration Manager software. Sets an appointment for inspection of loss, obtains directions and maintains PLS schedule. Schedule crews for Emergency Services. Assist customers and insurance personnel with questions on loss status. Locates and attaches appropriate file to correspondence to be answered. Download/upload assignments. May enter estimate information in Xactimate and prepare the package of cover, photos, estimate. Maintains electronic and hard copy job files Maintain and oversee all insurance programs for compliance Updates progress notes Enters Accounts Payable invoices Prepares billings and make calls to ensure prompt payment Prepare various reports - for management and others as needed. Genesis Restoration, LLC is a Certified Restoration firm. We enjoy a superior reputation for excellent work and customer service, specializing in the repair and reconstruction of properties damaged by fire, smoke, water or other peril. We respond 24 hours a day to emergencies, and pride ourselves on helping to restore homes and businesses to pre-loss conditions. We are headquartered just outside Washington, DC, in Remington, VA. We are proud to offer a comprehensive benefit package to our full-time employees, consisting of paid holidays and paid days off, health insurance options, short term disability, a 401(k) and profit sharing program, and other benefits available such as dental, vision, life insurance. We care about our employees.
    $39k-50k yearly est. 60d+ ago

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