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20 jobs that use Claims Handling the most

Jobs that use claims handling the most include senior claims representative, casualty claims supervisor, and claims vice president.

What jobs use Claims Handling the most?

1. Senior Claims Representative

How senior claims representative uses Claims Handling:

  • Conduct detailed interviews with physicians, prepare comprehensive written reports, retain defense counsel, and effectively manage the litigation process.
  • Utilize Xactimate estimating system during field inspection to properly evaluate commercial property damages.
  • Update computer generate claim file (s) with medical diagnoses, current CPT and ICD codes.

Most common skills for senior claims representative:

  • Customer Service
  • Claims Handling
  • Litigation
  • Insurance Claims
  • Bodily Injury Claims
  • Automobile Claims

2. Casualty Claims Supervisor

How casualty claims supervisor uses Claims Handling:

  • Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
  • Train and develop staff in areas of claim investigation, negotiations, coverage and litigation management.
  • Coordinate the claims refer to the SIU unit.

Most common skills for casualty claims supervisor:

  • Claims Handling
  • Employee Engagement
  • Performance Management
  • Leadership
  • Litigation
  • Direct Reports

3. Claims Vice President

How claims vice president uses Claims Handling:

  • Retain and manage outside counsel; develop and coordinate strategy for litigation; participate in alternative dispute resolution and negotiate settlements.
  • Provide management oversight of client support at offices in Indiana, Kentucky and Ohio.
  • Provide vision, oversight and direction to claims and encounter processing and claims systems configuration.

Most common skills for claims vice president:

  • Litigation
  • Claims Handling
  • Claims Operations
  • Oversight
  • Direct Reports
  • Coverage Issues

4. Claims Account Manager

How claims account manager uses Claims Handling:

  • Manage complex service inquiries and coordinate action among multiple departments for brokers and TPA's.
  • Manage accounts while providing excellent customer service, help build financial relationships, redirecting calls in upselling credit per customer needs
  • Process and coordination of benefits for Medicaid and Medicare.

Most common skills for claims account manager:

  • Workers Compensation
  • TPA
  • Account Management
  • Claims Handling
  • Customer Service
  • Insurance Carriers

5. General Adjuster

How general adjuster uses Claims Handling:

  • Apply strong customer service, organizational and multitasking skills to efficiently manage auto insurance claims.
  • Investigate and evaluate bodily injury and property damage automobile and homeowner claims.
  • Respond to arbitration responses when need.

Most common skills for general adjuster:

  • Customer Service
  • Xactimate
  • Claims Handling
  • Litigation
  • Commercial Property
  • Insurance Coverage

6. Liability Claims Examiner

How liability claims examiner uses Claims Handling:

  • Handle automobile liability, general liability, products liability and manage litigation for one specific client.
  • Manage strict confidentiality of documents and comply with HIPAA regulations stipulate by the facility and government.
  • Oversee adjustment of all third-party liability losses, coverage assessment, investigation, and evaluations regarding litigation claims.

Most common skills for liability claims examiner:

  • Party Claims
  • Litigation
  • Claims Handling
  • Claims Process
  • Policy Coverage
  • Coverage Analysis

7. Property Claims Adjuster

How property claims adjuster uses Claims Handling:

  • Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
  • Offer diligent investigations and evaluation of commercial and third party liability claims, investigative and litigation management.
  • Represent the insurance company in an arbitration settlement in NYC.

Most common skills for property claims adjuster:

  • Customer Service
  • Claims Handling
  • Xactimate
  • Strong Customer Service
  • Damage Estimates
  • Policy Coverage

8. Senior Investigator

How senior investigator uses Claims Handling:

  • Investigate allegations of suspect FWA / prioritize and manage case load / maintain comprehensive case files.
  • Receive multiple letters of commendation for effective investigations that lead to successful prosecutions.
  • Create budget friendly evidence collection boxes for investigations and patrol officers.

Most common skills for senior investigator:

  • Senior Level Management
  • Local Law Enforcement
  • Claims Handling
  • Court Proceedings
  • Data Analysis
  • Management System

9. Liability Claims Representative

How liability claims representative uses Claims Handling:

  • Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
  • Investigate and conclude property and casualty liability claims including those in litigation with the highest overall production of the claims representatives.
  • Participate in arbitration hearings through writing contentions, compiling evidence and personally representing files.

Most common skills for liability claims representative:

  • Litigation
  • Claims Handling
  • Customer Service
  • Law Enforcement Agencies
  • Insurance Claims
  • Reservations

10. Senior Claims Specialist

How senior claims specialist uses Claims Handling:

  • Manage assigned third party administration (TPA) multi-jurisdictional workers' compensation; subrogation recovery claims; assign defense attorney.
  • Work toward settlement with claimants and attorneys, or determine company litigation strategy, participating in mediation and arbitration when necessary.
  • Maintain EDI processing table logic.

Most common skills for senior claims specialist:

  • Customer Service
  • Litigation
  • Claims Handling
  • SR
  • Settlement Conferences
  • Excellent Interpersonal

11. Bodily Injury Adjuster

How bodily injury adjuster uses Claims Handling:

  • Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
  • Develop strategies for handling lawsuits involving personal injury litigation and insurance coverage issues.
  • Prepare and answer property damage homeowner arbitration contentions.

Most common skills for bodily injury adjuster:

  • Bodily Injury Claims
  • Liability Claims
  • Claims Handling
  • Customer Service
  • Litigation
  • Auto Accidents

12. Claims Associate

How claims associate uses Claims Handling:

  • Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
  • Obtain vehicle information from the DMV.
  • Follow HIPAA policy on each and every call.

Most common skills for claims associate:

  • Customer Service
  • Medical Claims
  • Phone Calls
  • Claims Handling
  • Insurance Claims
  • Medical Terminology

13. Property Adjuster

How property adjuster uses Claims Handling:

  • Apply strong customer service, organizational and multitasking skills to efficiently manage auto insurance claims.
  • Complete property appraisals on residential dwelling and commercial property including business interruption and business personal property using Xactimate program.
  • Analyze homes, automobiles, boats, RV's, etc.

Most common skills for property adjuster:

  • Customer Service
  • Xactimate
  • Claims Handling
  • State Regulations
  • Strong Analytical
  • Litigation

14. Senior Claims Examiner

How senior claims examiner uses Claims Handling:

  • Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
  • Coordinate vendor referrals for additional investigation and/or litigation management
  • Maintain office records of various types of complaints, conciliation, administrative decision, private litigation resolution, gather detailed information.

Most common skills for senior claims examiner:

  • Customer Service
  • Litigation
  • Property Damage
  • Claims Handling
  • TPA
  • Coverage Issues

15. Claims Supervisor

How claims supervisor uses Claims Handling:

  • Manage, train and continuously develop a team consisting of both inside SIU investigators and field investigators.
  • Apply fundamentals of insurance investigation and resolution to an introductory leadership role managing complex claim files and tort litigation files.
  • Make determinations to authorize payments via XACTIMATE software.

Most common skills for claims supervisor:

  • Customer Service
  • Corrective Action
  • Claims Adjusters
  • Litigation
  • Claims Handling
  • Performance Reviews

16. Claims Director

How claims director uses Claims Handling:

  • Create project team that comply with new Medicare reporting requirements achieving successful reporting to CMS.
  • Maintain relationships with attorneys and manage litigation strategy; ensure strong relationships with insureds, brokers and third party administrators.
  • Redesign processes and procedures for managing litigation through the implementation of an aggressive process for managing discovery and case typing.

Most common skills for claims director:

  • Customer Service
  • Litigation
  • Oversight
  • Coverage Issues
  • Claims Handling
  • Claims Operations

17. Claim Specialist

How claim specialist uses Claims Handling:

  • Assist in the streamlining of EDI process to manage workflow of EDI claims.
  • Manage claims on desk, route/queues, and ECHS within specify turn-around-time parameters.
  • Manage claims, route/queues, and ECHS, within specify turn- around time parameters.

Most common skills for claim specialist:

  • Customer Service
  • Litigation
  • Patients
  • Claims Handling
  • Quality Standards
  • Excellent Organizational

18. Claims Manager

How claims manager uses Claims Handling:

  • Manage multiple outsource PPO networks that enable company to increase top line revenue.
  • Achieve improved structure and efficiency with initiation of pip specific unit.
  • Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.

Most common skills for claims manager:

  • Customer Service
  • Oversight
  • Litigation
  • Direct Reports
  • Claims Handling
  • Insurance Claims

19. Claims Representative

How claims representative uses Claims Handling:

  • Perform initial set-up and continuously manage claims in the Juris claims management system.
  • Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
  • Prepare necessary state filings within statutory limits, manage litigation and vocational rehabilitation process, used appropriate cost containment techniques.

Most common skills for claims representative:

  • Customer Service
  • Quality Standards
  • Policy Coverage
  • Reservations
  • Claims Handling
  • Insurance Coverage

20. Field Adjuster

How field adjuster uses Claims Handling:

  • Manage and dispose of claims in litigation by preparing and developing strategy with defense counsel and consensus relative to litigation handling.
  • Provide optimum service to policyholders and agents, negotiate fair settlements and identify SIU claims.
  • Process boat, auto, motorcycle, and motorhome RV claims thru various estimating software.

Most common skills for field adjuster:

  • Customer Service
  • Xactimate
  • Strong Negotiation
  • Insurance Policies
  • Claims Handling
  • CCC

Other skills