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May require acquisition and maintenance of insurance adjuster license within 90 days. As a Customer Service Claims Representative you will be part of an outstanding contact service center, where you will focus on providing claims service to members regarding the initial contact on all auto OR property First Notice of Loss (FNOL) claims.
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Utilizes clinical expertise, and reviews insurance appeals, prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care.
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Our mission is simple yet powerful: to provide fast, affordable insurance and ensure prompt and fair claims processing. As part of our vibrant community of top-notch professionals, you will play a pivotal role in enhancing our pricing strategies, expanding our product offerings into new territories, and driving the growth and profitability of our property insurance products nationwide.
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Familiarity with insurance claims processing and requirements. Communicate with insurance companies regarding clients property damage claims. Draft documents and letters to Insurance companies for rental reimbursement, deductible, LOU and any other out of pocket expenses.
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Provide support and advice to Risk/Insurance team regarding workers compensation claims involving union employees. Participate in and/or oversee investigation of claims, select/manage outside employment counsel if needed, develop strategy for management of matters, collaborate with business leader to effectively manage coordination/collaboration of multi-disciplinary internal teams to address and effectively resolve claims.
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Applies knowledge of estimating technology platforms and virtual inspection tools to prepare and manage low to moderate complexity property insurance claims estimates Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.
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Works with the Claims Department, loss control and actuarial on relevant claims for assigned clients. Certificates, Licenses, Registration: P&C Insurance License required upon hireCIC, CPCU or other P&C designation preferred.
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We represent homeowners who make claims against their homeowner's insurance companies for severe property damage as a result of hurricane, storm, wind, water and other property damage to residential and commercial properties.
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Defend employers and insurance companies against workers' compensation claims. You will be responsible for defending employers and insurance companies against workers' compensation claims, and work closely with clients to provide legal advice and representation, ensuring all cases are handled efficiently and effectively.
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You'll work under supervision to investigate, evaluate, negotiate, and adjust low complexity auto insurance claims presented by or against our members. Acquire and apply a foundational knowledge of Property and Claims (P&C) insurance industry products, and services, to include P&C insurance policy contracts, coverages and internal claims handling process and procedures.
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Reviews all medical records and addresses each question posed by the client utilizing client-specific criteria or other nationally recognized evidence-based criteria. This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times.
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Processes insurance claims, follow-ups and payments daily and maintains insurance log. Eligibility is based on a criminal background check conducted by the state’s department of insurance.
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Maintains a concern for accuracy, timeliness and completion when interacting with clients, the firm and insurance company partners to minimize potential for errors and omissions claims while demonstrating strong organizational skills with a high attention to detail.
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Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes.
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As a Property Adjuster you will work within defined guidelines and framework, investigates, evaluates, negotiates, and settles low to moderate complexity property insurance claims. 1 year of customer service, military leadership, construction related industry/insurance experience and/or experience handling low complexity property claims Knowledge of estimating losses using Xactimate or similar tools and platforms.
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