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Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
$99,000 a yearExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Requires a high degree of claims handling expertise to include a minimum of at least five years experience managing indemnity cases, many with complex or high potential subrogation, rehabilitation, medical management, and/or legal issues & possess an SIP certificate.
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This involves ongoing detailed claims analysis, accident and subrogation investigation identifying red flags and potential fraud. Senior Worker's Compensation Claims Specialist position is responsible for servicing our Elite-level clients workers' compensation claims with minimal to no supervision required.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Evaluates liability and damages to assess Subrogation potential including consideration of jurisdictional statutes, case law and bodily injury value, where applicable. Directs the preservation of evidence; hires experts and identifies resources for specific activities to properly investigate, such as Risk Control, nurse consultants, fire or fraud investigators, and other experts.
InternExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Initiate the referral to the SIU of cases with suspected fraud. Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability.
TemporaryRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Litigation management - Direct, manage, and control the litigation process. Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.
TemporaryRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Requires a working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them. Review all medical bills for appropriateness prior to referral to InterMed for payment and posting to the claim file.
TemporaryRemoteExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, Salvage and fire or fraud investigators and to other experts. Consults with Unit Manager on use of Claim Coverage Counsel.
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Review and approve all vocational rehabilitation plans. Exhibit and maintain a courteous and helpful attitude and project a professional image on behalf of the company. Thoroughly and accurately document ongoing case facts and relevant information necessary for establishing compensability, the need for disability payments, the use of vendors, medical and expense payments, and what is being done to move the case toward closure.
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Learn how to determine subrogation or fraud potential and how to handle. Learn to handle most aspects of auto claims. Learn how to determine subrogation or fraud potential and how to handle.
$43,500 - $74,000 depends on experience (equity, competitive)Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
RemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion an assigned inventory of claim files that may include cases of extreme complexity or with unique or unusual issues.
TemporaryRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Specialties include one or more of the following: General Liability, Auto fire and theft, Auto total loss, Auto commercial and personal lines liability, Auto/PIP subrogation. Thereafter the preferred candidate will be located near a Selective office in either IN, AZ, NJ, VA or NC.Essential Functions Receives assigned auto claims and independently reviews/analyzes the policy forms and endorsements to determine applicable coverages, limits, deductibles and settlement calculations, as well subrogation recovery opportunity.
Full-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Alerts Unit Leader to the possibility of fraud or subrogation potential for claims being processed. Takes statements when necessary and works with the Field Appraisal, Subrogation, Special Investigative Unit (SIU) as appropriate.
ExpandApply NowActive JobUpdated 4 days ago
subrogation fraud jobs
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