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The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna Field Staff and the third party administrator. This role will require investigation of claims and insurance that our third party administrator is managing the claims in an effect manner.
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Recognize and investigate subrogation opportunities for recovery of third-party funds. The Workers' Compensation Claims Specialist is responsible for managing and processing claims related to workplace injuries or illnesses for a nationwide Professional Employer Organization (PEO.
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Handle claims including injury and third party property damage claims primarily under personal and commercial auto and garage, uninsured and underinsured motorists, homeowner's liability and commercial liability coverages.
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The Senior Claims Specialist in the Healthcare team is a critical role in our growing Claims Department, and will be responsible to direct all aspects of file handling on both in-house and third-party administered claims, with growth opportunity technical handling and professional development.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Negotiating and resolving first and third party commercial general liability, property, Inland Marine and automobile bodily injury and property damage claims to conclusion. Must possess a current Texas claims adjuster license.
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The Marketing/NPD Claims Specialist will execute cosmetic safety testing (HRIPT and SIU) and OTC drug/device and dietary safety testing (HRIPT and SIU), as needed through third party clinical sites.
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The Senior Claims Specialist in the Financial and Professional Lines Core team is a critical role in our growing Claims Department, and will be responsible to direct all aspects of file handling on both in-house and third-party administered property claims, with growth opportunity in depth of technical handling and multi-faceted professional development.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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The claims resolution specialist must acquire the ability to analyze uncomplicated auto damage repair estimates, and understand and negotiate total loss evaluations. Continuing education during the first two years of employment is preferred and may be obtained through the following: In-house claims training classes, The Institutes (Associate in Claims (AIC) and/or Chartered Property Casualty Underwriter (CPCU) designations) or other accredited insurance education provider.
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This role will handle all personal lines claims and work remote from home in our listed states and report to a Manager, Casualty Claims. Investigate, evaluate, negotiate and settle casualty claims and any related coverages within established best practices and applicable jurisdictional guidelines.
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Supervises: None Essential Duties & Responsibilities Gather data and File third party property damage claims, third party injury claims, automobile accident claims, property claims, and workers compensation claims with the carrier.
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You will process medical (physician and hospital) bills that involve motor vehicle accidents, workers' comp, and third-party claims. The Claims Resolution Specialist will work toward increased reimbursement and account resolution.
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Completes governmental reports such as SAR. Investigates fraud claims involving ACH, Pre-authorized drafts, altered check, forged endorsements, unauthorized third party transfers, elder fraud, identity theft or other operations fraud issues.
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Audit insurance carriers, self-insured employers and third-party administrators adjusting workers' compensation claims. Claims adjusting license, certification (WCCA, WCCP, CPCU) or designation relating to workers' compensation.
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This full-time, benefit eligible position will be expected to process third party insurance including commercial insurance, Medicare, Medicaid or government-assisted programs & will be expected to comply with all regulatory bodies and agencies.
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Specialized experience is defined as: One year of specialized experience equivalent to the GS-09 grade level in the Federal service which includes: interpreting laws and regulations; preparing memorandum, research reports, and/or correspondence relating to legal cases; and providing technical litigation support related to the Third-Party Collection Program.
Part-timeExpandApply NowActive JobUpdated 9 days ago
third party jobs Title: specialist claims
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