Current jobs related to Claim Representative - New Haven - Chubb
-
Bilingual (Español) Claims Representative
4 weeks ago
Winter Haven, United States GEICO Indemnity Company Full timeBilingual (Spanish) Claims Specialist (Lakeland, FL)Salary: $20.84 per hour / $41,992 annually+10% Bilingual DifferentialIncrease your earning potential!$1,000 completion bonus after successfully completing training and orientation (around 6 months)10% evening differential for applicable shifts20% weekend differential for applicable shiftsHybrid role:...
-
New Orleans, United States Virginia Farm Bureau Mutual Full timeAre you looking for a great team environment? Louisiana Farm Bureau is currently seeking an Inside Claims Representative for our Gretna, Louisiana office. Louisiana Farm Bureau is a great company and an excellent place to work. The Company offers a family-oriented work environment and a rich benefit package including paid time off, company matched...
-
Healthcare Claims Coordinator
5 days ago
New York, New York, United States NYC Health Hospitals Full timeJob DescriptionAct as a key liaison and service representative for all written provider inquiries and problem resolution.Respond to all claim inquiries from provider sites, including physicians, clinical staff, and site administrators.ResponsibilitiesThe Claims Service Correspondent will work closely with various departments, including Provider Contracting,...
-
Claims Service Correspondent
5 days ago
New York, New York, United States NYC Health Hospitals Full timeMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...
-
Customer Service Representative
16 hours ago
New York, New York, United States Allstate Insurance Full timeResponsibilitiesKey responsibilities include:Conducting on-site inspections and investigationsDetermining coverage and preparing estimatesSettling claims promptly and efficientlyHandling virtual claims nationwide using Xactimate and other relevant softwareAble to travel to customers' homes and handle virtual claims effectively, with a focus on delivering...
-
Patient Accounts Representative
23 hours ago
New Haven, United States Cornell Scott Hill Health Corporation Full timeThe Patient Accounts Representative is responsible for accurately verifying, creating and maintaining patient accounts in the billing and other carrier computers, ensuring HIPAA rules and regulations are followed. The Patient Accounts Representative will assess patient and guarantor needs for financial or other assistance to facilitate payment for health...
-
Claim Administrator
5 days ago
New York, New York, United States Barasch & McGarry Full timeJob Description Job Description PURPOSE:The Claim Administrator (CA) is responsible for the timely processing and management of clients' Victim Compensation Fund (VCF) claims. The CA ensures all claims are accurately recorded in internal systems and properly submitted to third party entities as necessary. Additionally, the CA supports clients in obtaining...
-
New York, United States Tandym Group Full timeA leading professional services organization located in Flushing/Queens is seeking a new Claims Associate, Workers Compensation Examiner. Responsibilities: The Workers Compensation Examiner will: Review of electrical industry workers compensation claims and determine compensability. File all required workers compensation forms timely. Oversee...
-
New York, New York, United States Tandym Group Full timeA leading professional services organization located in Flushing/Queens is seeking a new Claims Associate, Workers Compensation Examiner. Responsibilities: The Workers Compensation Examiner will: Review of electrical industry workers compensation claims and determine compensability. File all required workers compensation forms timely. Oversee...
-
General Liability Claims Handler
3 days ago
New York, New York, United States THE TRAVELERS INDEMNITY COMPANY Full timeJob DescriptionAs a Sr. Litigation Specialist in our General Liability Construction team, you will be responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims. You will provide quality claim handling throughout the claim life cycle, maintaining full compliance with...
-
Insurance Industry Claims Representative
17 hours ago
New York, United States Fusco Personnel Inc. Full timeFusco Personnel Inc. is proud to partner with a leading insurance company to fill several open positions for Insurance Adjusters. As a key member of the team, you will play a critical role in ensuring the success of our client's operations.Job RequirementsThe ideal candidate will have experience in claim investigation, settlement, and negotiation, as well as...
-
Claims Resolution Specialist
5 hours ago
New Albany, Ohio, United States Sedgwick Full timeThis is an exciting opportunity for individuals who are passionate about delivering exceptional customer experiences. As a Care Team Representative, you will be part of a collaborative team working together to navigate complex claims processes and provide empathetic support to customers.Key QualificationsTo be successful in this role, you should...
-
CUSTOMER SERVICE REPRESENTATIVE
2 weeks ago
New Haven, United States Spherion Full timeSmall family business looking for a Customer Service Representative! Want a great opportunity with a great weekly schedule! Looking for someone to work Monday-Thursday 8:30am-5:00pm and Friday 8:30am-3:30pm. Responsibilities: Job will include billing responsibilities such as contacting customers with past due payments, processing payments, and assisting...
-
A/R Representative
3 days ago
New York, New York, United States Medix Full time|#Hiring | #Accounts Recievable Representative | #AR Rep #Follow Up Rep | #Hiring | #Revenue Cycle Overview: Accounts Receivable addresses the denied claims and follows up with insurance companies regarding unpaid claims. Once insurance has paid, patient responsibility is addressed with the patient. The goal of AR is to collect money payable for...
-
Healthcare Claims Processor
2 hours ago
New York, New York, United States Mount Sinai Health System Full timeAbout Us:The Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, over 400 outpatient practices, and a leading school of medicine and graduate education.As a member of our team, you will have the opportunity to work on complex healthcare challenges...
-
Senior Claim Counsel, Surety
3 weeks ago
New York, United States THE TRAVELERS INDEMNITY COMPANY Full timeWho Are We?Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what...
-
Cyber Claims Specialist Cyber Insurance MGA
1 week ago
New York, United States Converge Insurance Full timeJob Title: Cyber Claims Specialist Location: Remote Department: Claims Reports to: Head of Claims About Converge Converge Insurance is a forward-thinking, technology-driven company specializing in cyber risk[IG1] [JS2] and insurance solutions. Our mission is to empower businesses to navigate the complexities of the digital age with confidence. By combining...
-
Social Security Disability Claims Specialist
5 days ago
Winter Haven, Florida, United States Brooks Law Group Full timeOur Team:We are a dynamic and hard-working team at Brooks Law Group, dedicated to providing exceptional service to our clients.As a Social Security Disability Case Manager, you will be part of a collaborative team environment, working closely with coworkers to achieve common goals.Main Responsibilities:Client Interaction: Engage with clients to gather...
-
Social Security Disability Claims Specialist
5 days ago
Winter Haven, Florida, United States Brooks Law Group Full timeOur Team:We are a dynamic and hard-working team at Brooks Law Group, dedicated to providing exceptional service to our clients.As a Social Security Disability Case Manager, you will be part of a collaborative team environment, working closely with coworkers to achieve common goals.Main Responsibilities:Client Interaction: Engage with clients to gather...
-
New London, Connecticut, United States Gainwell Technologies Full timeCompany OverviewGainwell Technologies is an industry leader in the healthcare sector, dedicated to creating innovative solutions that solve complex challenges. Our company culture values collaboration, innovation, and inclusion, making us a dynamic and exciting place to work.Job DescriptionThe Pharmacy Prior Authorization Representative will play a critical...
Claim Representative
1 month ago
Chubb is currently seeking a Workers' Compensation Medical Only Claim Representative for our Northeast, New York, and New Jersey Region. The successful applicant will be handling claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey. The position will report to, and reside in, our New Haven, Connecticut, office.
Duties & Responsibilities:
- Handles all aspects of workers' compensation medical only claims from set-up to case closure, ensuring strong customer relations are maintained throughout the process.
- Reviews claim and policy information to provide background for the investigation.
- Conducts three-part ongoing investigations, obtaining facts and taking statements as necessary, with the insured, claimant, and medical providers.
- Evaluates the facts gathered through the investigation to determine the compensability of the medical treatment.
- Informs insureds and claimants of claim denials when applicable.
- Prepares reports on investigations, settlements, denials of claims, evaluations of involved parties, etc.
- Timely administration of statutory medical only benefits throughout the life of the claim.
- Sets reserves within authority limits for medical and expenses and recommends reserve changes to Team Leader throughout the life of the claim.
- Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them.
- Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered.
- Controls and directs vendors, nurse case managers, and telephonic case managers on medical management.
- Complies with customer service requests, including Special Claims Handling procedures and file status notes.
- Submits workers' compensation forms and electronic data to states to ensure compliance with statutory regulations.
- Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized.
- Works with in-house Technical Assistants, Special Investigators, Nurse
Consultants, Telephonic Case Managers and Team Supervisors to exceed customers' expectations for exceptional claim handling service.
- Entry-level Medical Only Claim Examiner position.
- Knowledge of insurance, claims, and workers' compensation statutes, regulations, and compliance is a plus, but on-the-job training will be provided to the chosen applicant.
- Ability to incorporate data analytics and modeling into daily activities to expedite the fair and equitable resolution of claims and claim issues.
- A personal commitment to superior performance that adds value to our company and our customers.
- Ability to work effectively with a wide variety of people.
- An aptitude for evaluating, analyzing, and interpreting information.
- Superior telephonic skills.
- Excellent organizational skills.
- The ability to multi-task with proven time management skills to meet deadlines.
- Ability to work well in teams.
- Demonstrate critical thinking and decision-making ability.
- Excellent verbal and written communication skills.
- Prior medical only or similar claim handling experience is a plus but not required.
- Proficiency in using Microsoft Office Products
- Experience in a fast-paced, fluid environment
- Strong communication and telephonic skills
- Claim Adjuster licenses in Connecticut, New Hampshire, Rhode Island, and Vermont are necessary; however, they are not required at the time of posting for the position.
- Knowledge of medical terminology is a plus but not required.
- Knowledge of bill processing is a plus but not required.
- If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.
About Us
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
