Claims Serv Specialist IV

2 weeks ago

Farmington, United States Arbella Insurance Full time

Why Arbella?

At Arbella, we're focused on people. We work hard to attract and retain the best. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, competitive salaries and exceptional benefits packages. We invest in our employees and encourage them to grow so that we, too, can grow as a company.
Other perks include:
•On-site gym and fitness classes and one-on-one personal training
•On-site nurse, nutritional counseling, and mental health resources
•Full-service cafeterias
•Free shuttle service to Quincy Adams T Station
•Tuition assistance programs
•Opportunities to get involved: Arbella Activities Committee, Diversity and
Inclusion Council, and more
•A company committed to community: volunteer opportunities, employee-
led community efforts, and the Arbella Insurance Foundation
•Robust training, mentorship, and professional/personal development
programs
•Colleagues who genuinely care about each other

Arbella is committed to building a workplace that's diverse, inclusive, and equitable for everyone. We've created a culture that supports a diverse workplace where all are valued for their talents and are empowered to reach their full potential.

It's no wonder our employees have voted Arbella one of the Boston Business Journal's "Best Places to Work" every year since 2009, and #1 in 2023

Under minimal supervision, investigate and resolve first and third party material damage, NY PIP, Medical Payments, Basic Reparations Benefits, Bodily Injury, and Under/Uninsured Motorist claims which may involve coverage, liability, damage and legal issues.

•Effort may concentrate around large exposure, Personal & Commercial Auto claims, among other market/line combinations.
•Provide guidance and direction to legal counsel during the litigation process in order to ensure favorable resolution.
•Act as a mentor to new employees to facilitate the on-boarding process.
Key Responsibilities

  • Timely completion of all case activities, maximizing customer service and minimizing net loss payout.
  • Contacts all insureds, claimants and witnesses that may have information relating to the loss, either in person, by telephone or in writing. This may include visiting the accident location to examine, photograph and diagram physical facts and conduct neighborhood canvasses.
  • Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system.
  • Evaluates case facts determining coverage, liability and reserves, and reports on settlement; maintains a reminder system.
  • Evaluates case facts confirming coverage and appropriate damages.
  • Interprets and evaluates medical reports to determine if they are applicable to the claim; monitors legal and medical billings and investigates for proper charges and pays accordingly.
  • Negotiates settlements with individuals, attorneys, and other insurance carriers within their granted settlement authority level.
  • Pursues subrogation and may arrange for salvage to obtain the maximum recovery.
  • Prepares detailed scope of damages on property losses and brings to resolution.
  • Assists, when requested, in the selection and evaluation of experts as needed.
  • Manages litigation, checking to ensure that coverages are not exceeded, that legal expenses are adequate, and confers with attorney about case direction and disposition.
  • Will participate in special projects or training programs.
  • Successfully completes all required training and applies.
  • Will assist in the training of Claims Service Specialists III and below.
  • Will keep management informed of activities and issues within assigned area of responsibility.
  • Performs other related duties as required or requested.
Requirements
  • Excellent communication, customer service and collaboration skills
  • Strong time management skills with detail orientation
  • 5 years of experience with Bodily Injury including litigation management
  • Experience in severity assessment and reserving exposure
  • CT Casualty Adjuster license needed
  • Roadwork to conduct various types of in-person investigations
  • Drivers license in good standing


#LI-CL1

  • Medical Billing AR Specialist

    2 weeks ago

    Farmington, United States M.I.N.D Full time

    Job DescriptionJob DescriptionJob Description – Medical Billing AR SpecialistClassification – FSLA - Non-Exempt - hourlySalary Grade/Level/RangeLevel of experience, longevity, within current company pay structure.Reports toRevenue Cycle ManagerSummary/ObjectiveMedical Billing AR Specialists perform analysis of patient clinical and billing data to...

  • Airway Transportation Systems Specialist

    5 days ago

    Farmington, United States Federal Aviation Administration Full time

    ** Airway Transportation Systems Specialist (NAS Specialist)** **Department of Transportation** ** ATO - Central Service Area - Great Lakes Region - Minneapolis District- Minneapolis ARTCC SOC** **Location** 2 vacancies in the following location: + **Duties** Serves as a NAS Specialist for the Minneapolis ARTCC Service Operations Center (SOC). The Airway...

  • Customer Service Rep

    7 days ago

    Farmington, United States The Pam McCarthy Agency, Inc Full time

    Job DescriptionJob DescriptionBenefits:Friday Summer HoursBusiness Casual AttireBirthday HolidayBonus based on performanceCompetitive salaryOpportunity for advancementPaid time offTraining & developmentCompany OverviewWe believe people are an organizations most valuable asset, and their ideas and experiences matter. From our CEO to our agency force, were...

  • Customer Service Rep

    5 days ago

    Farmington, United States The Pam McCarthy Agency, Inc Full time

    Job DescriptionJob DescriptionBenefits:Friday Summer HoursBusiness Casual AttireBirthday HolidayBonus based on performanceCompetitive salaryOpportunity for advancementPaid time offTraining & developmentCompany OverviewWe believe people are an organizations most valuable asset, and their ideas and experiences matter. From our CEO to our agency force, were...

  • Grievance & Appeals Specialist

    3 days ago

    Farmington, United States EmblemHealth Full time

    Summary of Position We are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal grievances, complaints, appeals, and disputes submitted by members and providers in accordance with NCQA, CMS, State, and other regulations. They will process appeals and grievances to facilitate the accurate administration of...

  • Accounts Payable Specialist

    2 days ago

    Farmington, United States Creative Financial Staffing (CFS) Full time

    Job DescriptionJob DescriptionAccounts Payable SpecialistMy client, a fun and growing services organization, is adding an Accounts Payable Specialist to the team due to a promotion. Their current Accounts Payable Specialist took an offer to become a Junior Accountant.This Role Offers:Hands on training from the now 'Junior Accountant'Flexible schedule...

  • Patient Services Specialist

    5 days ago

    Farmington, United States Centria Healthcare Full time

    Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spectrum Disorder (ASD) have the best developmental experience possible while acquiring the skills to succeed in the world on their own terms. Too many children with ASD are untreated or under treated and Centria is committed to reaching every...

  • Customer Experience Specialist

    6 days ago

    Farmington, United States Best Buy Full time

    **Customer Experience Specialist (Advisor) - Job Details** **Customer Experience Specialist (Advisor)** Share Job **Overview** Full Time Entry Level Store Associates You are in for some awesome perks (Part-time and Full-time benefits based on your role and tenure) * Backup childcare * Tuition assistance for yourself and dependents * Generous employee...

  • Customer Experience Specialist

    6 days ago

    Farmington, United States Best Buy Full time

    **Customer Experience Specialist (Advisor) - Job Details** **Customer Experience Specialist (Advisor)** Share Job **Overview** Part Time Entry Level Store Associates You are in for some awesome perks (Part-time and Full-time benefits based on your role and tenure) * Backup childcare * Tuition assistance for yourself and dependents * Generous employee...

  • Customer Experience Specialist

    2 days ago

    Farmington, United States Best Buy Full time

    **Customer Experience Specialist (Advisor) - Job Details** **Customer Experience Specialist (Advisor)** Share Job **Overview** Full Time Entry Level Store Associates You are in for some awesome perks (Part-time and Full-time benefits based on your role and tenure) * Backup childcare * Tuition assistance for yourself and dependents * Generous employee...

  • Patient Registration Specialist

    6 days ago

    Farmington Hills, United States Option Care Enterprises, Inc. Full time

    Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate...

  • Patient Registration Specialist

    5 days ago

    Farmington Hills, United States Option Care Health Full time

    Extraordinary Careers. Endless Possibilities. With the nation’s largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to...

  • Digital Marketing Specialist

    2 weeks ago

    Farmington, New Mexico, United States OMG National Full time

    Compensation :Competitive Starting Salary + Commission Bonuses Every Pay PeriodBenefits Offered:Dental, Life, Medical, Vision, 401kLocation:RemoteJob Title:Digital Marketing SpecialistEmployment Type:Full-TimeDepartment:Client Services DepartmentReports to:Client Services ManagerOMG National, a 33-year old marketing firm and five-year Inc.5000 recipient, is...

  • Home Care Billing Analyst

    2 weeks ago

    Farmington, United States Hartford Healthcare Full time

    Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details:Work where every moment matters. Every day, almost 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticuts most comprehensive healthcare network. The...

  • Auto Physical Damage Supervisor

    2 days ago

    Farmington, United States Plymouth Rock Assurance Full time

    Overview: Auto Physical Damage Supervisor We are currently seeking an Auto Physical Damage (PD) Supervisor to join our growing Personal Lines Auto team in our Farmington, CT or Parsippany, NJ offices. The PD Supervisor is responsible for managing, coaching and developing a Team of Claims Resolution Specialists accountable for the investigation, evaluation...

  • Treasury Management Implementation Specialist

    2 weeks ago

    Farmington, United States COMERICA MANAGEMENT CO INC Full time

    COMERICA MANAGEMENT CO INC Treasury Management Implementation Specialist FARMINGTON HILLS , Michigan Apply Now Treasury Management Implementation Specialist IIThe Treasury Management Implementation Specialist will be responsible for all aspects of the development and implementation of assigned products and provides a single point of contact for internal...

  • Benefits Program Manager

    1 month ago

    Farmington, United States The Jackson Laboratory Full time

    Under administrative direction from the Senior Manager, analyzes designs, plans, and implements benefit programs, policies and procedures. Responsible for ensuring programs meet employee needs, comply with legal requirements and are administered in a consistent responsive manner. Assures the effective use of HRIS in managing benefit enrollment/participation...

  • IT Contracts Specialist

    3 weeks ago

    Farmington, New Mexico, United States ClientSolv Technologies Full time

    ClientSolv Technologies is an IT solution firm with over a decade of experience serving Fortune 1000 companies, public sector and small to medium sized companies.ClientSolv Technologies is a woman-owned and operated company that is certified as a WMBE, 8a firm by the Federal government's Small Business Administration.We are seeking an IT Contracts Specialist...

  • Billing/AR Specialist

    5 days ago

    Farmington Hills, United States Centria Autism Full time

    Job DescriptionJob DescriptionEvery child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spectrum Disorder (ASD) have the best developmental experience possible while acquiring the skills to succeed in the world on their own terms. Too many children with ASD are untreated or undertreated and Centria is...

  • Licensed Customer Service Rep

    2 days ago

    Farmington, United States The Pam McCarthy Agency, Inc Full time

    Job DescriptionJob DescriptionBenefits:Friday Summer HoursBusiness Casual AttireBirthday HolidayBonus based on performanceCompetitive salaryOpportunity for advancementPaid time offTraining & developmentCompany OverviewWe believe people are an organizations most valuable asset, and their ideas and experiences matter. Were committed to growing a diverse and...