Insurance Claims Specialist

4 weeks ago


Pasadena, United States ACCO Engineered Systems Full time

General Job Description:

We are seeking a detail-oriented and organized Claims Specialist to join our team. The Claims Specialist will play a crucial role in managing various types of insurance claims, ensuring accuracy, efficiency, and compliance with company policies and regulations. The ideal candidate will possess strong analytical skills, exceptional communication abilities, and a solid understanding of insurance procedures and protocols.

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.
  • Attend all claims reviews, track action items and provide follow-up reports.
  • Work with director of risk, claims manager, and legal counsel on litigated claims.
  • Maintain a temporary disability log.
  • Contact claimants weekly.
  • Interact with claimants to ensure expeditious results.
  • Maintain internal claims logs and claims tracking system
  • Arrange and process payment of the claims with the insurance carriers and/or claimants as well as legal invoices
  • Generate report on claim activity, trends and patterns
  • Engage claimants, ACCO Employees, and ACCO Management to investigate claims.
  • Update internal claims with Insurance Carrier Loss Runs
  • Collecting evidence such as witness statements, receipts, photographs, etc. that support a claim.
  • Serve as a resource to other departments on claims-related matters.
  • Other tasks and duties assigned by management.

Position Requirements (Skills, Work Experience, Education, etc.):

  • Demonstrated proficiency in insurance claims administration or office administration spanning over 2 years.
  • High School diploma or equivalent required; Bachelor's degree or Insurance Certification preferred.
  • Proficient in Microsoft Suite applications.
  • Possess strong investigative skills with meticulous attention to detail.
  • Excellent interpersonal and communication abilities.
  • Capable of generating comprehensive reports and adept at data analysis for executive management.
  • Proven ability to collaborate effectively in a team setting and enjoy interpersonal interactions.
  • Familiarity with claims processing procedures.
  • Additional relevant skills, work experience, or certifications are welcomed.

ACCO Competencies:

  • Proactivity / Initiative: Recognizes what needs to be done and accomplishes it in a manner appropriate for one's level/position and with minimal supervision.
  • Perseverance: Shows the wherewithal to fight for difficult goals despite challenges and to bounce back from adversity.
  • Insight: The ability to gather and make sense of information that suggests new possibilities.
  • Engagement: Shows a knack for using emotion and logic to communicate a persuasive vision and connect with people.
  • Teamwork: The ability to effectively work toward common goals with others by supporting, encouraging, and sharing information in an authentic and approachable manner.
  • Big Picture: Understands and contributes to organizations' short- and long-term business strategy. On a personal level has independently developed a vision for short- and long-term career success.
  • Motivation / Dedication: Commits to excellence in pursuing unselfish goals. Initiates action with collective goals takes responsibility and shows personal humility.
  • Technical Curiosity / Willingness to Learn: Interest in seeking out new experiences, knowledge, and candid feed, back; demonstrating an openness to learning and change.
  • Problem-Solver: Ability to identify, analyze, and solve a problem in support of personal, group, department, or organizational objectives.

Physical Requirements:

(The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.)

  • The employee may regularly lift and /or move up to 10 pounds, and occasionally lift and/or move up to 30 pounds.
  • Specific vision abilities required by this job include Close vision and Distance vision.
  • While performing the duties of this Job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms and talk or hear.
  • The employee is regularly required to walk and sit; climb or balance and stoop, kneel, crouch, or crawl (for purposes of filling photocopiers/printers).
  • As the employee maintains and orders supplies to the Project Group, the employee is occasionally required to reach above shoulder height to access storage cabinets and mail cubicles.
  • Regular and routine attendance, occasional mandatory overtime will be required.

Hours:

This is a non-exempt position from Monday through Friday. Work hours begin and end between 8:00 am and 5:00 pm with one-hour break for lunch and two rest breaks. Eight hours per day is required and other occasional overtime may be necessary per business needs

Travel: 0- 5% only as needed to collaborate with leadership partners and teams.


Competitive Wages:
$26.93 to $33.60 per hour. Applicants please note that actual compensation is determined by several factors that are unique to each candidate, including but not limited to job-related skills, depth of experience, certifications, relevant education or training, and specific work location, among others. The offered wage or salary is only one aspect of an employee's total compensation.

#ACCO



  • Pasadena, California, United States ACCO Engineered Systems Full time

    Welcome to the Job Description of Claims Specialist We are on the lookout for a meticulous and well-organized Claims Specialist to join our dynamic team. As a Claims Specialist, you'll be pivotal in handling various insurance claims efficiently and accurately, ensuring compliance with company regulations and policies. We require someone with top-notch...


  • Pasadena, United States ACCO Engineered Systems Full time

    **General Job Description**: **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. - Attend all claims reviews, track action items and provide follow-up reports. -...


  • Pasadena, United States Phil Jimeno - State Farm Agency Full time

    Our State Farm Agency is expanding and we are looking for a driven telemarketing professional. Insurance experience is not required as we will train the right person. Must be willing to obtain a Property and Casualty insurance license. You will be calling potential clients who have requested insurance information, and transferring them to one of our Agency...


  • Pasadena, United States Tokio Marine Management Inc. Full time

    **Description** **Marketing Statement** **About Tokio Marine**: Tokio Marine has been conducting business in the U.S. market for over a century and we are licensed in all states, Puerto Rico and the District of Columbia, and write all major lines of Commercial Property and Casualty Insurance. We provide unique insurance and risk management tools from our...


  • Pasadena, United States Phil Jimeno - State Farm Agency Full time

    Job DescriptionJob Description Our State Farm Agency is expanding and we are looking for a driven telemarketing professional. Insurance experience is not required as we will train the right person. Must be willing to obtain a Property and Casualty insurance license. You will be calling potential clients who have requested insurance information, and...


  • Pasadena, United States TEKsystems Full time

    Description: -Accurate and timely processing of medical claims-Investigation/communication in order to obtain necessary information to complete claim -Review and interpretation of contract benefits and edit/audit resolution -Knowledgeable and have the ability to access all relevant mainframe systems and screens in order to process claims accurately-Ensure...

  • Examiner Otai La

    2 weeks ago


    Pasadena, United States TM Claims Service Inc. Full time

    **Description** **Marketing Statement**: **TM Claims Service (TMCS)** is an independent global claims management firm established in 1987 to provide clients with a broad range of claims related services in the areas of transportation, product liability and overseas travel accident insurance. As part of the Tokio Marine Group of companies TM Claims Service...


  • Pasadena, United States Kaiser Permanente Full time

    Description: Remote from Southern, CA only. Candidates must reside in SCAL. Job Summary:Responsible for the administration of medical malpractice and other professional and general liabilty claims made during the course of conducting company business across the enterprise, having a material impact on legal reserves that are listed as a separate line item on...


  • Pasadena, United States Kaiser Permanente Full time

    Description: Remote from Southern, CA only. Candidates must reside in SCAL. Job Summary:Responsible for the administration of medical malpractice and other professional and general liabilty claims made during the course of conducting company business across the enterprise, having a material impact on legal reserves that are listed as a separate line item on...

  • Mis Data Specialist

    4 weeks ago


    Pasadena, United States D'Veal Family and Youth Services Full time

    **MIS Data Specialist Job Description** Join our non-profit 501(c)(3) corporation. We at D’Veal Family and Youth Services (D’Veal) understand it is vital that behavioral health challenges of children and families in the San Gabriel Valley and Los Angeles County be met with services consistent with the dynamic needs of today’s world, and within the...

  • Billing Specialist

    6 days ago


    Pasadena, United States Health Right 360 Full time

    HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and substance use disorder treatment. **Benefits and perks**: - HR360 offers a robust benefits package, including PTO, 15 paid holidays, commuter benefits,...


  • Pasadena, United States Certified Healthcare Billing Full time

    **Company Overview**: Certified Healthcare Billing has been a fixture in the medical billing industry for over a decade. The company was founded by a group of experienced medical billers who saw a need for a billing company that could provide exceptional service to healthcare providers of all sizes. Over the years, Certified Healthcare Billing Services has...


  • Pasadena Hills, Missouri, United States SilverTech Full time

    Join a strong team With more than satisfied insured persons, BAHN-BKK is one of the largest company health insurance providers in Germany. As an open, statutory health insurance company with a focus on prevention, we see ourselves as a competent, reliable and innovative health partner for our customers. For our Regional Office South in Rosenheim, we are...


  • Pasadena, United States Propel Personnel Full time

    Job DescriptionJob DescriptionInsurance Customer Service Representative - RemoteJob OverviewWe are seeking a dedicated Remote Customer Service Representative to join one of the nation’s leading Fortune 100 Insurance Companies. As the first point of contact for clients, you will play a crucial role in providing exceptional service and support to...


  • Pasadena, United States Propel Personnel Full time

    Job DescriptionJob DescriptionInsurance Customer Service Representative - RemoteJob OverviewWe are seeking a dedicated Remote Customer Service Representative to join one of the nation’s leading Fortune 100 Insurance Companies. As the first point of contact for clients, you will play a crucial role in providing exceptional service and support to...


  • Pasadena, United States Kaiser Permanente Full time

    Description: Job Summary:Under the direct supervision of the PBS Collections Manager, this position is responsible for the day to day operations of the Collection Department to ensure they are in compliance with organizational and industry standards. Supervises the collection team staff activities that promote best practices for collection efficiency and...


  • Pasadena, United States Kaiser Permanente Full time

    Description: Job Summary:Under the direct supervision of the PBS Collections Manager, this position is responsible for the day to day operations of the Collection Department to ensure they are in compliance with organizational and industry standards. Supervises the collection team staff activities that promote best practices for collection efficiency and...


  • Pasadena, United States ArcLight Insurance Agency Full time

    **Benefits**: - 401(k) - Competitive salary - Dental insurance - Parental leave - Training & development - Vision insurance **Benefits/Perks** - Competitive Pay - Professional Development - Job Stability in a growing industry **Responsibilities** - Provide service to existing clients related to updating policies, providing quotes, taking payments,...


  • South Pasadena, United States Total Education Solutions Full time

    Job DescriptionJob Description🌟 Join Our Dynamic Medical Billing Team in South Pasadena, CA! 🌟Are you passionate about making a positive impact on the lives of children? Total Education Solutions, a leading pediatric therapy service provider, is seeking a dedicated and detail-oriented Medical Billing Specialist to join our team. Enjoy a collaborative...


  • Pasadena, United States ArcLight Insurance Agency Full time

    Job DescriptionJob DescriptionBenefits:401(k)Competitive salaryDental insuranceParental leaveTraining & developmentVision insuranceBenefits/PerksCompetitive PayProfessional DevelopmentJob Stability in a growing industryJob DescriptionWe are seeking a professional and personable Administrative Assistant / Customer Service Representative to join our team. In...