Claim Support Specialist I
2 weeks ago
- Provide telephone assistance for all incoming calls to the Claims Department, including general inquiries regarding PIP and Subrogation, and screening telephone calls for Claim Directors.
- Assist with Subrogation recovery check distribution.
- Assist with entering and processing recovery and salvage checks.
- Serve as a contact person for Glass Processing Unit, work with glass processing vendor, review daily glass-only loss reports, issue payments as needed, and assist glass shops via telephone.
- Serve as contact person for the Assigned Claim Bureau, receive assignments, set up assignments on system, monitor claims via diary, submit billings for reimbursement of paid medical and service fees.
- Serve as contact for Kentucky Arbitration Association, receive and set up assignments.
- Assist with KFB Intranet Claim Salvage program, consisting of presenting salvage items for bid on KFB Intranet website, receives all salvage bid e-mails, monitors for winning bidder, and communicates winning bids to the appropriate parties, receives salvage proceeds, and enters recovery in Claim System.
- Serve as authorized contact person for ISO ClaimSearch, process Access Authorization Form to add/delete claim staff as necessary.
- Serve as contact person for Adjuster Licensing, work with the Office of Insurance, process applications for apprentice and adjuster licensing, obtain surety bonds from Agency.
- Review unidentified mail in Claim Center by researching any unmatched mail or documents and index them to the correct claim file.
- Record and process CAT pay requests for claims personnel.
- Assist with correcting errors through the claim system from daily claims cycle.
- Assist with inquiries from the District Claim Offices.
- Assist claim personal as Administrator for OrderPoint police reports.
- Perform various record keeping functions for claims, prepare spreadsheets, and compile statistical reports as necessary.
- Serve as contact person for After Hours Claims Hotline - Lynx Services.
- Process invoices for independent adjusters, hotel invoices for directors, adjusters, employees, etc., set-up direct bill accounts when necessary.
- Process IRS Notice of Levies for claim payees.
- Serve as contact person for Office of Insurance Complaints received from Compliance.
- Provide administrative support to Claims Directors, including scheduling of agency visits.
- Pay attorney bills for Claims Directors, Claims, Litigation, and Legal.
- Perform Claim function and activities assigned on a timely basis with an emphasis on service to members, agencies, and field claim staff who service those members.
- Represent the Claim Department in a positive and professional manner.
- Maintain good relations with all stakeholders.
- Regular, predictable attendance as employee must physically be in the office.
- High school diploma required; Associate degree preferred.
- Required to obtain an Adjuster License within one year of hire date.
- Demonstrated proficiency with Microsoft Office products (Excel, PowerPoint, and Word) and claims-related software programs.
- Good time management skills to handle multiple tasks while maintaining a positive customer focus.
- Demonstrates a positive, supportive attitude regarding company and departmental goals.
- Previous experience in a claims or insurance office desirable.
- Good typing, proofreading, and math skills.
- Knowledge of claims handling procedures and insurance contracts.
- Ability to communicate with a high level of skill both orally and in writing.
- Must possess good organizational skills with the ability to make timely decisions.
- Excellent human relation skills and self-motivation required.
- Ability to act in a confidential manner.
-
Claims Specialist I
4 weeks ago
Lexington, Kentucky, United States Kentucky Farm Bureau Mutual Insurance Company Full timeOverview:The Claims Specialist I will engage in essential training and educational activities to prepare for a career in claims management; assist under the guidance of supervisors; and deliver prompt, courteous, and equitable claims service.Responsibilities:Support the organizational strategy emphasizing member relationships.Contribute to the strategic...
-
Claims Service Specialist
2 months ago
Louisville, United States Big I Kentucky Full timeClaims Service Specialist Our firm is rapidly growing and we are seeking a self-motivated person who wants to join a dynamic, growing company. We are currently seeking to fulfill a full-time position. Our Claims Service Specialist will be responsible for supporting numerous areas within Business Insurance Claims and providing exceptional customer service to...
-
Claim Support Specialist I
2 days ago
Louisville, United States Kentucky Farm Bureau Insurance Full timeOverview Works as part of the Claims Support Admin team to provide excellent customer service to all internal and external customers including members, agents, and claim staff with vendor enhanced claim functions. Responsible for collecting and monitoring claim data and preparing reports related to claim operations. Performs administrative duties as directed...
-
Claim Support Specialist
2 days ago
Louisville, Kentucky, United States Kentucky Farm Bureau Insurance Full timeJob SummaryWe are seeking a highly organized and detail-oriented Claim Support Representative to join our team at Kentucky Farm Bureau Insurance. As a key member of our Claims function, you will provide prompt, courteous, and fair claim service to our customers.Key ResponsibilitiesSupport the corporate strategy and commitment to the member...
-
Pharmacy Claims Specialist
2 weeks ago
Louisville, Kentucky, United States Onco360 Full timePharmacy Adjudication SpecialistWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in Louisville, KY. This is a full-time position with two available shifts: Monday to Friday, 11:30am to 8pm EST and 9:30am - 6pm EST. The ideal candidate will be located within driving distance to our pharmacy and have a...
-
Pharmacy Claims Specialist
4 days ago
Louisville, Kentucky, United States Onco360 Full timePharmacy Adjudication Specialist Job DescriptionWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in Louisville, KY. This is a full-time position with a hybrid work style, requiring a location within driving distance to our pharmacy.Job Summary:The Pharmacy Adjudication Specialist will be responsible for...
-
Pharmacy Claims Specialist
2 days ago
Louisville, Kentucky, United States Onco360 Full timePharmacy Adjudication Specialist Job DescriptionWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in Louisville, KY. This is a full-time position with a hybrid work style, requiring a location within driving distance to our pharmacy.Job Summary:The Pharmacy Adjudication Specialist will be responsible for...
-
Claims Administrator
3 weeks ago
Louisville, Kentucky, United States AssuredPartners Full timeJob SummaryWe are seeking a highly organized and detail-oriented Claims Coordinator to join our team at AssuredPartners. As a Claims Coordinator, you will play a critical role in ensuring the smooth processing of insurance claims, working closely with our carriers and law firms to resolve claims efficiently.Key ResponsibilitiesProcess and review invoices for...
-
Claims Coordinator
2 weeks ago
Louisville, Kentucky, United States AssuredPartners Full timeJob SummaryWe are seeking a highly organized and detail-oriented Claims Coordinator to join our team at AssuredPartners. As a Claims Coordinator, you will play a critical role in ensuring the smooth processing of insurance claims, working closely with our carriers and law firms to resolve claims efficiently.Key ResponsibilitiesProcess and review invoices for...
-
Pharmacy Claims Specialist
2 weeks ago
Louisville, Kentucky, United States Onco360 Full timeJob SummaryWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in Louisville, KY. As a Pharmacy Adjudication Specialist, you will play a critical role in ensuring the accurate and timely processing of pharmacy claims, resolving third-party rejections, and providing exceptional customer service to our patients...
-
Claims Coordinator
2 weeks ago
Louisville, Kentucky, United States AssuredPartners Full timeJob SummaryWe are seeking a highly organized and detail-oriented Claims Coordinator to join our team at AssuredPartners. As a Claims Coordinator, you will play a critical role in ensuring the smooth processing of insurance claims, working closely with our carriers and law firms to resolve claims efficiently.Key ResponsibilitiesProcess and review invoices for...
-
Insurance Customer Support Specialist
3 weeks ago
Louisville, Kentucky, United States Big I Kentucky Corporate Full timeJob OverviewCompensation and Benefits:Attractive salary packageComprehensive dental coverageHealth insurance optionsGenerous paid leaveOpportunities for training and career advancementThe Insurance Customer Support Specialist plays a crucial role in fostering strong client relationships by addressing inquiries and resolving issues with efficiency and...
-
Property Claims Field Specialist
4 weeks ago
Louisville, Kentucky, United States State Farm Mutual Automobile Insurance Company Full timeProperty Claims Field SpecialistOverviewAt State Farm Mutual Automobile Insurance Company, we prioritize the professional development of our employees, offering a competitive Total Rewards package that includes:Starting Salary: $55,000 - $79,230.63 annuallyAnnual bonuses based on performanceMerit increases401(k) contributionsGenerous Paid Time Off (PTO)...
-
Auto Claims Specialist
2 weeks ago
Kentucky, United States Sedgwick Full timeCommercial Auto Claims RepresentativeSedgwick is committed to providing a culture of caring, flexibility, and growth opportunities for our colleagues. As a Commercial Auto Claims Representative, you will play a critical role in analyzing and processing low to mid-level auto physical damage claims.Key Responsibilities:Process auto property damage claims,...
-
Client Support Specialist I
4 weeks ago
Louisville, Kentucky, United States Molina Healthcare Full timeCustomer Experience Representative IMolina Healthcare is looking for a Customer Experience Representative to enhance our member interactions. This role is essential in ensuring that our clients receive the highest level of service and support.Key Responsibilities:Manage incoming and outgoing communications with members and healthcare providersConduct...
-
Property Claims Specialist
4 weeks ago
Louisville, Kentucky, United States State Farm Mutual Automobile Insurance Company Full timeProperty Claims Specialist - Field OperationsLocation: Louisville, KYJob Type: Regular Full TimeCategory: Claims and InvestigationOverview Elevate your career with a leading organization that prioritizes professional development. At State Farm, we value our employees by offering a comprehensive Total Rewards package. Starting Salary: $55,000 - $79,230.63...
-
Field Claims Representative
3 weeks ago
Louisville, United States Cincinnati Insurance Company, Inc. Full timeJoin Our Team as a Field Claims Representative The Field Claims department is currently seeking Field Claims Representatives to investigate and evaluate multi-line insurance claims through personal contact and ensure accurate settlements. Complete thorough claim investigations Interview insureds, claimants, and witnesses Consult police and hospital records...
-
Bilingual Claims Resolution Specialist
4 weeks ago
Louisville, Kentucky, United States CenterWell Home Health Full timeJoin Our Compassionate Team and Prioritize Health The Bilingual Claims Resolution Specialist plays a vital role in managing claims processes that involve customer interaction, investigation, and resolution of claims. This position entails a variety of tasks and moderately complex administrative and operational support duties. The specialist is responsible...
-
Personal Injury Claims Specialist
4 weeks ago
Louisville, Kentucky, United States Progressive Insurance Full timeJoin a recognized leader in the insurance industry, known for its commitment to diversity and inclusion. As a personal injury claims specialist, you will take charge of managing claims independently, focusing on the injury aspects while addressing customer needs to ensure prompt resolutions. The ideal candidate will leverage strong negotiation and customer...
-
Warranty Claims Specialist
3 weeks ago
Bowling Green, Kentucky, United States Martin Management Group Full timeJob Summary:Martin Management Group is seeking a highly organized and detail-oriented individual to fill the role of Warranty Claims Specialist. As a key member of our team, you will be responsible for verifying repair orders, posting warranty labor operations, and maintaining current warranty claims.Responsibilities:Verify all repair orders against...