Insurance Claims Specialist

2 weeks ago


Topeka, Kansas, United States BCforward Full time

Insurance Claims Specialist

Company Overview: BCforward is a prominent firm dedicated to delivering exceptional professional services and workforce management solutions to organizations globally.

Position Overview: We are seeking a dedicated Insurance Claims Specialist to join our team. This role involves managing a diverse range of claims and ensuring effective communication with various stakeholders.

Key Responsibilities:

  • Engage professionally with attorneys, insurance adjusters, medical providers, and clients through calls and correspondence.
  • Maintain comprehensive case files with accurate notes from initiation to resolution.
  • Provide timely and precise information to facilitate the progression of cases through the management workflow.
  • Conduct daily communications with counterparties, including legal and healthcare professionals.
  • Handle high-value cases independently, guiding them through to settlement.
  • Verify third-party liability and conduct thorough research on probate and beneficiary assets.
  • Draft necessary documentation, including correspondence, claims, and liens to advance cases towards recovery.
  • Negotiate settlement amounts in accordance with established guidelines.
  • Address and resolve claim disputes in collaboration with attorneys and relevant parties.
  • Perform follow-ups on case statuses and payments.
  • Review documents to ascertain current case status and ensure progress through the workflow.
  • Prioritize critical case events and manage revenue-impacting deadlines.
  • Analyze case information from multiple sources to draw informed conclusions.
  • May provide guidance to junior claims examiners.
Additional Responsibilities:
  • Undertake other assigned tasks as necessary.
Qualifications:
  • High School Diploma required.
  • Experience in a legal or insurance environment is advantageous.
  • Proficiency in Microsoft Office Suite is essential.
  • Familiarity with Medicaid and Medicare is preferred.
  • Bilingual candidates (Spanish & English) are encouraged to apply.
Skills and Competencies:
  • Strong attention to detail and accuracy.
  • Ability to manage multiple tasks and prioritize effectively.
  • Excellent communication skills, both verbal and written.
  • Ability to work independently and collaboratively within a team.
  • Commitment to maintaining confidentiality and ethical standards.
Work Environment:
  • Primarily office-based with sedentary tasks.
  • May require occasional lifting and moving of objects.
  • Flexibility to work extended hours as needed.
About BCforward: Founded in 1998, BCforward is a Black-owned firm that specializes in providing tailored solutions to meet the unique needs of our clients. We pride ourselves on our commitment to excellence, diversity, and accountability, fostering a culture that empowers our professionals to drive transformative results for our clients.

  • Topeka, Kansas, United States Zurich NA Full time

    About the RoleZurich North America is seeking a highly skilled Crop Claims Specialist to join our team. As a Crop Claims Specialist, you will play a critical role in resolving complex claims related to crop insurance.Key ResponsibilitiesResolve complex claims involving multiple causes of loss, quality issues, and subrogation claims.Exercise judgment to...


  • Topeka, Kansas, United States Sedgwick Full time

    Join Our Team as a Claims Assessment Specialist At Sedgwick, we prioritize the well-being of our employees, fostering a culture of support and inclusivity. A career with us means you will be part of a community that values flexibility and personal growth. We are dedicated to making a meaningful impact every day, ensuring that our team members have the...


  • Topeka, Kansas, United States Farmers Group Inc. Full time

    Position OverviewThis role is responsible for managing homeowner insurance claims related to bodily injuries, requiring comprehensive policy analysis, thorough investigations, and effective negotiation skills.Key ResponsibilitiesThe selected candidate will oversee the entire claims process, acting as the primary liaison for claim resolution. Responsibilities...


  • Topeka, Kansas, United States Farmers Group Inc. Full time

    Position OverviewThis role is responsible for managing homeowner insurance claims that involve complex policy interpretation, thorough investigation, damage assessment, liability evaluation, and negotiation of settlements.Key ResponsibilitiesThe selected candidate will oversee the entire claims process, acting as the main point of contact to ensure effective...


  • Topeka, Kansas, United States Farmers Group Inc. Full time

    Position OverviewThis role is responsible for managing homeowner insurance claims that involve complex policy interpretation, thorough investigation, damage evaluation, liability assessment, and negotiation of settlements.Key ResponsibilitiesThe selected candidate will oversee the entire claims process and act as the main point of contact to ensure efficient...

  • Senior Claims Analyst

    2 weeks ago


    Topeka, Kansas, United States US Tech Solutions Full time

    Note: Hybrid Work (subject to business requirements) following an initial week of onsite training. The following details outline the essential skills, attributes, and qualifications necessary for this position. Hire Type: 12+ months Contract (High potential for extension/conversion) A mix of remote and in-office work based on business needs. Our mission...


  • Topeka, Kansas, United States Property Claim Professionals Full time

    Job DescriptionAbout UsProperty Claim Professionals is a dynamic organization that supplies quality claims outsource solutions to insurance carriers nationwide. We are seeking a skilled Multi-Line Claims Adjuster to join our team.Job SummaryWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims,...


  • Topeka, Kansas, United States Elevance Health Full time

    About the RoleWe are seeking a highly skilled Business Transformation Specialist to join our team at Elevance Health. As a key member of our organization, you will play a critical role in driving business change and improvement initiatives.Key ResponsibilitiesAssist in building and supporting our change network to drive business transformation.Communicate...


  • Topeka, Kansas, United States Blue Cross and Blue Shield of Kansas Full time

    Job SummaryThe Dispute Resolution Specialist will be responsible for negotiating with non-contracting providers on behalf of the Professional Relations Department. This role will involve creating and submitting offers to the IDR entity in the event of failed negotiations.Key ResponsibilitiesDevelop and maintain general procedure documents for negotiations...


  • Topeka, Kansas, United States Centene Corporation Full time

    Job SummaryWe are seeking a highly skilled Provider Engagement Specialist III to join our team at Centene Corporation. As a key member of our healthcare team, you will be responsible for building and maintaining strong relationships with our network providers, driving performance improvement, and ensuring seamless operations.Key ResponsibilitiesAct as a...


  • Topeka, Kansas, United States Mike Rumford Agency Full time

    About The OrganizationThe Mike Rumford Agency embodies innovation in the insurance sector, upholding Allstate's fundamental principles and commitment to excellence. Our team prioritizes exceptional service while nurturing a collaborative and vibrant workplace. Become a part of a culture that values both individual and collective achievements.Position: Client...


  • Topeka, Kansas, United States Kansas Action for Children Full time

    Job Overview:Position: Medication Order Processing SpecialistLocation: KansasKey Responsibilities:1. Assess, interpret, and enter medication orders into the electronic medication management system while adhering to accuracy and efficiency benchmarks.2. Conduct pharmaceutical calculations and address issues related to claim denials identified during...


  • Topeka, Kansas, United States Penn Foster Inc Full time

    Customer Support SpecialistJoin a recognized leader in the industry that values diversity and inclusion.If you have a passion for assisting others and thrive in a dynamic environment, you may find a rewarding opportunity within our customer support team. In this role, you will handle incoming inquiries, fostering trust and rapport with our clients by...


  • Topeka, Kansas, United States Brandon Aldridge - State Farm Agent Full time

    Position OverviewBrandon Aldridge - State Farm Agent is seeking a dynamic and personable individual who thrives in a customer-centric environment. If you envision a future where you can lead your own business, become a trusted advisor in your community, and mentor a team, this role may be the perfect fit for you. As part of our accomplished team, you will...


  • Topeka, Kansas, United States Sarah Mack Agency Inc Full time

    Job OverviewThe Sales Specialist position at Sarah Mack Agency Inc focuses on marketing, prospecting, and selling insurance products tailored to the agricultural sector. This role is essential in fostering strong customer relationships, understanding client needs, and aligning them with suitable insurance solutions. Additionally, the specialist will enhance...


  • Topeka, Kansas, United States Sarah Mack Agency Inc Full time

    Job OverviewThe Sales Specialist position is focused on marketing, prospecting, and selling insurance products offered by Sarah Mack Agency Inc. This role is essential in building and maintaining strong customer relationships, understanding their needs, and aligning them with suitable product offerings. The Sales Specialist also plays a vital role in...


  • Topeka, Kansas, United States The University of Kansas Hospital Full time

    Position Overview:The Leave Administration Specialist is responsible for overseeing the administrative functions associated with employee leave requests. This role requires collaboration with various stakeholders, including the Leave Team, Payroll, external leave vendors, and the HR Support Center. The specialist will ensure that systems such as Kronos and...


  • Topeka, Kansas, United States Mindlance Full time

    Position Overview Elevate your career with Mindlance Since 1999, we have been dedicated to connecting skilled professionals with premier organizations. Mindlance is committed to assisting you in discovering the ideal opportunity that aligns with your career aspirations. We are currently in search of a Medical Review Nurse to join our team for a...


  • Topeka, Kansas, United States Seaman Unified School District 345 Full time

    POSITION SUMMARY Title: Human Resources Specialist Qualifications: Bachelor's degree preferred; minimum high school diploma required. Proficient in computer operations and data entry. Strong interpersonal skills to effectively engage with the public, administration, and staff. Alternative qualifications may be considered as deemed appropriate by the Board....


  • Topeka, Kansas, United States Magellan Financial & Insurance Services, Inc. Full time

    Step into a Fulfilling Role with Magellan Financial & Insurance Services, Inc.Become a part of Magellan Financial & Insurance Services, Inc., a thriving organization in the financial sector, renowned for its supportive and family-oriented culture within a multi-billion-dollar firm. We are currently seeking a motivated Administrative Assistant to infuse our...