Claims Specialist
1 week ago
Job Summary:
The Claims Specialist will serve as a claims consultant, providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim.
Key Responsibilities:
- Submit claims or provide guidance on claim submission;
- Review coverages and resolve claims issues;
- Ensure carrier commitments are honored;
- Coordinate and participate in scheduled claims reviews;
- Serve as your client's advocate with adjusters and their coverage counsel;
- Resolve coverage disputes whenever possible;
- Assess and strategize to produce best possible claim outcomes;
Additional Responsibilities:
- Review of client's overall claims program and individual complex claims situations;
- Develop strategic action plans to reach desired outcomes;
- Provide guidance regarding potential large settlements;
- Recommend suitable vendor partners, including claims TPAs, nurse triage, and others;
- Review adjuster's claim action plans; facilitate claims resolutions;
- Evaluate insurance company claim reserves and push for reductions where appropriate;
Requirements:
- High School Diploma, Bachelor's degree preferred;
- Adjusters license;
- Knowledge of accepted industry standards and practices;
- Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges;
- Analytical skill necessary to make decisions and resolve issues inherent in handling of claims;
-
Claims Specialist
2 weeks ago
Dallas, Texas, United States Manpower Group Inc. Full timePosition Title: Claims Specialist - Lost Time Worker's CompensationLocation: Onsite roleContract Duration: 6+ months with potential for extension or permanent placement.Compensation: $35/hr to $40/hrOur esteemed client, a leader in the pharmaceutical industry, is seeking dedicated and driven professionals to enhance their dynamic team.Role Overview: Are you...
-
Claims Specialist
2 days ago
Dallas, Texas, United States US012 Marsh & McLennan Agency LLC Full timeAbout the Role:The Claims Specialist will serve as a key member of the US012 Marsh & McLennan Agency LLC team, providing expert claims consulting services to clients. This role requires a strong understanding of insurance claims processes and a ability to navigate complex claims situations.Key Responsibilities:Submit claims or provide guidance on claim...
-
Claims Processing Specialist
2 weeks ago
Dallas, Texas, United States WarrCloud Full timeWarrCloud is a pioneering technology firm leading the charge in warranty management, focusing on warranty processing for automotive dealerships and original equipment manufacturers (OEMs). Our innovative proprietary platform streamlines the handling of warranty claims, ensuring exceptional outcomes for our clients. We are on the lookout for a detail-oriented...
-
Insurance Claims Specialist
6 days ago
Dallas, Texas, United States The LaSalle Group Full timeJob Summary: We are seeking a skilled Insurance Claims Specialist to join our team at The LaSalle Group. As an Insurance Claims Specialist, you will play a critical role in servicing the needs of patients by accurately billing customer accounts, ensuring timely remittance, and taking immediate action on issues that involve account integrity.Key...
-
Insurance Claims Specialist
1 week ago
Dallas, Texas, United States Welling Young, LLC Full timePosition OverviewWelling Young, LLC is collaborating with a third-party claims administrator that manages various claims programs, including commercial automobile, garage, garage keepers, and general liability claims. This dynamic TPA is located in Dallas and is experiencing rapid growth. The selected candidate will be responsible for managing claims in...
-
Warranty Claims Specialist
3 days ago
Dallas, Texas, United States WarrCloud Full timeAbout WarrCloudWe are a leading technology company at the forefront of innovation, specializing in warranty processing for automotive dealerships and OEMs. Our cutting-edge proprietary software enables efficient processing of warranty claims, delivering unparalleled warranty claim results.Job SummaryWe are seeking a proactive and tech-savvy individual to...
-
Fraud Analytics Claims Specialist
2 weeks ago
Dallas, Texas, United States AmTrust Financial Full timeFraud Analytics Claims SpecialistThe **Fraud Analytics Claims Specialist** is responsible for examining claims data to uncover possible fraudulent behavior. This role involves conducting thorough research utilizing both internal and external data sources, identifying significant patterns, trends, and irregularities, and formulating investigations based on...
-
Claims Analysis Specialist
2 weeks ago
Dallas, Texas, United States American International Group Full timePosition OverviewThe Claims Analysis Specialist is responsible for managing intricate claims processes and ensuring comprehensive coverage evaluation of primary policies with deductibles.Key Responsibilities- Conduct thorough assessments of claims to determine the scope and extent of coverage.- Maintain clear and effective communication with insured parties,...
-
Compensation Claims Specialist
2 weeks ago
Dallas, Texas, United States Comptech Associates Full timeJob Title: Compensation Claims Specialist - Lost Time Worker's Compensation Duration: 6+ Months (Contract to Hire) Location: Dallas, TX Number of Positions: 1 Job Schedule - Hybrid 3/2 - In office Monday/Tuesday, work can select 3rd day in office Job Hours - 8:00am - 4:30pm CST Interview process - Virtual interview Overview: A Compensation Claims...
-
Claims Analysis Specialist
2 weeks ago
Dallas, Texas, United States American International Group Full timePosition OverviewAs a Claims Analysis Specialist, you will enhance your expertise in managing intricate claims processes.Make a significant contribution to the field of Claims.Our Claims teams are recognized as the preferred problem solvers for clients, consistently delivering technical excellence and showcasing our unique service offerings to create an...
-
Insurance Claims Specialist
2 weeks ago
Dallas, Texas, United States Prestige Staffing Full timeInsurance Claims Specialist at Prestige Staffing Compensation: $17- $19/hr. Based on Experience Work Environment: On-Site • Assignment Duration: 90 days • Work Schedule: Monday to Friday, 8 AM - 4:30 PM • Essential Skills: Proficient in Commercial and Government Insurance Collections; Experience with EPIC and Excel; Strong Interpersonal...
-
Senior Auto Claims Specialist
2 weeks ago
Dallas, Texas, United States AmTrust Financial Full timeSenior Auto Claims SpecialistJob Locations: Various LocationsRequisition ID:Category: Claims - Auto/TruckingPosition Type: Regular Full-TimeOverviewAs a key member of our Auto Property Damage (APD) department, the Senior Auto Claims Specialist is tasked with the thorough assessment of insurance claims through diligent research, evaluation, investigation,...
-
Claims Analysis Specialist
2 weeks ago
Dallas, Texas, United States UnitedHealth Group Full timePosition OverviewThe role of a Claims Analysis Specialist involves a comprehensive approach to assessing and resolving client issues within a corporate environment. Candidates should possess a minimum of 2 years of experience in effectively analyzing and addressing customer inquiries.QualificationsMedical Coding Certification: Candidates must either hold a...
-
Claims Processing Specialist
2 weeks ago
Dallas, Texas, United States WarrCloud Full timeJob OverviewWarrCloud is a prominent technology firm focused on warranty management solutions for automotive dealerships and original equipment manufacturers (OEMs). Our advanced software streamlines the processing of warranty claims, ensuring exceptional outcomes. We are looking for a dedicated individual to become part of our team as a Claims Processing...
-
Commercial Auto Injury Claims Specialist
2 weeks ago
Dallas, Texas, United States Insurance Placement Solutions Full timeAbout the PositionInsurance Placement Solutions is currently seeking a Remote Commercial Auto Injury Claims Specialist to join our esteemed client's claims team. Role OverviewIn this role, you will leverage your expertise in commercial auto to conduct thorough investigations, evaluations, and resolutions of assigned claims, ensuring optimal outcomes. Key...
-
Liability Claims Management Specialist
2 weeks ago
Dallas, Texas, United States Zurich Insurance Company Ltd Full timeOverview: At Zurich North America Claims, we prioritize a healthy work-life balance and flexibility in your career choices. Our hybrid work model is designed to cater to the needs of our employees, allowing them to perform individual tasks in their preferred environments while also promoting essential in-person collaboration. Position Summary: We are...
-
Claims Specialist for Family Medical Leave
2 weeks ago
Dallas, Texas, United States UnitedHealth Group Full timePosition OverviewAs a Family Medical Leave Claims Specialist, you will be responsible for managing various types of leave requests while ensuring compliance with applicable regulations.Key ResponsibilitiesProcess diverse leave applications efficiently, adhering to established turnaround times.Ensure compliance with Federal, State, and company...
-
Quality Assurance Claims Specialist
2 weeks ago
Dallas, Texas, United States Sedgwick Full timeAbout Us: At Sedgwick, we prioritize the well-being of our colleagues, fostering a culture of support and inclusivity. We believe in providing flexibility and ensuring that our employees have the time to focus on what matters most to them. Our mission is to create meaningful experiences every day while supporting your mental, physical, financial, and...
-
Automotive Claims Review Specialist
2 weeks ago
Dallas, Texas, United States Kemper Full timePosition Overview: Desk Review Specialist at KemperKemper, a prominent specialized insurance provider, is seeking skilled professionals to contribute positively to our clients' experiences. We pride ourselves on fostering a high-performance environment that promotes both personal and professional development while ensuring a balanced work-life approach.Key...
-
Automotive Claims Review Specialist
1 week ago
Dallas, Texas, United States Kemper Full timePosition Overview: Desk Review Specialist at KemperKemper, a prominent specialized insurance provider, is seeking skilled professionals to enhance our operations and positively influence our clients' experiences. We promote a high-performance environment, fostering both personal and professional development, alongside a balanced work-life integration.Key...