Claims Coordinator

3 days ago

Valley Park, Missouri, United States Institute of Inspection , Cleaning and Restoration Certification Full time
Job Title: Claims Coordinator

As a Claims Coordinator at the Institute of Inspection, Cleaning and Restoration Certification, you will play a vital role in the claims process, ensuring that all necessary documentation and procedures are followed to meet the required program guidelines.

Key Responsibilities:
  • Manage data entry for each claim from First Notice of Loss through to completion in the CRM system.
  • Review and ensure compliance with daily tasks and job requirements.
  • Monitor and update jobs in the operating system to ensure efficient flow through the claims process.
  • Ensure accurate and timely uploading of photos and documents, as well as follow-up with homeowners and insurance/mortgage information.
  • Create and assist with job estimates, reviewing final estimates to ensure completeness according to company standards.
  • Manage customer service issues and complaints, documenting actions and resolution.
  • Understand and adhere to company cycle times and SLAs for each job and phase.
  • Communicate effectively with customers, adjusters, and other stakeholders to ensure timely resolution of claims.
Requirements:
  • High school diploma/GED required.
  • IICRC Certifications preferred but not required.
  • Exceptional customer service skills.
  • Experience with Microsoft Office applications (Word, Outlook, PowerPoint, and Excel) required.
  • Strong time management and organizational skills.
  • Dependable and adaptable to operate in a fast-paced work environment.
  • Ability to manage confidential information.
  • Strong problem-solving skills.
Physical Demands and Working Conditions:

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

Incumbent must be prepared to:

  • Move up to 20 pounds occasionally.
  • Sit for long periods while using office equipment.
  • Perform repetitive motions, such as typing and data entry.
  • Close visual acuity to perform detail-oriented activities.
  • Be exposed to various inside working conditions.

  • Claims Coordinator

    3 days ago

    St Louis Park, United States Institute of Inspection , Cleaning and Restoration Certification Full time

    Position Overview As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow-up, handling service complaints, logistics of dispatching field personnel to jobs while ensuring that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. The Coordinator is responsible to...

  • Insurance and Claims Coordinator

    3 weeks ago

    Spokane Valley, United States Incyte Diagnostics Full time

    Every day Incyte Diagnostics / Pathology provide vital information that helps our clients and patients understand their health. Our team of expert pathologists believe in a collaborative approach to patient care centered on outstanding quality diagnostics and service to the Northwest medical community. Not only do we bolster our community, but we also...

  • Medical Claims Coordinator

    1 day ago

    New Hyde Park, New York, United States Creative Financial Staffing Full time

    Career Opportunity: Medical Claims CoordinatorAbout the Company:Established organization with a strong presence in the healthcare industryPrograms focused on addiction & recovery, veterans services, and educationConvenient location with free parking and public transportation optionsResponsibilities:Update provider files according to CMS Medicare/Medicaid and...

  • Workers Compensation Claims Examiner

    3 weeks ago

    Spring Valley, Nevada, United States Abela Staffing LLC Full time

    Job Title: Workers Compensation Claims ExaminerJob SummaryAbela Staffing LLC is seeking a highly skilled Workers Compensation Claims Examiner to join our team. As a Workers Compensation Claims Examiner, you will be responsible for investigating and managing workers' compensation claims in multiple jurisdictions.Key ResponsibilitiesInvestigate and manage...

  • Workers Compensation Claims Manager

    3 days ago

    Hunt Valley, Maryland, United States Techlink Systems Inc Full time

    Job Title: WC Team LeadLocation: Hybrid or RemoteContract Duration: Direct HireJob SummaryWe are seeking a highly skilled WC Team Lead to join our team at Techlink Systems Inc. The successful candidate will be responsible for analyzing complex workers' compensation claims, negotiating settlements, and ensuring timely and cost-effective claims resolution.Key...

  • Senior Claims Specialist

    2 weeks ago

    Overland Park, Kansas, United States CorVel Corporation Full time

    Job Title: Senior Indemnity Claims SpecialistCorVel Corporation is seeking a highly skilled Senior Indemnity Claims Specialist to join our team. As a key member of our claims department, you will be responsible for managing complex and problematic workers' compensation claims within delegated limited authority to determine benefits due.Key...

  • Workers' Compensation Claims Examiner

    3 weeks ago

    Spring Valley, Nevada, United States Highview National Insurance Full time

    Job Title: Workers' Compensation Claims ExaminerWe are seeking a highly skilled Workers' Compensation Claims Examiner to join our team at Highview National Insurance. As a Claims Examiner, you will be responsible for investigating and managing workers' compensation claims in Pennsylvania and New Jersey, ensuring timely and cost-effective resolution.Key...

  • Pharmacy Claims Adjudicator

    3 weeks ago

    New Hyde Park, New York, United States Onco360 Full time

    Pharmacy Adjudication Specialist Job DescriptionWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy. As a Pharmacy Adjudication Specialist, you will play a critical role in ensuring the accurate and timely adjudication of pharmacy claims, resolving third-party rejections, and providing excellent customer...

  • Pharmacy Claims Adjudicator

    3 weeks ago

    New Hyde Park, New York, United States Onco360 Full time

    Pharmacy Adjudication Specialist Job DescriptionWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy. As a Pharmacy Adjudication Specialist, you will play a critical role in ensuring the accurate and timely adjudication of pharmacy claims.Key Responsibilities:Adjudicate pharmacy claims, review claim responses...

  • Claims Quality Assurance Specialist

    1 month ago

    Monterey Park, California, United States Astrana Health Full time

    About the RoleAstrana Health is seeking a highly skilled Claims Quality Assurance Analyst to join our team. As a Claims Quality Assurance Analyst, you will be responsible for performing routine and complex audits of claims payments for pre- and post-check runs. You will summarize findings and provide recommendations to the reporting Supervisor and...

  • Pharmacy Claims Adjudication Specialist

    2 days ago

    New Hyde Park, New York, United States Onco360 Full time

    Job Title: Pharmacy Adjudication SpecialistWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in New Hyde Park, NY. This is a full-time position with a hybrid work style, requiring a driving distance to our pharmacy.Job Summary:The Pharmacy Adjudication Specialist will be responsible for adjudicating...

  • Supervisor of Claims Production

    2 weeks ago

    Overland Park, United States Allied National, Inc Full time

    Job DescriptionDescription:PURPOSE: The Supervisor of Claims Production is responsible for the management and operation of the Claims Analyst staff which includes production, quality review, personnel matters, workflow, claims procedures and training. The Supervisor of Claims Production will have a detailed understanding of the computer system and working...

  • Supervisor of Claims Production

    2 months ago

    Overland Park, United States Allied National, Inc Full time

    Description:PURPOSE: The Supervisor of Claims Production is responsible for the management and operation of the Claims Analyst staff which includes production, quality review, personnel matters, workflow, claims procedures and training. The Supervisor of Claims Production will have a detailed understanding of the computer system and working knowledge of the...

  • Supervisor of Claims Production

    4 weeks ago

    Overland Park, United States Allied National, Inc Full time

    Job DescriptionJob DescriptionDescription:PURPOSE: The Supervisor of Claims Production is responsible for the management and operation of the Claims Analyst staff which includes production, quality review, personnel matters, workflow, claims procedures and training. The Supervisor of Claims Production will have a detailed understanding of the computer system...

  • Supervisor of Claims Production

    2 months ago

    Overland Park, United States Allied National, Inc Full time

    Description:PURPOSE: The Supervisor of Claims Production is responsible for the management and operation of the Claims Analyst staff which includes production, quality review, personnel matters, workflow, claims procedures and training. The Supervisor of Claims Production will have a detailed understanding of the computer system and working knowledge of the...

  • Supervisor of Claims Production

    4 weeks ago

    Overland Park, United States Allied National, Inc Full time

    Description:PURPOSE: The Supervisor of Claims Production is responsible for the management and operation of the Claims Analyst staff which includes production, quality review, personnel matters, workflow, claims procedures and training. The Supervisor of Claims Production will have a detailed understanding of the computer system and working knowledge of the...

  • Workers Compensation Claim Professional Trainee

    2 weeks ago

    Overland Park, Kansas, United States Travelers Insurance Full time

    Job SummaryTravelers Insurance is seeking a Workers Compensation Claim Professional Trainee to join our team. As a key member of our Claim Organization, you will play a critical role in providing assurance to our customers during life's rainy days.Key ResponsibilitiesComplete virtual, classroom, and on-the-job training to develop technical skills for quality...

  • Pharmacy Claims Adjudication Specialist

    2 days ago

    New Hyde Park, New York, United States Onco360 Full time

    Job Title: Pharmacy Adjudication SpecialistWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in New Hyde Park, NY. This is a full-time position with a hybrid work style, requiring a location within driving distance to our pharmacy.Key Responsibilities:Adjudicate pharmacy claims, review claim responses for...

  • Property Damage and Bodily Injury Claims Specialist

    2 days ago

    Bedford Park, United States Global Guardian Services, LLC Full time

    Job OpportunityGlobal Guardian Services, LLC is seeking an experienced Bodily Injury and Property Damage Specialist to join our team.Key ResponsibilitiesConduct thorough investigations, including ordering police reports and managing external vendors.Evaluate and settle claims within established authority; seek approvals for settlements when...

  • Relationship Coordinator

    2 weeks ago

    Elkins Park, United States American Cybersystems Full time

    Job Title: Relationship CoordinatorInnova Solutions is seeking a skilled Relationship Coordinator to join our team. As a Relationship Coordinator, you will play a critical role in providing planning and support for all lines of business and products, including Preferred Provider Organizations (PPO), Traditional, Medicare Advantage, Health Maintenance...