Claims Associate
3 weeks ago
Job Description
To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision.
Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.
Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
Administers subrogation of claims and negotiates settlements.
Communicates claim action with claimant and client.
Ensures claim files are properly documented and claims coding is correct.
May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
Maintains professional client relationships.
Performs other duties as assigned.
Supports the organization's quality program(s).
Travels as required.
Qualifications:
Bachelor's degree from an accredited college or university preferred.
2 years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required.
Developing knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Service Expectations
Work Comp Experience - limited is acceptable
-
Claims Examiner
3 weeks ago
Signal Hill, California, United States Synectics Inc Full timeJob SummaryWe are seeking a skilled Claims Associate to join our team at Synectics Inc. The ideal candidate will have a strong background in claims management and excellent communication skills.Key ResponsibilitiesProcess and adjudicate workers compensation claims to determine benefits due, ensuring compliance with company standards and industry best...
-
Claims Specialist
2 weeks ago
Rocky Hill, Connecticut, United States Zurich Insurance Company Ltd. Full timeClaims Specialist - Commercial General LiabilityZurich North America is seeking a skilled Claims Specialist to handle Commercial General Liability (CGL) litigated files within our dedicated team for one of our largest customers. This exciting opportunity is available in one of the following locations: Rocky Hill, CT, Schaumburg, IL, Parsippany, NJ, New York,...
-
Rocky Hill, United States Zurich Insurance Company Ltd. Full timeZurich North America is seeking a skilled Claims Specialist to handle Commercial General Liability (CGL) litigated files within our dedicated team for one of our largest customers! This exciting opportunity is available in one of the following locations: Rocky Hill, CT, Schaumburg, IL, Parsippany, NJ, New York, (WTC). With moderate direction, this position...
-
Revenue Cycle Associate
1 day ago
Chapel Hill, North Carolina, United States CultivaHR Full timeJob OverviewCultivaHR is seeking a highly skilled Revenue Cycle Associate to join our team. As a key member of our revenue cycle management team, you will play a critical role in resolving challenging healthcare insurance claim denials and delays.Key Responsibilities:Contact insurance companies to request status updates on claim submissions.Perform...
-
Warehouse Associate
2 weeks ago
Rock Hill, South Carolina, United States Sam's Club Full timeJob Summary:As a Backroom Associate at Sam's Club, you will play a critical role in maintaining and processing shipments for the Club. This involves developing and posting delivery schedules, compiling and organizing receiving reports, verifying merchandise counts, routing merchandise to proper locations, and paying expenses. You will also receive...
-
Postdoctoral Research Associate
2 weeks ago
Chapel Hill, North Carolina, United States InsideHigherEd Full timeJob Title: Postdoctoral Research AssociateWe are seeking a highly motivated Postdoctoral Research Associate to join our team in the Department of Epidemiology at the University of North Carolina at Chapel Hill. The successful candidate will work under the direction of Dr. Jennifer Lund and Dr. Louise Henderson on a NCI-funded project evaluating the...
-
Litigation Associate
2 months ago
Camp Hill, Pennsylvania, United States Margolis Edelstein Full timeMargolis Edelstein is in search of talented Litigation Associates to enhance our distinguished insurance defense law practice. We are particularly interested in attorneys with expertise in general liability who can cultivate strong relationships with clients, assess their legal requirements, provide informed counsel, and clarify legal options. This role...
-
Business Development Associate
2 weeks ago
Cherry Hill, New Jersey, United States Prism Specialties Full timeAbout Prism SpecialtiesWe are a leading provider of restoration services for electronics, art, textiles, and documents. With over 25 years of experience, we have established ourselves as a world-class operation in restoring these items quickly and effectively.Job SummaryWe are seeking a highly motivated and experienced Business Development Associate to join...
-
Meal Prep Associate
3 weeks ago
High Hill, Missouri, United States Sam's Club Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented Meal Prep Associate to join our team at Sam's Club. As a Meal Prep Associate, you will be responsible for preparing fresh food items daily for our members through following recipes and preparing our always warm and ready rotisserie chicken.You will also be responsible for properly wrapping,...
-
Associate Attorney
3 months ago
Camp Hill, United States Margolis Edelstein Full timeMargolis Edelstein is seeking Associate Attorneys to join our premier insurance defense law firm located in Harrisburg, Pennsylvania. We are looking for general liability attorneys who are able to develop relationships with clients as they establish their legal needs, provide counsel, and help clients to understand legal options. This position offers the...
-
Insurance Policy Specialist
1 day ago
Signal Mountain, Tennessee, United States State Farm Insurance Full timeState Farm Insurance **Job Summary:** As an Account Associate at State Farm Insurance, you will play a crucial role in providing exceptional customer service and ensuring customer satisfaction. **Key Responsibilities:** * Assist customers with their insurance needs by providing accurate and timely information * Process policy changes and updates in the...
-
Postdoctoral Research Associate
3 weeks ago
Chapel Hill, North Carolina, United States InsideHigherEd Full timeJob SummaryWe are seeking a highly motivated Postdoctoral Research Associate to join our team in the Department of Epidemiology at the University of North Carolina at Chapel Hill. The selected candidate will support the generation and communication of scientific findings from our NCI-funded project, which aims to evaluate the effectiveness of lung cancer...
-
Air Distribution Sales Associate
3 weeks ago
Pilot Hill, United States Air Treatment Corporation Full timeJob Title: Air Distribution Inside Sales AssociateAbout the Role:At Air Treatment Corporation, we are seeking a highly skilled and motivated Air Distribution Inside Sales Associate to join our dynamic team. As a key member of our sales team, you will play a crucial role in providing exceptional customer service, building strong relationships with clients,...
-
Air Distribution Sales Associate
3 weeks ago
Pilot Hill, United States Air Treatment Corporation Full timeDescription:Air Treatment Corporation is a dynamic and collaborative work environment that values high-quality customer service. We strive to create a cohesive team that exceeds expectations by actively promoting a culture of excellence and growth.We offer a robust benefit package and opportunities for advancement from within. Our Inside Sales Associate...
-
Senior Benefits Analyst
5 hours ago
Chapel Hill, North Carolina, United States Brighton Health Plan Solutions, LLC Full timeJob SummaryBrighton Health Plan Solutions, LLC is seeking a highly skilled ERISA Benefits Analyst to join our team. As a key member of our team, you will be responsible for ensuring the accurate administration of Self-Insured Health Plans for our clients.Key Responsibilities:Review and interpret client plan documents, amendments, notices, and summary plan...
-
Warehouse Associate
1 month ago
Rock Hill, South Carolina, United States Sam's Club Full timeJob SummaryMaintain a safe and efficient warehouse environment by processing shipments, verifying merchandise counts, and routing merchandise to proper locations. Ensure accurate and timely delivery of merchandise to customers while adhering to company policies and procedures.Key Responsibilities:Develop and post delivery schedules to ensure timely delivery...
-
Air Distribution Sales Associate
3 weeks ago
Pilot Hill, United States Air Treatment Corporation Full timeJob Summary:At Air Treatment Corporation, we are seeking a highly skilled and detail-oriented Inside Sales Associate to join our dynamic team. As a key member of our sales team, you will be responsible for providing exceptional customer service, communicating with clients and manufacturers, and ensuring seamless project execution.Key Responsibilities:•...
-
Postdoctoral Research Associate
5 months ago
Chapel Hill, United States InsideHigherEd Full timeDepartment:Epidemiology - 463501Posting Open Date:02/23/2024Open Until Filled:YesPosition Type:Postdoctoral ScholarPosition Title:Postdoctoral Research AssociateVacancy ID:PDS004117Full-time/Part-time:Full-Time TemporaryHours per week:40FTE:1Work Location:Chapel Hill, NCPosition Location:North Carolina, USHiring Range:Dependent on QualificationsEstimated...
-
Postdoctoral Research Associate
5 months ago
Chapel Hill, United States InsideHigherEd Full timeDepartment:Epidemiology - 463501Posting Open Date:02/23/2024Open Until Filled:YesPosition Type:Postdoctoral ScholarPosition Title:Postdoctoral Research AssociateVacancy ID:PDS004117Full-time/Part-time:Full-Time TemporaryHours per week:40FTE:1Work Location:Chapel Hill, NCPosition Location:North Carolina, USHiring Range:Dependent on QualificationsEstimated...
-
Professional Liability Defense Attorney
2 days ago
Cherry Hill, New Jersey, United States Jobot Full timeJob Title: Professional Liability Associate AttorneyWe are seeking a highly skilled and experienced Professional Liability Associate Attorney to join our team at Jobot. As a key member of our litigation team, you will work closely with our partners to defend construction professionals against professional liability claims.Job Summary:The ideal candidate will...