Promptly investigates all assigned claims with minimal supervision, including those of a more complex nature Determines coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alerts Supervisor and Special Investigations Unit to potentially suspect claims Ensures timely denial or payment of benefits in accordance with jurisdi

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

Senior Casualty Adjuster Requisition ID 2024 24874 Job Locations US NC Raleigh Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary Our Casualty Adjuster will work from home to receive assignments! May require travel to service the Raleigh, NC region. Eligible for company vehicle, cell phone

The Manager, Claims Quality and Training is responsible for assuring the Claims department is adhering to the company's Claims handling standards, ensuring Claim professionals maintain appropriate licensing, and developing training to advance continuous improvement. The Manager, Claims Quality and Training manages the quality assurance team members by providing guidance,

Claims Manager 1916 Ayrsley Town Blvd suite 400, Charlotte, NC 28273, USA Req #2461 Tuesday, April 16, 2024 See yourself at Odyssey. Join the team as our new Claims Manager. Who We Are & Why We're Hiring Odyssey Logistics & Technology Corporation (Odyssey) is a global logistics provider Our adaptive approach to solving modern logistics challenges differentiates us in the

Senior Casualty Adjuster Requisition ID 2024 24873 Job Locations US NC Charlotte Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary Our Casualty Adjuster will work from home to receive assignments! May require travel to service the Charlotte, NC region. Eligible for company vehicle, cell p

LOCATION Remote This is a home based, virtual position. Vaya Health operates on US Eastern Standard time within the hours of 8 30am 5 00pm EST. We welcome applications from the following states NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims proc

The Senior Claims Coverage Counsel will advise the business on general claims legal matters and support the Manager, Claims Coverage Counsel and internal clients across the enterprise on claims coverage involving matters of moderate to high complexity and/or financial consequence. The Senior Claims Coverage Counsel works independently and will act as a resource person and

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Handles property/inland marine claims as assigned. . Evaluates and settles property related damages of varying exposures and complexities. This position will occasionally handle losses that exceed $100,000 in aggregate claim value. Handles typical Business Income losses. This position will support the corporate catastrophe team. This position will assist with initial cont

Risk Analyst Job Locations US VA Fairfax | US NC Raleigh ID 2024 2007 Category Other Type Full Time Regular Overview Experience in project risk management and facilitation is required in addition to a minimum ten years of experience in the design and construction industry and evidence of progressive career development as critical path method (CPM) scheduler, cost estimato

Serves as the subject matter expert for a centralized Claims Management function and is responsible for managing activities related to Liability claims. Serves as the primary contact point with insurers, TPA's, Regional HR, Safety, Legal and Field Management driving the goal to reduce claim costs and expenses. ESSENTIAL DUTIES AND RESPONSIBILITIES Serves as the direct con

Job Duties The duties of this position include filing dental insurance claims and pre treatment estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, i.e. x rays, chart notes and letters of necessity; investigating certain denied claims, following up on those investigations and submitting claims appea

Claim Specialist II ID 2024 23167 Location Professional Fee Billing Work Location US NC Greensboro Division Name System Wide Department Name SW Pro Fee Billing Category CLERICAL/ADMIN Position Sub Category INSURANCE/BILLING Position Type Full Time (40 hours/week) Employment Type Employee Exempt/NonExempt Non Exempt FTE 1.00 Workforce Status Hybrid I Work Hours 40.00 Provi