Field Claims Specialist investigating and adjusting high exposure Minnesota workers' compensation claims. Collaborating closely with claimants, attorneys, and other vendors while handling settlements and negotiations.
TS
Hybrid Insurance Claims Representative
Posted last month
About the role
- Claims Representative Agent supporting a Health Insurance client company. Handling various claims support tasks and providing expertise in a fast-paced operational environment.
Responsibilities
- Provide expertise or general claims support by reviewing, researching, processing, and adjusting claims
- Handling different work types like claim adjustment work including Calltraks/Onbase
- Processing different type of Dental claims on CPS Jacada Platform
- Analyze and identify trends and provide reports as necessary
- Consistently meet established productivity, schedule adherence and quality standards
- Authorizes the appropriate payment or refers claims to investigators for further review
- Conducts data entry and claims processing/issues
- Handling issues within turnaround standards
- Ability to handle most claim types / cases / issues that are submitted to the team you are supporting
- Ability handle escalations as needed
- Ability to work multiple functions and applications in a day as needed
- Communicate any changes in trending of inventory, volumes, and quality remediation
- Meet and maintain minimum quality and productivity standards
- Other functions may apply
Requirements
- 1+ years of experience in a production environment
- Proficient in MS Office with solid computer skills (e.g. multiple systems experience, keyboarding skills, Microsoft word, Power Point)
- Proficient in verbal and written English skills
- Willing or able to work 40 hours / week during standard business operating hours Monday - Friday from 7am - 7pm AST (It may be necessary, given the business need, to work occasional overtime on weekends and holidays)
Job title
Job type
Experience level
Salary
Degree requirement
No Education Requirement
Location requirements
Claims Associate at Qover engaging with customers for claims processing. Assisting in claim assessments while ensuring clear communication and providing support in various languages.
Automobile Claims Adjuster for National Accounts at ClaimsPro. Handling automotive claims including accidents and theft, ensuring high - level service throughout the claims process.
Entry Level Auto Claims Representative at Hastings Insurance responsible for managing auto physical damage claims. Focused on delivering timely and accurate customer service in a hybrid work environment.
Claims Specialist managing complex investigations of claims at CNA. Responsible for settlement negotiations and compliance with regulations across various Canadian cities.
Claims Representative handling liability and property claims with close supervision at Erie Insurance. Resolving coverage and liability issues in accordance with state insurance laws in remote position.
Claims Specialist at Voya guiding claimants through FMLA and other leave experiences. Ensuring high service standards and compliance with regulatory requirements in a remote role.
Claims Manager overseeing a portfolio of MRH and material recovery claims. Engaging with clients from declaration to closure while ensuring partnership sustainability.
Claims Examiner role at Sedgwick analyzing workers' compensation claims and ensuring timely adjudication. Requires 5 years of claims management experience and California workers' compensation knowledge.
Claims Examiner analyzing complex workers' compensation claims for clients within a caring culture. Join a global industry leader offering flexibility and professional growth opportunities.