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Claims Manager Jobs

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Job Title: Sr. Claims Associate
Company: See Job Description
Location: Tampa, FL

Description:

New York Life Insurance Company, a Fortune 100 company founded in 1845, is the largest mutual life insurance company in the United States and one of the largest life insurers in the world. New York Life has the highest possible financial strength ratings from all four of the major credit
rating agencies. Headquartered in New York City, New York Life's family
of companies offers life insurance, retirement income, investments and
long-term care insurance. New York Life Investment Management LLC
provides institutional asset management and retirement plan services.
Other New York Life affiliates provide an array of securities products and services, as well as institutional and retail mutual funds.

Since 1998, the Tampa Operation has leveraged its direct-marketing expertise and call center infrastructure in support of all Company agent lead generation activities.

Life & Annuity
New York Life Investment Management
Guaranteed Products
Retail Investments
Institutional Investments
Retirement
Special Markets
New York Life International
New York Life Foundation

Being with the best has its benefits, not the least of which is... the benefits. We offer competitive compensation with a flexible benefits package. New York Life's benefits program is designed to provide valuable coverage for you and your family that you can customize to your needs.

Medical & Prescription Drug Coverage
The Company offers four medical options in most locations, each with prescription drug coverage. The accounts offered in three of the four medical options can help you cover medical costs on a tax advantaged basis and save for future medical expenses as well:
* HMO with HRA (Health Reimbursement Account)
* HMO Only
* HSA (Health Savings Account) Accumulation with PPO
* PPO with HRA (Health Reimbursement Account)

Dental Coverage
Two dental coverage options are available

Income Protection Coverage
As you might expect, we offer several income protection options, should anything unexpected happen.
* Life Insurance
* Dependent Life Insurance
* Long-Term Disability coverage (employee only)
* Accidental Death and Dismemberment Insurance (employee only)

Work and Life
In most situations, New York Life offers several other benefit options to help you balance your work and personal life.
* Time Off Trading
* Flexible working hours
* Attractive vacation and holiday schedules
* Flexible Spending Accounts (FSAs) - Set aside pre-tax dollars for dependent care and health care expenses
* Transportation Accounts - Set aside pre-tax dollars for work-related parking and transit expenses
* Legal Services
* Tuition assistance
* Work/Life programs

Retirement Benefits
* 401(k) Savings and Investment Program
* Company-Matched Contributions
* Retirement Plan

Available at Selected Locations
* On-site employee health center
* On-site fitness center and wellness programs
* Back-up childcare center
* In-house dining services

Provide service and claims support to certificateholders and beneficiaries by responding to complex inquiries as well as analyzing, evaluating and approving or recommending payment or denial of death, Living Benefit Rider and Nursing Home Confinement claims on face amounts up to $100,000. Directs investigations on contestable claims and prepares/sends correspondence to certificateholders, claimants, and medical facilities for records. Also maybe asked to participate in special projects as seen fit by management.

Duties and Responsibilities
10%
• Set Up file on initial report of Death or Living Benefit Rider (LBR)/ Nursing Home Confinement
• Determine proper payee or beneficiary and amount of benefit using the Life Support Plus (LSP) system
• Notify proper payee or beneficiary of the requirements necessary to consider a claim, and review claim requirements upon receipt.
40%
• Review claims upon receipt of claim requirements for contestability, proper payee, amount of benefit due, etc..
• Analyze and evaluate claims in terms of contract provisions, supporting documents, Company claim procedures, and any other Company guidelines.
• Advise certificateholder, claimant, or other appropriate party on matters such as general contract provisions, missing or incomplete forms, supporting documents, and status.
20%
• Obtain background information regarding claims by communicating with external sources such as certificateholders, claimants, physicians, and hospitals as well as our Company’s underwriting and legal staffs.
• Perform necessary follow-up work with physicians and other medical facilities from which medical records have been requested, but not yet received.
20%
• Approve and process incontestable claims via the claims payment system (LSP).
• Recommend payment or denial of contestable claims by memorandum.
• Notify management when claim may be contested due to reasons such as fraud or suicide.
10%
• Provide training and job building assistance in developing new Claims Assistants and Claim Associate III.
• Assists Claims Associates in resolving difficult or unusual problems.
• Recommends and assists in the development and implementation of procedural changes and communicating these changes to the Claims Staff and Management personnel, when necessary.
• Maintain NY Life/AARP Claims Service Standards.
• Participate in special projects as requested by management.

Knowledge and Skills
• Excellent N.Y. Life/AARP Certificate knowledge.
• Basic knowledge of related legal principles, tax requirements, and underwriting rules.• Thorough knowledge of LSP and Word. Additional knowledge of Access and Excel also beneficial.
• Working knowledge of Windows environment.
• Outstanding analytical skills with attention to detail.
• Excellent verbal and written skills.
• Outstanding decision making ability.
• Knowledge of medical terminology/anatomy
• Strong organizational skills.

Experience
• Bachelor’s degree or equivalent work experience.
• At least 5 years related experience and knowledge of Company’s claims procedures.
• ICA and/or LOMA preferred




Job Title: Manager of Claim Services
Company: Christian Brothers Services
Location: Romeoville, IL

Description:
Manager of Claim Services CHRISTIAN BROTHERS SERVICES Our Risk Management Division, a Catholic self-insured property/casualty program, has a full time opening available for an experienced Claim Services Manager. The successful candidate will have the skills to plan, organize, and oversee adjudication of all claims consistent with the mission and objectives of the plan. Candidate will be responsible for approval of settlements of all major losses and claims in the area of property, automobile, liability and workers' compensation.




Job Title: Claims Supervisor
Company: Procore Staffing Solutions
Location: Atlanta, GA

Description:
ProCore Staffing Solutions is looking for a Dynamic Claims Supervisor to start IMMEDIATELY!Our client is an Insurance Company located in Atlanta, Ga. Duties include the following: · Supervise Claim Assistants · Copy claims files and policies · Verify documentation in support of expense and indemnity payments · Request W-9 information · Prepare and mail form letters and authorizations · Conduct follow-up telephone calls to insureds and claimants · Transcribe statements · Verify vehicle coverage · Enter litigated claimants in Lawsuit Management Database Requirements for this position: · Minimum one year of experience in administration · Must be detail oriented · Excellent written and verbal communication · Working knowledge of PC’s · Proficiency and accuracy in alpha and numeric keyboarding skills · Good organizational skills · Self-motivated and task-oriented · GPA of 3.0 (or a "B" average) is required from the highest level of education completed Benefits Package: Health, Life, Disability,Dental, Employee Stock Owner Plan, Tuition reimbursement and Smoke free environment. For confidential consideration, Please submit your resume and salary history. Email: Register to View or fax Register to View Attn: Veronica




Job Title: Claims Manager, Fidelity
Company: The Hartford Financial Services Group Inc
Location: Hartford, CT

Description:
WHY JOIN THE HARTFORD? As a global leader in insurance, asset management and financial service products, we offer professionals every possibility for growth. And whether we're helping customers or building careers, we're experts at creating the kind of advantages that help people reach their goals. WHAT ARE THE RESPONSIBILITIES OF THE POSITION? We are an industry leader providing insurance solutions through complex policies referred to as “financial products”, which include claims-made D&O, E&O, EPLI and fidelity policies. We seek an attorney with experience in fidelity claims who can: Astutely analyze complex fidelity claims Fairly construe our insurance policies in connection with reported claims Clearly and timely communicate claim status and strategies to senior management and to our insureds, brokers and reinsurers, etc. Cogently negotiate fair resolutions to claims Competently handle a “book of claims” in an organized fashion Collegially perform in a professional and corporate environment. Our Mission for Claims: 1. We seek to resolve claims accurately, promptly, efficiently and in a customer-friendly manner. 2. We seek to collaborate with our underwriters in identifying, assessing and reporting trends – i.e., the development of factors having a tendency to impact claim frequency and/or claim severity for an insured, an industry (or niche), locale or book of business. 3. We seek to collaborate with our actuaries in establishing and maintaining loss reserves that are adequate and represent the best estimate of our ultimate liability for loss and loss adjustment expenses. WHAT ARE WE LOOKING FOR: Qualified Candidates should meet the following requirements: 2+ years of Fidelity experience Extensive Fidelity insurance knowledge Education - Law Degree WHAT IS THE COMPENSATION OPPORTUNITY? At the Hartford, our compensation philosophy is simple: we pay competitive base salaries and reward performance. In addition, you will be eligible to participate in our comprehensive benefits program including Medical, Dental, Life and Disability Insurance, a 401K Plan, an Employee Stock Purchase Plan and more. Our Core Values: Integrity o Financial Discipline o Diversity & Inclusion o Customer Focus o Winning Spirit o Teamwork The Hartford is an Equal Opportunity Employer. ** NO AGENCIES PLEASE ** PLEASE APPLY USING THIS BUTTON ONLY




Job Title: MULTILINE ADJUSTER
Company: GAB Robins North America,Inc.
Location: Jacksonville, FL

Description:
MULTILINE ADJUSTER GAB Robins is a leading provider of global risk and claims management services and solutions to the insurance and self-insured marketplace with affiliated operations in 58 countries. MULTILINE ADJUSTER - Jacksonville - 5+ years’ property and casualty adjusting experience with an emphasis on property is expected. We require detail-oriented individuals with strong organization skills and a dedication to customer service. Florida 544 or 520 license is required. Demonstrated proficiency in construction estimating and repair techniques. Must be computer literate and experienced with MS Office. Experience with Xactimate, MSB or other property damage estimating software is required. Prior experience working in an independent adjusting firm would be an advantage. We offer career growth opportunities with an industry leader, a base salary plus an excellent incentive plan and a comprehensive benefits package. We only accept resumes from direct applicants. No recruiters or agencies please. AA/EOE, M/F/D/V. Please e-mail resume or letter, with income requirements to: E-mail: Register to View GAB Robins North America




Job Title: Claims Supervisor, Workers Compensation
Company:
Location: Kansas City, MO

Description:
Excellent opportunity with A plus rated carrier. Responsible for management of a workers compensation claims staff and will report directly to the Manager of workers compensation. Responsible for reviewing and auditing files for compliance, direct, coach and train claims staff, assist in hiring staff, providing performance reviews on staff, direct and monitor work flow and distribution of new files. Some light travel as needed to assist new clients in reporting and systems proceedures, will monitor all files in litigation. Company provides excellent relocation assistance which includes a complete professional move , house hunting trips and Temp housing.excellent benefits and retirement program, career advancement opportunities, state of the art automation and top working conditions. This is the best claims opening in the mIdwest considering compensation, working conditions, and career advancement opportunities. .POSITION LOCATED IN IOWA. The company also has a need for a lost time worker compensation adjuster salary range from$45k - $70k.




Job Title: Claims Manager
Company:
Location: Charlotte, NC

Description:
Well established and growing Insurance Company is searching to fill an opening for a Claims Manager. Responsibilities will include: Supervising a unit consisting of technical support staff Responsible for the prompt and fair resolution of claims Managing total claim costs and providing high levels of customer service Directing the investigation, evaluation, reserving, disposition, processing and recovery procedures within assigned authority Supervising the claim handling unit Implement performance goals and measurements in conjunction with business objectives Encouraging the utilization of claim resources Responsible for researching and responding to changes in jurisdictional issues Assisting employees and peers in developing their highest potential Delegating decision-making to the appropriate level Other duties as assigned




Job Title: RISK MANAGER/CLAIMS SPECIALIST
Company:
Location: Orlando, FL

Description:
RISK MANAGER/CLAIMS SPECIALIST —— Dynamic commercial insurance agency is seeking a qualified Risk Manager to perform workers' compensation claims and account management functions. Orlando, FL. Fax resume and cover letter to Register to View . WEB OS21562 Role requires travel with face to face customer interaction along with telephonic support. Claims, loss control or other insurance consulting experience is desired. Data analysis and report preparation are key functions of the position. Source - Orlando Sentinel




Job Title: Claims Manager
Company: Brown & Brown and Companies
Location: Kokomo, IN

Description:
Claims Manager for Workers Compensation in Indiana Downey Insurance is in the Public Entity Division of Brown & Brown. We are seeking to fill a Claims Manager for a monoline workers compensation pool in Indiana . The claims department consists of 4 adjusters and one admin. The position is responsible for day to day claims operations, departmental work flow, claims personnel, and customer service as it relates to claims issues. Competencies Required: We are looking for a team player, with demonstrated experience in WC claims management environment. The ideal candidate would be a technologically astute, people-oriented individual who demonstrates an in-depth working knowledge of all aspects relating to workers’ compensation, as well as excellent communication skills. Forward Resumes to: Register to View




Job Title: Workers' Compensation Claims Supervisor *
Company: SHARF, WOODWARD & ASSOCIATES
Location: Woodland Hills, CA

Description:
My client has been voted one of the top 10 insurance carriers in the country and they want YOU to join their team! By joining this elite company, you'll have the opportunity to join a team that has strong values and integrity, and encourages communication and knowledge-sharing among all employees, streamlining and improving technology to enhance performance and to reduce cost and identifying opportunities for continuous improvement, learning and development! The company offers outstanding benefits (including a matching 401(k)), a terrific working environment , a very competitive salary , stability and room to grow ! Being the experienced Claims Supervisor that you are (min. 8 years exp., 3 in a supervisory role), you know what's expected of you as you oversee a team of 6-8 Examiners: Establish team goals and objectives (including performance service quality and results) Implement policies and procedures Participate in strategic and budgetary planning Receive and analyze notifications of changes in legislation, regulation, policies and procedures Review and make recommendations on adverse legal decisions Respond to external complaints and ensures customer satisfaction Piece of cake, right? For a superstar like you, of course! *** Make your move today and submit your resume NOW for immediate consideration ! *** *** Ranked #4 by the Los Angeles Business Journal for Contingency firms, SWA practices an innovative approach to Direct Placement, Temporary Staffing and Project Solutions. Our firm has been helping companies grow and compete for over 25 years by making certain that our clients have access to the finest available talent in the national marketplace. *** Required Skills: * Bachelor's degree strongly preferred * At least 3 year in a supervisory capacity * At least 8 years California Workers' Compensation experience * Industry certified (SIP, IEA, WCCA, WCCP) strongly preferred Please visit www.swjobs.com for more job openings and background of our company.




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