4 Insurance Jobs

[Full-time] Claims Examiner III - Workers' Compensation at Sedgwick CMS

2010-03-12 23:33:42

Location: New Hampshire
URL: http://sedgwickcms.contacthr.com/15442918

Description:

Claims Examiner III – Workers’ Compensation

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and “Claim Your Future.”

PRIMARY PURPOSE:
To analyze complex or technically difficult claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within company standards, industry best practices and specific client service requirements; and to manage subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Analyzes and processes complex or technically difficult claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Assesses liability and resolve claims within evaluation.
Negotiates settlement of claims up to designated authority level.
Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
Prepares necessary state filings within statutory limits.
Manages the litigation process; ensures timely and cost effective claims resolution.
Coordinates vendor referrals for additional investigation and/or litigation management.
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
Manages claim recoveries, including but not limited to subrogation, Second Injury Fund recoveries and Social Security offsets.
Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
Communicates claim activity and processing with the ill or injured party and the client; maintains professional client relationships.
Ensures claim files are properly documented and claims coding is correct.
Refers cases as appropriate to supervisor and management.
Maintains a quality assurance program to support the total performance management initiative and the consistent delivery of quality claims service.

QUALIFICATIONS
Education & Licensing
Baccalaureate degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred.

Experience
Four (4) years of claims management experience required.

Skills & Knowledge
In-depth knowledge of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures 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
Excellent negotiating skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick CMS is an Equal Opportunity Employer and a Drug-Free Workplace

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://sedgwickcms.contacthr.com/15442918

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[Full-time] Disability Specialist I at Sedgwick CMS

2010-03-12 23:28:08

Location: California
URL: http://sedgwickcms.contacthr.com/15443481

Description:

Disability Specialist I

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

PRIMARY PURPOSE:
To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan.
Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.
Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system.
Refers cases as appropriate to supervisor and management. Maintains professional client relationships.
Supports the total performance management initiative.

QUALIFICATIONS

Education & Licensing
High School Diploma or GED required. College preferred.

Experience
One (1) year general office experience required. One year benefits or claims management experience preferred.

Skills & Knowledge
Excellent oral and written communication
Excellent oral and written communication
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Ability to work in a team environment
Good negotiation skills
Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

Sedgwick CMS is an Equal Opportunity Employer and a Drug-Free Workplace

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://sedgwickcms.contacthr.com/15443481

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[Full-time] Claims Examiner III - Workers' Compensation at Sedgwick CMS

2010-03-12 22:52:35

Location: Maryland
URL: http://sedgwickcms.contacthr.com/15444124

Description:

Claims Examiner III – Workers’ Compensation

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

QUALIFICATIONS

Education & Licensing
Baccalaureate degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred.

Experience
Four (4) years of claims management experience required.

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

Sedgwick CMS is an Equal Opportunity Employer and a Drug-Free Workplace

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://sedgwickcms.contacthr.com/15444124

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[Full-time] Claims Adjuster Trainee at Progressive Insurance

2010-03-12 22:46:54

Location: Nevada
URL: http://progressiveinsurance.contacthr.com/15445360

Description:

At Progressive, we celebrate risk takers and overachievers. Do you thrive in that kind of an atmosphere? Then come have an adventure with some bright and courageous people!

As part of our Progressive Claims Team, you’ll be part detective, part counselor, and part hero. Intrigued yet? We’ll equip you with some of the most intensive training in the industry. And we’ll empower you to deliver working solutions and positive outcomes for policyholders, and others involved in losses.

Are you naturally curious? Always interested in getting the whole story? Then put those traits to good use in Progressive’s Claims Adjuster Trainee role. This role prepares you to be an investigator for Progressive and our customers, inspecting insurance claims for loss and damage. As you develop in this role, you will learn how to write estimates and value injury claims. We’re looking for someone who can work effectively with customers who’ve been in an accident while keeping an eye on the details.

Knowledge/Skills – Bachelor’s degree or a minimum of five years combined relevant work experience and/or post-secondary education required. (Relevant work experience includes a position requiring critical thinking, problem solving, excellent customer service, negotiating, effective written/verbal communication or claims/property adjuster experience) – Valid driver’s license.

What Progressive Offers:
-Medical, Dental, Vision and Life Insurance
-401(k) with a Company Match
-Tuition Reimbursement
-Employee Discounts
-Child Care Assistance

Progressive is committed to becoming consumers’ #1 choice for auto insurance by providing competitive rates and innovative products and services that meet drivers’ needs throughout their lifetime. This includes superior online and in-person customer service, and best-in-class, 24-hour claims service, such as its concierge level of claims service available at service centers located in major metropolitan areas throughout the United States.

Our people help make Progressive a successful, energetic, forward-moving organization. Time after time, Progressive has turned the insurance industry upside down through its innovative services and its use of technology. This is part of why we are continually ranked as one of Business Week’s ‘Best Places to Launch a Career.’ We have strong record of investment in training and development for all employees, as well as the stability of a company that does business the right way with solid core values.

There’s something unique happening here; something truly Progressive. Bring your talent to our team, and help make incredible things happen. Explore your Progressive side and apply for this opportunity at jobs.progressive.com. Once you complete the application, you will be able to monitor your status in the hiring process by logging back into your candidate account at any time! A representative from our National Employment Team will be in touch if you are under consideration.

Equal Opportunity Employer, M/F/D/V.

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://progressiveinsurance.contacthr.com/15445360

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[Full-time] Claims Adjuster Trainee at Progressive Insurance

2010-03-12 22:42:57

Location: Arizona
URL: http://progressiveinsurance.contacthr.com/15445405

Description:

At Progressive, we celebrate risk takers and overachievers. Do you thrive in that kind of an atmosphere? Then come have an adventure with some bright and courageous people!

What Progressive Offers:
-Medical, Dental, Vision and Life Insurance
-401(k) with a Company Match
-Tuition Reimbursement
-Employee Discounts
-Child Care Assistance

Equal Opportunity Employer, M/F/D/V.

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://progressiveinsurance.contacthr.com/15445405

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[Full-time] Claims Supp Specialist at Crawford & Company

2010-03-12 22:37:06

Location: Florida
URL: http://broadspire.contacthr.com/15447200

Description:

Based in Atlanta, Georgia, Crawford & Company (www.crawfordandcompany.com) is the world’s largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with a global network of more than 700 locations in 63 countries. The Crawford System of Claims SolutionsSM offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines including property and casualty claims management, workers’ compensation claims and medical management, and legal settlement administration. The Company’s shares are traded on the NYSE under the symbols CRDA and CRDB.

Position Summary:
In this role, you will provide assignment support for Central Management Services for open/pending assignments by contacting clients and/or contractors, and updating various mediums according to procedures and program requirements.
Review daily reports for outstanding assignments.
Record status and file activity utilizing specific computer applications
Assist clients with customer service inquiries

Perform other duties as requested

Requirements:
2 years customer service and/or administrative/clerical experience.
Knowledge of computer programs and the internet

Preferred:
Basic understanding of insurance terms, principles, concepts and practices.
In addition to a competitive salary, Crawford offers you:
Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 location in 63 countries
On-going training opportunities through every stage of your career
Strong benefits package including health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://broadspire.contacthr.com/15447200

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[Full-time] Quant - Hedge Fund - Ph.D. - Connecticut #30636 at DW Simpson Actuarial Jobs

2010-03-12 07:42:24

Location: Connecticut
URL: http://www.actuaryjobs.com/cform.html?30636

Description:

For Position 30636, this Connecticut hedge fund seeks a quant. Ph.D. preferred. Compensation up to 200K. Prepayment experience a plus. Client prefers those who earned their Ph.D. in 2010, 2009, 2008 or 2007.

Apply at http://www.actuaryjobs.com/cform.html?30636 OR email Barb Rave at actuaries@dwsimpson.com and mention Position 30636.

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[Full-time] Claims Adjuster Trainee - Annapolis, MD at Progressive Insurance

2010-03-12 00:26:28

Location: Maryland
URL: http://progressiveinsurance.contacthr.com/15436608

Description:

At Progressive, we celebrate risk takers and overachievers. Do you thrive in that kind of an atmosphere? Then come have an adventure with some bright and courageous people!

Are you naturally curious? Always interested in getting the whole story? Then put those traits to good use in Progressive’s Claims Adjuster Trainee role. This role prepares you to be an investigator for Progressive and our customers, inspecting insurance claims for loss and damage. As you develop in this role, you will learn how to write estimates and value injury claims. In Annapolis, we’re looking for someone who can work effectively with customers who’ve been in an accident while keeping an eye on the details.

Knowledge/Skills – Bachelor’s degree or a minimum of five years combined relevant work experience and/or post-secondary education required. (Relevant work experience includes a position requiring critical thinking, problem solving, serving customers, negotiating, effective written/verbal communication or claims/property adjuster experience) – Valid driver’s license.

What Progressive Offers:
-Medical, Dental, Vision and Life Insurance
-401(k) with a Company Match
-Tuition Reimbursement
-Employee Discounts
-Child Care Assistance

Equal Opportunity Employer, M/F/D/V.

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://progressiveinsurance.contacthr.com/15436608

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[Full-time] Claims Adjuster Trainee - Rockville, MD at Progressive Insurance

2010-03-12 00:24:08

Location: Maryland
URL: http://progressiveinsurance.contacthr.com/15436581

Description:

At Progressive, we celebrate risk takers and overachievers. Do you thrive in that kind of an atmosphere? Then come have an adventure with some bright and courageous people!

Are you naturally curious? Always interested in getting the whole story? Then put those traits to good use in Progressive’s Claims Adjuster Trainee role. This role prepares you to be an investigator for Progressive and our customers, inspecting insurance claims for loss and damage. As you develop in this role, you will learn how to write estimates and value injury claims. In Rockville, we’re looking for someone who can work effectively with customers who’ve been in an accident while keeping an eye on the details.

Knowledge/Skills – Bachelor’s degree or a minimum of five years combined relevant work experience and/or post-secondary education required. (Relevant work experience includes a position requiring critical thinking, problem solving, serving customers, negotiating, effective written/verbal communication or claims/property adjuster experience) – Valid driver’s license.

What Progressive Offers:
-Medical, Dental, Vision and Life Insurance
-401(k) with a Company Match
-Tuition Reimbursement
-Employee Discounts
-Child Care Assistance

Equal Opportunity Employer, M/F/D/V.

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://progressiveinsurance.contacthr.com/15436581

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[Full-time] Claims Adjuster Trainee - Frederick, MD at Progressive Insurance

2010-03-12 00:21:52

Location: Maryland
URL: http://progressiveinsurance.contacthr.com/15436556

Description:

At Progressive, we celebrate risk takers and overachievers. Do you thrive in that kind of an atmosphere? Then come have an adventure with some bright and courageous people!

Are you naturally curious? Always interested in getting the whole story? Then put those traits to good use in Progressive’s Claims Adjuster Trainee role. This role prepares you to be an investigator for Progressive and our customers, inspecting insurance claims for loss and damage. As you develop in this role, you will learn how to write estimates and value injury claims. In Frederick, we’re looking for someone who can work effectively with customers who’ve been in an accident while keeping an eye on the details.

Knowledge/Skills – Bachelor’s degree or a minimum of five years combined relevant work experience and/or post-secondary education required. (Relevant work experience includes a position requiring critical thinking, problem solving, serving customers, negotiating, effective written/verbal communication or claims/property adjuster experience) – Valid driver’s license.

What Progressive Offers:
-Medical, Dental, Vision and Life Insurance
-401(k) with a Company Match
-Tuition Reimbursement
-Employee Discounts
-Child Care Assistance

Equal Opportunity Employer, M/F/D/V.

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://progressiveinsurance.contacthr.com/15436556

Apply to this job