We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.<br><br>Responsibilities:<br>• Review workers' compensation claims to ensure compliance with medical and insurance standards.<br>• Process medical-only claims accurately and in a timely manner.<br>• Communicate with customers to address inquiries and provide exceptional service.<br>• Collaborate with team members to maintain organized and efficient claim workflows.<br>• Handle medical billing and insurance claim documentation with precision.<br>• Monitor and manage medical denials and appeals to resolve issues.<br>• Support hospital billing processes and ensure proper claim handling.<br>• Maintain detailed records for claims and related communications.<br>• Identify discrepancies in claim submissions and take corrective actions.<br>• Provide regular updates and reports on claim processing activities.
<p>We are looking for an experienced Insurance Service Associate supporting Property & Casualty Insurance clients in Phoenix, Arizona. You will play an essential role in delivering outstanding customer experiences. You’ll receive thoughtful guidance as you communicate with clients, solve problems, and support their insurance needs, always ensuring that every interaction is efficient, fair, and aligned with our company’s values.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Deliver exceptional service to clients through various channels including phone, email, and chat, making every interaction count.</li><li>Build a solid understanding of a product, gaining valuable insurance industry expertise you can grow throughout your career.</li><li>Utilize modern internal systems and software such as HRIS, Salesforce, Flex, Core Advanced, and ORS to efficiently process information and streamline your workflow.</li><li>Complete accurate data entry with strong prioritization and organization skills, ensuring details are always in perfect order.</li><li>Thoroughly document all interactions to provide transparency and continuity in client support</li></ul>
As a Warranty Claims Specialist, you will be responsible for processing, analyzing, and resolving warranty claims while providing an excellent service experience to customers and internal partners. The ideal candidate demonstrates exceptional attention to detail, communication skills, and a strong sense of accountability. Key Responsibilities: Review, evaluate, and process warranty claims according to company policies and manufacturer guidelines Communicate with customers, vendors, dealers, and internal teams to gather necessary documentation and clarify claim details Investigate and resolve claims discrepancies; escalate complex issues as needed Maintain accurate claim records and ensure compliance with audit standards Monitor claim statuses and drive timely resolution of open issues Analyze claims trends to identify potential product or process improvements Provide guidance and updates to customers on the status of their claims Collaborate with technical and customer service teams to ensure a seamless client experience
We are looking for a dedicated Insurance Service Associate for Property and Casualty to join our team in Rochester, New York. In this long-term contract position, you will provide exceptional customer service to clients, ensuring their needs are addressed promptly and with attention to detail. Your role will involve handling client interactions, resolving complaints, and maintaining accurate documentation in alignment with company policies.<br><br>Responsibilities:<br>• Deliver outstanding customer service to clients by addressing inquiries and resolving claims in a timely and detail-oriented manner.<br>• Maintain accurate records of all client interactions, ensuring compliance with company policies and procedures.<br>• Utilize software tools, including Salesforce and Adobe Flex, to manage customer data and streamline processes.<br>• Develop a foundational understanding of Paychex products to better support client needs.<br>• Perform data entry tasks with a focus on prioritization and organizational accuracy.<br>• Handle complaints effectively, ensuring fair resolutions while maintaining positive customer relations.<br>• Collaborate with team members to provide quality service and support for property and casualty insurance clients.<br>• Scan, photocopy, and organize documents as needed to support administrative functions.<br>• Stay updated on industry best practices and internal procedures to enhance service delivery.<br>• Assist in claim administration and policy-related tasks to ensure seamless operations.
<p>Are you detail-oriented, organized, and passionate about supporting patient care? Our client, a healthcare organization in Carmel, Indiana, is seeking an Insurance Authorization Specialist to streamline and manage insurance authorization processes with precision and professionalism.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am -5pm</p><p><br></p><p><strong>Responsibilities for the position include the following: </strong></p><ul><li>Secure timely insurance authorizations for medical procedures, tests, and medications</li><li>Collaborate with providers, insurance companies, and patients to ensure authorization completeness and accuracy</li><li>Verify coverage details, eligibility, and benefit limits</li><li>Maintain thorough records and communicate updates across internal teams</li><li>Troubleshoot authorization issues and advocate for patients to maximize their access to care</li></ul>
We are looking for a skilled Case Manager to join our team in Encino, California. In this role, you will oversee multiple pre-litigation cases, ensuring prompt and effective resolution while providing exceptional support to clients. This is an onsite position that offers a dynamic work environment and opportunities for growth.<br><br>Responsibilities:<br>• Manage multiple pre-litigation cases, ensuring timely and effective resolution.<br>• Supervise and guide entry-level case managers in their daily tasks and responsibilities.<br>• Facilitate claims processing with insurance carriers, including health insurance, Medicare, and Medi-Cal.<br>• Coordinate property damage and loss of use claims, ensuring proper resolution.<br>• Identify healthcare providers and schedule medical appointments for injury treatment.<br>• Advocate for clients by monitoring their medical treatment and arranging necessary care based on provider recommendations.<br>• Review, analyze, and interpret medical records, surgical reports, and medical bills.<br>• Prepare case files and documentation for submission to the demands department.<br>• Communicate effectively with clients, healthcare providers, and internal staff to maintain a high level of service.
<p>Reputable personal injury firm is seeking an experienced and compassionate Case Manager to join their team. This position is ideal for someone with a strong background in personal injury law who thrives in a fast-paced environment and is committed to delivering exceptional client service. As a key member of our legal team, you will play a vital role in managing cases, communicating with clients, and supporting attorneys to ensure successful outcomes.</p><p><br></p><p>Responsibilities:</p><p>• Conduct initial interviews with prospective clients to gather relevant case information.</p><p>• Request, review, and organize medical records related to client cases.</p><p>• Maintain consistent communication with insurance companies, medical providers, and clients to provide updates and address inquiries.</p><p>• Draft and send correspondence letters to clients, insurance companies, and healthcare providers.</p><p>• Collaborate closely with attorneys to review case status and develop strategies.</p><p>• Perform investigative tasks related to claims and pre-litigation case work.</p><p>• Manage administrative duties such as faxing, filing, and copying to support case management.</p><p>• Oversee and prioritize a substantial caseload while ensuring accuracy and timeliness.</p><p>• Assist staff and team members with various tasks, ensuring seamless workflow and collaboration.</p><p>• Utilize software tools, including Microsoft Word and Excel, to maintain organized records and documentation.</p>
<p>We are seeking an organized and detail-oriented Prior Authorization Coordinator. In this critical administrative role, you will help ensure patients receive timely access to healthcare services by coordinating prior authorizations with payers, providers, and clinical staff.</p><p>What You'll Do:</p><ul><li>Review and submit prior authorization requests for medical procedures, medications, and services</li><li>Communicate with insurance companies to obtain approvals and resolve issues efficiently</li><li>Collaborate with healthcare providers and patients to complete necessary documentation</li><li>Track and document the status of authorizations to ensure timely follow-up</li><li>Maintain compliance with payer requirements, HIPAA guidelines, and organizational policies</li><li>Provide clear updates to staff, clinicians, and patients regarding authorization status</li></ul><p>Ready to take the next step in your career? Apply today or call 612-656-0250.</p><p><br></p>
We are looking for an experienced Insurance Defense Associate to join our dynamic legal team in Philadelphia, Pennsylvania. This role is ideal for a dedicated individual who is eager to work in a collaborative yet fast-paced environment, managing complex litigation cases and providing exceptional legal support. If you have a passion for insurance defense and a commitment to delivering high-quality legal services, we encourage you to apply.<br><br>Responsibilities:<br>• Analyze new case files to formulate strategic action plans and provide recommendations.<br>• Draft and review pleadings, motions, and other legal documents, ensuring accuracy and adherence to procedural requirements.<br>• Oversee discovery processes, including preparing responses and managing document production.<br>• Represent clients in depositions, hearings, and other litigation events, delivering comprehensive updates and reports.<br>• Negotiate settlements effectively and obtain necessary approvals while preparing cases for trial when required.<br>• Collaborate closely with paralegals and legal assistants to ensure seamless case management.<br>• Conduct legal research to support case strategies and arguments.<br>• Maintain consistent communication with clients to provide updates and address inquiries.<br>• Monitor case progress and deadlines to ensure timely execution of all legal tasks.
<p>We are looking for an experienced attorney to join our client's well-respected law firm on their General Liability team in Philadelphia, Pennsylvania. This role offers an exciting opportunity for a mid-level lawyer to handle a variety of insurance defense and liability litigation matters. The ideal candidate will bring strong analytical skills, legal expertise, and a commitment to delivering excellent results.</p><p><br></p><p>Responsibilities:</p><p>• Manage a diverse range of general liability litigation cases from inception to resolution.</p><p>• Draft and file legal pleadings, motions, and briefs with precision and attention to detail.</p><p>• Conduct thorough discovery processes, including reviewing documents and preparing responses.</p><p>• Take depositions to gather essential case information and build effective legal strategies.</p><p>• Represent clients in arbitrations, trials, and other legal proceedings.</p><p>• Provide expert advice on insurance defense matters, ensuring compliance with relevant laws and regulations.</p><p>• Collaborate with senior attorneys and legal teams to develop case strategies and solutions.</p><p>• Maintain clear and consistent communication with clients regarding case progress and legal options.</p><p>• Stay updated on legal trends and changes in liability and insurance defense laws.</p><p>• Contribute to the firm's growth by mentoring less experienced team members and sharing expertise.</p>
