Claims manager [h1.location_city]
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Claims manager • cleveland oh
[last_updated.last_updated_variable_days]
By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected.
We invite you to grow your c...[show_more][last_updated.last_updated_variable_days]
Analyzes and evaluates complex incident reports and lawsuits, reviews medical records and interviews involved individuals to obtain needed information.
Prepares complex investigative analytical repo...[show_more][last_updated.last_updated_variable_days]
Business Systems Analyst - Claims.US-OH-Cleveland | US-UT-South Jordan | US-TX-Dallas.The Business Analyst is a part of the Claims Product Management / Execution group that supports outlining and imp...[show_more][last_updated.last_updated_30]
JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpaym...[show_more][last_updated.last_updated_30]
GEICO is seekingCommercialClaimsCounselto join its Corporate Litigation and Investigations Division.TheCommercialClaimsCounselwill identify, develop, and maintain the Company’s position oncommercia...[show_more][last_updated.last_updated_30]
Working for a leader in the insurance industry means opportunity for you.Great American Insurance Group's member companies are subsidiaries of American Financial Group.
We combine a "small company" ...[show_more][last_updated.last_updated_variable_days]
Responsible for managing patient account balances including accurate claim submission, compliance with all federal / state and third party billing regulations, timely follow-up, and assistance with d...[show_more][last_updated.last_updated_30]
At Flynn Group, we believe in the power of collaboration and value in-person interactions.This setup cultivates casual conversations, problem-solving, and trusted relationships.Our goal is to creat...[show_more][last_updated.last_updated_30]
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency.Join us in delivering exceptional service while upholding the highest standards of professionalism and co...[show_more][last_updated.last_updated_30]
Program of All-inclusive Care for the Elderly) is a community-based service program that provides in-home healthcare services to the elderly as an alternative to nursing home placement, allowing Se...[show_more][last_updated.last_updated_30]
Deliver a best-in-class, customer-centric experience through accurate and efficient handling of claims and returns.The Claims & Returns Specialist is responsible for investigating product-relat...[show_more][last_updated.last_updated_variable_days]
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims.
Founded by insurtech veterans with deep experience in SaaS and ...[show_more][last_updated.last_updated_30]
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....[show_more][last_updated.last_updated_variable_days]
PRIMARY PURPOSE : To process claims and determine benefits due pursuant to credit card or other financial program benefits plans.
to make timely payments and adjustments for specified program claims...[show_more][last_updated.last_updated_variable_days]
A company is looking for a Claims Manager responsible for overseeing claims adjusters and ensuring efficient claims processing.
Key Responsibilities Manage claims adjusters to ensure timely handli...[show_more][last_updated.last_updated_30]
Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider com...[show_more][last_updated.last_updated_30]
We are seeking a detail-oriented and experienced Workers Comp Claims Adjustor to manage and oversee workers' compensation claims from inception to resolution.
The ideal candidate will have stron...[show_more][last_updated.last_updated_30]
The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being : affordable housing, a cleaner environment, economic...[show_more][last_updated.last_updated_variable_days]
Seeking experienced Full-Time to Part-Time Private Investigators to conduct SURVEILLANCE as it relates to the investigation of suspect insurance claims.
We are seeking individuals who possess p...[show_more][last_updated.last_updated_30]
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[job_card.full_time]
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Remote StaffingCleveland, OH, US[filters.remote]
[job_card.full_time]
- [promoted]
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CyberCodersIndependence, OH, US[job_card.full_time]
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Metro HealthCleveland, OH, United States[job_card.full_time]
- [promoted]
Claims Investigator - Experienced
Command InvestigationsCleveland, OH, US[job_card.full_time] +1
Claims Representative
SedgwickIndependence, OH, United States[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]Experience Skills & Knowledge Familiarity with personal and commercial lines policies and endorsements Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims. Knowledge of total loss processing, State salvage forms and title requirements. Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Ability to work in a team environment Ability to meet or exceed Service Expectations WORK ENVIRONMENT 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. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Claims Representative
- ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.
- Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution.
- Identifies and pursues subrogation opportunities; secures and disposes of salvage.
- Communicates claim action / processing with insured, client, and agent or broker when appropriate.
- Maintains professional client relations.
- Performs coverage, liability, and damage analysis on all claims assignments.
- ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organization's quality program(s).
- Travels as required.
- QUALIFICATIONS
- Education & Licensing
Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position.
Three (3) years of personal line or commercial line property claims management experience or equivalent combination of education and experience required to include knowledge of construction basics. Property estimating software experience a plus.
When applicable and appropriate, consideration will be given to reasonable accommodations.
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $50,000 - $55,000 / yr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits_
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.
at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.