Next Level Administrators, LLC’s Post

#hiring Senior Claims Technical Specialist - Private Company, Chicago, United States, fulltime #jobs #jobseekers #careers #Chicagojobs #Illinoisjobs #InsuranceSuperannuation Apply: https://lnkd.in/gSFr8xmY Primary Details Time Type: Full time Worker Type: Employee The Opportunity This opportunity is accountable for adjusting a select portfolio of claims involving Private Company Management Liability - directors and officers, employment practices, fiduciary liability and crime. The ideal candidate will have extensive experience managing such claims, as well as exceptional coverage and litigation management competencies. Strong organizational and diary/time management skills are also a must. A JD is strongly preferred. Primary Responsibilities Independently manage a diverse portfolio of high severity claims including coordinating an investigation into liability and exposure and review and interpretation of policy language in an effective and efficient manner Evaluation and negotiate the resolution of assigned claims in a timely manner, within appropriate authority and in accordance with laws and best practices Drive the highest level of customer care, responsiveness and satisfaction Deliver favorable claim outcomes Collaborate with outside counsel to formulate litigation strategy ensuring achievement of desired outcome and effective litigation management Effectively communicate internally with relevant stakeholders and externally with counsel and with customers and brokers Analyze, develop and determine appropriate case reserves and identify relevant claims of concern Take ownership for personal development and career planning and maintain understanding of company Required Education Bachelor's Degree or equivalent combination of education and work experience Required Experience 8 years relevant experience Preferred Competencies/Skills • Generate original, innovative solutions to difficult or unusual situations • Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim • Financial and business acumen and awareness of financial responsibility • Properly document investigation findings and preserve evidence in accordance with internal and external laws and procedures • Develop effective negotiation strategies and prepare a plan of action • Build and capitalize on beneficial internal and external relationships including competitors • Actively contributes towards continuously improving performance • Build constructive and cooperative working relationships and open lines of communication • Utilize effective communication skills to influence and persuade decision makers • Manage a diverse and extensive portfolio of Professional Liability Program Claims with varying levels of complexity and activity. • Collaborate with internal resources to resolve difficult claims situations and drive reso

DVA is not associated with this job posting Claims Specialist, Homeowner Liability https://lnkd.in/gfVJFyuZ Key Responsibilities: (What you'll be asked to do) Investigate, analyze, and determine the extent of liability concerning third-party homeowner claims. Ensure that all assigned claims are resolved timely, reserved accurately, and handled according to company guidelines. Review incoming lawsuits for proper handling and work with counsel to develop an appropriate litigation strategy to include coverage liability and damages. Correspond and communicate with policyholders, agents, experts, and service providers to gather details and provide updates. Evaluate coverage and damages owed under the policy to determine payment or prepare disclaimers as needed. Create and maintain comprehensive claim handling notation and diary in our electronic claims management system and other related applications. #employment #jobs #hiring #job #jobsearch #recruitment #career #work #careers #recruiting #nowhiring #resume #jobhunt #business #jobseekers #hr #jobopening #staffing #humanresources #jobseeker #hiringnow #interview #recruiter #jobsearching #vacancy #covid #education #jobinterview #jobopportunity #employmentopportunities

DVA is not associated with this job post. Recovery Representative https://lnkd.in/gWVmWKk6 Worldwide RESPONSIBILITIES The Recovery Representative will maintain the following responsibilities pertaining to Subrogation Recovery: Reviews first party claims such as Physical Damage, Cargo, PIP, Medical Payments, Property, and Workers Compensation claims and evaluates for subrogation potential by a careful analysis of the facts surrounding the loss, the probable liability of each involved party, and the investigation needed to document the liability of and damages to be sought from the responsible party. Assigns independent adjusters and/or experts as necessary, coordinating and providing clear direction on subrogation investigations. Identifies and pursues recovery from responsible parties, their insurers, or both. Reviews questionable proposed settlements with Recovery Unit Team Lead for direction. Regularly and promptly contacts responsible parties and/or their insurers following submission of a Company demand for payment... #jobvacancy #careeropportunities #apply #jobopportunity #hr #instajob #jobseekers #business #career #workfromhome #jobvacancies #job #resume #newcareer #hiringnow #opportunity #militaryspouses #veterans #hiringveterans #opportunities #jobpost #careerpath #vacancy

DVA is not associated with this job posting Medical Claim Resolution Specialist https://lnkd.in/gETwQ2Jt Essential Duties and Responsibilities: Work claims that are pending, are unable to be released or have been denied or incorrectly paid by Insurance carriers. Review claims that have been put on hold, working to identify causes and address issues causing them to remain on hold. Work denials aiming to identify why claims have been denied, and handle follow-up accordingly. Provide insurance companies with additional information as necessary to process a claim correctly and/or send an appeal. Handle all correspondence via mail, email, and any necessary refunds. Performs other duties as assigned by management. #recruiter #jobshiring #jobfair #business #jobhiring #jobopportunities #joboffer #jobvacancies #education #joinourteam #wearehiring #joblisting #bhfyp #employmentopportunities #jobseeking #opportunity #jobopenings #jobsite #jobless #werehiring #cv #cfbr #entrepreneurship #excutiveassistant

#hiring Director, Claims Operations, Tampa, United States, fulltime #opentowork #jobs #jobseekers #careers #Tampajobs #Floridajobs #GovernmentDefence Apply: https://lnkd.in/dTzgFXV5 Why USAA? Let's do something that really matters.At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation's military, but we all share in the mission to give back to those who did. We're working as one to build a great experience and make a real impact for our members.We believe in our core values of honesty, integrity, loyalty and service. They're what guides everything we do - from how we treat our members to how we treat each other. Come be a part of what makes us so special! The Opportunity The Director role will be focused on leading multiple teams in our new Claims Contact Center . The Director role will be instrumental in supporting the build out of a new contact center operation for P&C Claim. Manages and is accountable for auto, property, and other claims operations member service teams who are responsible for delivering business results. Responsible for leading execution change management, claims strategies, leader development and technology adoption. Drives execution of operational risk management, regulatory compliance training, policies and procedures across multiple teams. We offer a flexible work environment that requires an individual to be in the office 4 days per week in our Tampa, FL Commerce office. Relocation assistance is not available for this position.What you'll do:Selects, develops, leads and holds managers accountable for serving members and providing appropriate solutions in auto, property and other claims operations through their teams.Consistently coaches managers on leading their teams on claims handling, inspecting and reviewing quality of claims and responding to escalations.Responsible for achievement of assigned goals, objectives and scorecard deliverables.Plans, organizes, and controls the resources to deliver the appropriate claims service.Accountable for ensuring compliance with regulations, policies, procedures, and the fair claims settlement practices act.Provides guidance on technical matters, monitors claims reserves and extends settlement authority.Responsible for service, loss control, and loss adjustment expense.Identifies trends and develops action plans as appropriate.Understands, researches, and works to influence the financial impact for their respective business area.Inspires a dedicated team that works to deliver outstanding experiences to the members and achieve exceptional results.Creates conditions for success removes obstacles, leads and champions change.Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and proced

DVA is not associated with this job posting AR Specialist 2 USA https://lnkd.in/gqa2DudB This position is responsible for Billing, Re-Billing, Post-payment and Account Follow-up and/or grievance preparation of assigned Client Hospital Accounts Receivable. Working at a Client site or in a Centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and other insurance groups. The Patient Account Specialist may serve as a liaison to clinical auditors, other team members, hospital staff, government agencies and health plans to facilitate the appropriate and prompt payment of claims. Essential Duties & Responsibilities: Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers Update patient demographics/insurance information in appropriate systems - Research/ Status unpaid or denied claims Monitor claims for missing information, authorization and control numbers (ICN//DCN) Research EOBs for payments or adjustments to resolve claim Contacts payers via phone or written correspondence to secure payment of claims Access client systems for payment, patient, claim and data info Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems #employeeexperience #people #culture #hiring #talent #skills #passion #leadership #hr #humanresources #team #strategy #hrstrategy #business #team #careers #employment #jobs #hiring #job #jobsearch #recruitment #career #work #careers #recruiting #nowhiring #resume #jobhunt #business #jobseekers #jobopening #jobseeker #hiringnow #interview #jobsearching #vacancy #cfbr #education #jobinterview #jobopportunity #employmentopportunities

🌟 Attention Hiring Authorities! 🌟 Let's have a little Friday fun... Finish this sentence: "The biggest challenge I face when recruiting for P&C insurance roles is ____________." Share your insights in the comments below and let's discuss how our boutique P&C recruiting team can help you overcome those challenges! 

🆘 Another one for my claims adjusters 🆘 🕵️♂️ Stepping into the Shoes of Claims Adjusters: Balancing Challenge and Reward! 🤝 The role comes with its set of hurdles—dealing with losses, managing angry claimants, and navigating extensive caseloads. Yet, there's a unique satisfaction in helping people through tough times. 💼 Staff or Independent Adjuster? 🤔 Each has its perks and drawbacks. Staff adjusters enjoy stability, benefits, and training, while independents relish flexibility and higher income. How do you see yourself thriving in this dynamic industry? 💰 Ever wondered about the pay? Staff adjusters average $51,000, with bonuses and profit-sharing. Independents, rumored to reach six figures or more!! 📈 Dive into this industry; it might be your calling. Who here prefers being an independent over a staff adjuster?👇 #ClaimsAdjusters #InsuranceIndustry #CareerChoices #JobSatisfaction #IndustryInsights #Recruitment #FBNRecruitment #insurance

Come help run our Health Insurance Affordability Enterprise program, helping Coloradans afford their health coverage and reporting to Laura Mortimer!