Claims Adjuster Salary at Caremore BETA

Job Description Job Description Summary The claims adjuster is responsible for the adjusting of claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the IPAs. Researches, reviews and contacts provider services for problem claims and issues, as needed. Suggests process improvements to management and is a resource of information to all staff. Duties and Responsibilities · Accurately review all incoming adjustment requests to verify necessary information is available. · Meets production standards of 20-100 claims as established by claims management. · Adjust claims in accordance with departmental policies and procedures and other rules applicable to claims. · Coordinate resolution of claims issues with other Departments. · Assist Providers and other Departments in claims research. · Review and adjudicate web portal inquiries. · Assist in training claims personnel when issues are identified. · Promote a spirit of cooperation and understa

Job Description Job Description Receive new auto accident claim reports. Analyze coverage issues and articulate the reasons for a Reservation of Rights letter and/or coverage declinations. Conduct liability investigations by contacting policyholders, involved parties, witnesses, attorneys, etc. to gather additional information as needed. Request police reports and gather facts concerning the accident. Identify injuries and material damage exposures. Explain the claims process to involved parties. Determine the location of the vehicle and request inspection. Handle all settlements of claim. Identify possible Subro and SIU potential. Performs other related duties as assigned.

Property Damage Auto Claims Adjuster - Costa Mesa, CA The Law Offices of Daniel Kim is a top-rated Personal Injury Law Firm in California. We fight for plaintiffs in cases involving cars, trucks, motorcycles, rideshare companies (Uber/Lyft), and other motor vehicle accidents. We are seeking an experienced Property Damage Auto Claims Adjuster to join our Property Damage team in Costa Mesa, CA. As a key member of our claims department, you will be responsible for investigating and evaluating property damage claims arising from automobile accidents, working closely with our demands team and clients to ensure fair compensation for damages. Compensation: $22 - $28/hr. depending on experience Responsibilities: Investigate property damage claims involving auto accidents, including reviewing police reports, witness statements, and damage assessments Evaluate claims and determine fair and reasonable settlements, considering policy coverage, damages, and other relevant factors Maintain accurate

Property Damage Auto Claims Adjuster - Costa Mesa, CA The Law Offices of Daniel Kim is a top-rated Personal Injury Law Firm in California. We fight for plaintiffs in cases involving cars, trucks, motorcycles, rideshare companies (Uber/Lyft), and other motor vehicle accidents. We are seeking an experienced Property Damage Auto Claims Adjuster to join our Property Damage team in Costa Mesa, CA. As a key member of our claims department, you will be responsible for investigating and evaluating property damage claims arising from automobile accidents, working closely with our demands team and clients to ensure fair compensation for damages. Responsibilities: Investigate property damage claims involving auto accidents, including reviewing police reports, witness statements, and damage assessments Evaluate claims and determine fair and reasonable settlements, considering policy coverage, damages, and other relevant factors Maintain accurate and detailed records of claims, investigations, and

Job Summary: The In-House Workers' Compensation Adjuster will be responsible for managing and overseeing all aspects of workers' compensation claims for our nursing home staff. This role involves evaluating claims, facilitating communication between all parties, and ensuring compliance with relevant regulations and company policies. The ideal candidate will have a strong understanding of workers' compensation processes, excellent communication skills, and a commitment to supporting our staff. Salary Range: $70k-$80k DOE Key Responsibilities: - Claim Management: Review, investigate, and process workers' compensation claims from initiation to resolution, ensuring timely and accurate claim handling. - Communication: Act as a liaison between injured employees, healthcare providers, insurance companies, and legal representatives to facilitate effective communication and resolution of claims. - Compliance: Ensure compliance with state and federal workers' compensation regulations and company

Job Description Job Description Must have reliable transportation, a laptop or desktop, broadband access to the internet, camera and a cell phone. The adjuster is on call 24/7 for the occasional after hour's assignment but the majority of the assignments are during traditional working hours. Duties/Responsibilities: Responsible for direct investigation and reporting of all types of liability claims. Occasional after hours emergency call out responses. Preserve evidence through photography, statement taking, securing of documentation. Recorded statements, report writing/typing. Ability to manage multiple deadlines simultaneously. Personal Skills/Traits: Must have the maturity and self-discipline to operate in an independent environment. Must present a professional image at all times, especially during stressful situations, Must have interpersonal skills to relate to claimants, insureds, attorneys, doctors, tow truck operators etc. Must have experience with T & E billing. Pay/Benefits: P

Job Description Job Description The Hospital Claims Adjuster is responsible for the adjusting of hospital risk claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the Hospitals/IPAs. Research, reviews, and contacts provider services for problem claims and issues, as needed. Suggests process improvements to management and is a resource of information to all staff. Duties and Responsibilities · Accurately review all incoming adjustment requests to verify necessary information is available. · Meets production and accuracy standards established by claims management. · Adjust claims in accordance with departmental policies and procedures and other rules applicable to claims. · Coordinate resolution of claims issues with other Departments. · Assist Providers and other Departments in claims research. · Review and adjudicate web portal inquiries. · Assist in training claims personnel when issues are identified. · Promote a spirit of coopera

Job Description Job Description Essential Job Functions and Responsibilities: Proven ability to meet industry claims administration standards and timeframes Administers claims per the California Workers’ Compensation laws Maintains diary and mail to be current Adheres to client excess reporting and requests in a timely manner Prepares Plan of Action towards closure on every open claim Handles litigated files, when applicable Manages subrogation aspects of a claim Builds and maintains working relationship with client Completes and attends claim (file) reviews as required Knowledge and Skills: Excellent verbal and written communication skills Strong workers’ compensation claims handling/technical skills Excellent customer service skills Time management skills Strong analytical skills Detail oriented Great attitude and resilience Works well independently and strong team player Qualifications and Requirements: Must have a State of California Self-Insurance Administrator’s Certificate Must