Adjuster Salary at Western General BETA

( - Essential Functions) These are functions a qualified incumbent or applicant must be able to perform with or without reasonable accommodation. - At the start of the shift, inspect all orders processed on machine during the previous shift for accur Adjuster, Mechanical, Manufacturing, Insurance

Job Description Job Description About the job Thornhill & Associates, Inc. is an independent adjusting firm handling in person claim investigations throughout the state of California. Our experienced team of claims adjusters conduct in-person field investigations, are notaries and attend legal hearings in addition to process serving. Responsibilities Conduct cold calls to meet with involved parties to a claim. Obtain in-person investigation including recorded statements, scene and vehicle photos, signed documents and serve legal documents. Attend legal hearings including trial monitoring and Small Claims Court attendance. Assignments are throughout Southern California including San Diego County, Indio County, Los Angeles and Orange Counties, Ventura and Santa Barbara Counties, Fresno and surrounding areas. Requirements Located in Southern California Excellent verbal and written communication skills Minimum 4 years handling casualty claims Litigation claims handling experience PC with c

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

Description: Job Summary: This individual contributor is primarily responsible for driving strategic data-informed decisions, gathering data and information on targeted variables in an established systematic fashion, preparing data for analytic efforts, and interpreting complex data analyses. This position drives the execution of creative data analytic approaches leading to actionable outcomes across functional areas, business and/or clinical lines, designs, implements, and automates business and reporting solutions, and leads the development of advanced analytical and/or statistical models enabling informed business decisions. Essential Responsibilities: Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competin

Senior Field Property Claims Adjuster - Los Angeles/Orange County/Riverside The Senior Field Claims Representative contributes to Wawanesa's goal of delivering an exceptional and consistent claims service experience through the fair and equitable adjustment of highly complex property claims through personal contact with insureds, claimants, and witnesses. Daily travel within Los Angeles, Orange County or Riverside is required. Job Duties Provide exceptional customer service Interpret policy wordings, determines policy coverage and ensure appropriate reserving Investigate losses to determine liability, attending the loss scene as required Evaluate relevant information from sources such as lawyers, medical providers and other experts Write scope and estimate of loss using property estimating software Negotiate with insureds, claimants, lawyers and insurers Coordinate services with vendors and service providers Adjust claim from inception to completion in a proactive manner Provide ongoin

Information about the Company: Cenveo is a leading North American manufacturer of envelopes. Hiring immediately for 2nd / 3rd shift Machine Adjusters in our City of Industry, CA manufacturing plant. Machine Operator Pay/Schedule: Pay $21/hr or higher depending on experience + shift premiums 2nd shift premium $0.70/hr : 2pm10pm 3rd shift premium $1.50/hr : 10pm - 6am Training is on 1st shift6am - 2pm Schedule: Mon - Fri / Sat required during busy season/based on business needs. Machine Operator Responsibilities & Daily Duties: Sets up and adjusts converting equipment for safe and efficient operation. Start-up, adjustments involving close tolerances, maintenance, and troubleshooting; Change window rolls (overhead). Assists in adjuster/operator training; Provides coverage if needed Examines product to ensures quality process is followed; Minimizes waste. Performs preventative maintenance to ensure consistent quality production. Overtime as needed; Compliance with safety rules and regulati

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 Education and/or Experience : Must have these requirements under the umbrella of the HCC industry: Requires knowledge in HCC Coding documentation guidelines. Requires technical expertise in ICD-9-CM or ICD-10-CM. Strong skills in medical record audit and review. Regulatory requirements for coded data. Medical record documentation requirements. Understanding of healthcare data systems. Proficiency in MS Outlook and Word. Strong proficiency with Excel--must have ability to prepare spreadsheets. Excellent written and verbal communication skills. Certification is a plus with HCC. AHA coding clinic is a plus. Certification required in CPC and/or CCS, and CRC is a plus. We are looking for HCC Risk Adjustment Auditors/Coders to join our team ! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding docume