Top Claims Executive jobs in Macon, GA
Top Claims Executive plans and directs all aspects of an organization's insurance claims function. Responsible for managing and implementing claims programs for all lines of insurance. Being a Top Claims Executive directs the review and settlement of complex or high dollar claims. Develops procedures and policies to enhance and improve the processing, investigation, and settlement of claims. Additionally, Top Claims Executive ensures legal examinations are made when appropriate. Requires a bachelor's degree. Typically reports to top management. The Top Claims Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. Comprehensive knowledge of the overall departmental function. To be a Top Claims Executive typically requires 8+ years of managerial experience. (Copyright 2024 Salary.com)
Recently Added Top Claims Executive jobs
Claims Coordinator
- ServiceMaster of Middle GA
-
Macon, GA
FULL_TIME
-
Benefits:
- 401(k)
- Bonus based on performance
- Competitive salary
- Opportunity for advancement
- Paid time off
Claims Coordinator Job DescriptionReports To: Owner / Operations Manager |
Consults With: Operations Manager, Office Manager |
Department(s): Emergency Services / Mitigation |
Company Mission Statement:At Servicemaster of Middle Ga, We empower our team members by ensuring they have the tools and knowledge in order to make decisions and allowing them to lead rewarding fulfilling careers.Our Core Values:1.Integrity First2.Service before Self3.Excellence in all we do
Job Summary
The claims coordinator position is vital in the organization. This role ensures the jobs run smoothly and is the liaison between the insurance company, our company and restoring the customer back to whole.
Major Duties and ResponsibilitiesResponsible for oversight of all claims functions from creation to close.- Ensure all claims are entered correctly into Restore 365 and all required information and forms required are provided to technicians in order to prevent multiple trips.
- 24 hr scope notes & photos must be uploaded immediately on receipt and CAT/Class entered.
- Monitor programs consistently throughout the day to update service levels, upload all photos when sent by technicians, enter all updates in the notes. This includes Alacrity notes, MICA, Restore 365, and XACT.
- Ensure Compliance is at 100% green and documentation is required when it is not.
- Obtain all approvals on jobs including but not limited to vendor documents, additional equipment required, dumpsters and pods and maintain detailed records of each for trackability and ITEL submissions.
- Find solutions for the issues with approvals and compliance questions as the subject matter expert on each claim.
- Review each open job daily and address adjuster requests while also communicating with the team of progress including notifying when bill needs to be generated or estimate completed. This includes photo reviews, paperwork, scope reviews.
- Ensure claim file is complete with final template added as a note in XACT, Itel, CX as well as Inspection form w/ scope prior to closing job.
Minor Duties and Responsibilities- Assisting Office Manager when needed - Answering phones and handling customer issues as you will be the most aware of each claim.
Required Attributes- Must have a sense of urgency and a "Will do" attitude ready to jump in to assist the team. In the Emergency Services industry, we are not in control of when chaos ensues.
- Must be coachable and able to accept feedback with the knowledge it is provided to help you progress in your role.
Key Competencies- Sense of Urgency
- Organized
- Proactive
Daily Activity Log- Check compliances to ensure 100% green and address ANY issues complete with documentation or note in Restore as well as contacting parties to notify if waiting on materials from them.
- Ensure all updates for programs are communicated to the team.
- Review the job board to see daily jobs as well as POC working at each.
- Go through ALL open jobs in Restore Alacrity, and XactAnalysis.
- Contact adjuster or claims handler if still pending approval to ensure they have everything required from us. This may require multiple calls and emails to track them down. You are the internal customer service that will have the most contact with adjusters.
- Add a daily update note in each with the status from us or request update for what is required for payment to be issued from insurance in XACT. (This note can be made in XACT and copy/paste in Restore but MUST be in Restore)
- Ensure all documents including Estimate, Sketch and Scope are uploaded into Restore and organized within each file for the various jobs.
- If the tech has uploaded documents in Mica, download the photos/docs and upload in restore before turning to yellow and create reports by uploading to Xactanalysis.
- Check Mica and Contents Tracker to see if any info needed to complete tasks has been uploaded. Transfer to restore if necessary.
- On day 2 or 3 if there is nothing in MICA yet, start hounding that techs to get it uploaded
- Check EVERY ATP, ATR, COS and waivers once Tech has uploaded to ensure the correct form was signed. If they got the wrong form signed this needs to be handled IMMEDIATELY
- Ensure documentation and tracking on ALL equipment/dumpsters/Pods for each job and that pick ups are communicated to the Mitigation Manager and Estimator.
- Submit Itel samples daily and ensure Itel samples are collected, and uploaded to proper program.
- Ensure all scopes/ sketches are completed and scanned to estimator
- Send reminder message to tech that COS must be signed when equipment is picked up
- Verify all paperwork is correct by day 3-4 so that billing is not held up preventing 10 day cycle time being met.
- Ensure email/ chat is monitored throughout the day with response/ acknowledgement within 30 mins of receipt.
**When Claims Capture is sent, there will ONLY be an email notification before the compliance clock starts**
- Input new claims in Restore and make sure all required fields are completed:
- Update Customer/Company info
- Update job name
- Internal Participants tab (Foreman, Coordinator, Estimator, Marketing)
- External participants tab (Insurance Company, Adjuster)
- Referred by (must be listed on every job)
**Subject to change - 24 Days Ago
Claims Coordinator
- ServiceMaster Restore
-
Macon, GA
FULL_TIME
- Benefits: 401(k) Bonus based on performance Competitive salary Opportunity for advancement Paid time off Claims Coordinator Job Description Reports To: Owner / Operations Manager | Consults With: Oper...
- 28 Days Ago
Process Control Engineer
- Keller Executive Search
-
Macon, GA
FULL_TIME
- Join a globally recognized leader in the paper industry. As a Process Control Engineer, you will be in charge of supervising the control system equipment, system software, and application software tha...
- 8 Days Ago
Experienced Packaging and Shipping Supervisor
- Career Smart Executive Recruiters
-
Milledgeville, GA
FULL_TIME
- Our client, a large manufacturing company, is seeking a well experienced Packaging and Shipping Supervisor in the Greater Milledgeville, Georgia area. This fast growing company needs an individual tha...
- 12 Days Ago
Experienced Business to Business Collections Agent
- Career Smart Executive Recruiters
-
Warner, GA
FULL_TIME
- Our client, a leader in their field, is seeking a Professional Collections Specialist for their Houston County location. They are targeting pay to the $60k range plus benefits as listed below. Here's ...
- 12 Days Ago
General Ledger Accountant with Manufacturing Background
- Career Smart Executive Recruiters
-
Warner, GA
FULL_TIME
- Our client, an expanding manufacturer in the Greater Macon, GA area, is seeking an experienced General Ledger Accountant with a background in Manufacturing. The successful candidate will hold a minimu...
- 1 Month Ago
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0 Top Claims Executive jobs found in Macon, GA area
Claims Adjuster Trainee
- Progressive Corp.
-
Macon, GA
- Claims Adjuster Trainee **Job Number** : 188812 Join one of FORTUNEs 100 Best Companies to Work For! As a **claims adjus...
- 4/24/2024 12:00:00 AM
Dental Office Assistant - Business Assistant
- Dental Care of Bonaire
-
Bonaire, GA
- Overview: Business Assistant Dental Care of Bonaire is looking for a Business Assistant to join our team. Why Heartland ...
- 4/24/2024 12:00:00 AM
Environmental Health Safety Engineer
- First Quality
-
Macon, GA
- First Quality was founded in 1989 and, in nearly three decades, has grown to be a global privately held company with ove...
- 4/22/2024 12:00:00 AM
Asministrative Assistant/Billing Specialist
- Southern Bridge Inc.
-
Warner Robins, GA
- Southern Bridge, Inc. is an EEO employer - M/F/Vets/DisabledWe are seeking a positive, energetic, compassionate, organiz...
- 4/22/2024 12:00:00 AM
Research Post Harvest Physiologist
- Agricultural Research Service
-
Byron, GA
- Summary This position is located in the United States Department of Agriculture (USDA), Agricultural Research Service (A...
- 4/22/2024 12:00:00 AM
Prep Cook - Thomaston Chili's - No Experience Required
- Brinker International
-
Thomaston, GA
- Role Overview Our Heart of House Team Members are responsible for setting the pace for a great shift, every shift. They ...
- 4/22/2024 12:00:00 AM
ARCHIVIST
- Headquarters, Air Force Reserve Command
-
Warner Robins, GA
- Summary Click on "Learn more about this agency" button below for IMPORTANT additional information. The primary purpose o...
- 4/21/2024 12:00:00 AM
Grease Monkey Automotive Assistant Manager
- Grease Monkey
-
Warner Robins, GA
- Benefits: Competitive salary Employee discounts Free uniforms Opportunity for advancement Paid time off Training & devel...
- 4/20/2024 12:00:00 AM
About Macon, Georgia
Macon (/ˈmeɪkən/), officially Macon–Bibb County, is a consolidated city-county located in the state of Georgia, United States. Macon lies near the geographic center of the state, approximately 85 miles (137 km) south of Atlanta, hence the city's nickname "The Heart of Georgia."
Located near the fall line of the Ocmulgee River, Macon is the county seat of Bibb County and had a 2017 estimated population of 152,663. Macon is the principal city of the Macon metropolitan area, which had an estimated population of 228,914 in 2017. Macon is also the largest city in the Macon–Warner Robins Combined St...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Claims Executive jobs
$215,527 to $342,423
Macon, Georgia area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Top Claims Executive do?
Top Claims Executive in Clearwater, FL
Cook, a global supply chain executive with 15 years of experience in retail and consumer brands management, was hired at MedMen in October following tenures at Sam's Club, Target and Apple.
January 09, 2020
Top Claims Executive in Lincoln, NE
Based on our compensation data, the estimated salary potential for Top Claims Executive will increase 16 % over 5 years.
January 25, 2020