Claims Adjuster Career Research and Resources
Sedgwick CMS
Responsibilities include account management and claims handling specific to client’s needs. Pending case load about 250. Negotiate and settle General Liability claims of various exposures. Manage litigated files. Take recorded interviews, make recommendations for settlement. Supervise and maintain company diary system. Attend settlement conferences with supervisors, account managers and attorneys. Supervise and maint...
Avg. Salary: $55,000 · Company Rank: Not Available
Mercury Insurance Company
Supervised and maintained active caseload of 150 exposures. Caseload consisted of 80% Commercial and 20% Personal Lines. Negotiate and settle claims by completed detailed investigations using broad knowledge of medical terminology and coding to ensure validity of claims. Assign field staff as needed for on-site research and photography of accident scenes. Schedule and conduct phone interviews with insureds, claimants an...
Avg. Salary: $55,000 · Company Rank: Not Available
Kaiser Permanente Medical Center
Member Services Provider/Business Office September 1985 to September 2005 Administered an on-going and diverse case load of over 100 exposures according to regulatory guidelines and case management standards. Responsible for accurate reporting of all incoming and outgoing call center statistics. Prepared and analyzed all written case presentations and claim reports for Medicare and Medicaid. During tenure...
Avg. Salary: $55,000 · Company Rank: Not Available
Progressive Insurance
* Supervise, coach, and develop a team of 5-8 medical representatives to ensure quality outcomes and a superior customer experience * Compose and deliver coaching documents and feedback * Evaluate department-wide performance in team reviews and quality assurance reviews * Maintain accountability for team performance and an inventory of between 1200-1500 claim features *Facilitated the company’s transition of medical mana...
Avg. Salary: $78,000 · Company Rank: 5.0 out of 5
Progressive Insurance
* Developed and documented strategy for dispute resolution of 50-75 cases/month * Created supportive written documentation to outline the issues with strengths and weaknesses identified * Processed arbitration awards including issuing settlement drafts, documenting the claim file, and communicating the outcome * Raised issues and offered suggestions to reduce the risk of litigation including modifications to bill process...
Avg. Salary: $78,000 · Company Rank: 5.0 out of 5
Progressive Insurance
* Received claims with complex coverage issues requiring detailed investigations * Obtained statements from injured parties to investigate the facts of loss and determine causality of injuries * Interpreted policy language to determine eligibility for coverage * Referred claims with questionable factors to the special investigation unit (SIU) * Interpreted medical records and determined the need for independent medical ...
Avg. Salary: $78,000 · Company Rank: Not Available
Progressive Insurance
* Interpreted policy language to determine eligibility for coverage * Referred claims with questionable factors to the special investigation unit (SIU) * Issued correspondence to customers including delay letters and applications for benefits * Obtained statements from injured parties to investigate the facts of loss and determine causality of injuries * Interpreted medical records and determined the need for independen...
Avg. Salary: $78,000 · Company Rank: Not Available
Progressive Insurance
* Investigated coverage and liability by obtaining statements from all parties & interpreting policy language and police reports * Inspected vehicle damage and processed a corresponding estimate * Remained accountable to achieve contact with customers within 2 hours of report of the claim * Reported for inspection of vehicles within 9 hours of report of the claim where possible * Successfully offered our network repair ...
Avg. Salary: $78,000 · Company Rank: Not Available
Eatontown Board of Education
* Provided substitute service for absent teachers in grades K-8 * Available to all classroom teachers and specials teachers * Followed teacher's plans and provided a report to the teacher when necessary
Avg. Salary: $78,000 · Company Rank: Not Available
Update Legal/Update Graphics
* Assisted in all steps of payroll * Utilized tracking system to better serve candidates and clients * Conducted reference checks and updated results in the tracking system * Verified degrees and bar admission * Answered the phones and provided support to the recruiters * Greeted potential candidates for interviews
Avg. Salary: $78,000 · Company Rank: Not Available
