claims administrator

FullSpeedAutomotive

Position Summary The Claims Administrator is responsible for managing the day-to-day administration of workers&rsquo; compensation, general liability, auto, property damage, and customer claims. This role ensures accurate intake, documentation, compliance, and communication of all claims across the organization. The Claims Administrator serves as the central liaison between field operations, insurance carriers, third-party administrators (TPAs), vendors, and internal stakeholders to drive timely and cost-effective claim resolution. Key Responsibilities Claims Management Receive, log, and process all new claims (workers&rsquo; comp, auto liability, general liability, property, and customer damage). Maintain accurate and organized claim files and records in compliance with company and regulatory standards. Monitor claim progress, track deadlines, and ensure timely reporting to insurance carriers and TPAs. Communication &amp; Coordination Serve as the primary point of contact for claims between field management, operations, insurers, legal, and vendors. Provide regular updates on claim status to leadership and other stakeholders. Coordinate repair vendors, medical providers, adjusters, and attorneys as needed. Compliance &amp; Reporting Ensure claims meet OSHA, DOT, state, and federal reporting requirements. Prepare weekly and monthly claims activity reports, including reserve levels, trends, and loss runs. Support audit requests, internal reviews, and regulatory inquiries. Financial Oversight Track claim costs, settlements, and reimbursements. Reconcile invoices, payments, and expenses related to claims with Accounts Payable and Finance. Identify and pursue subrogation or recovery opportunities where applicable. Process Improvement &amp; Risk Support Identify trends and recurring incidents; escalate insights to Risk and Safety leadership. Contribute to training materials and SOPs related to incident reporting and claims handling. Support Safety team with accident investigations, root cause analysis, and corrective actions. Qualifications Education: Associate or Bachelor&rsquo;s degree in Risk Management, Business Administration, Insurance, or related field preferred. Experience: 2&ndash;4 years of claims administration, insurance, risk management, or related experience (workers&rsquo; comp, liability, or auto claims preferred). Knowledge &amp; Skills: Strong understanding of insurance claims processes, OSHA, and regulatory compliance. Proficiency with claims management systems (e.g., Origami, Riskonnect, Fleet Response, Navex). Excellent organizational skills and attention to detail. Strong written and verbal communication abilities. Ability to multitask and manage a high-volume caseload under strict deadlines. Core Competencies Integrity and confidentiality in handling sensitive information. Customer service mindset when working with employees, customers, and vendors. Analytical and problem-solving skills to identify claim trends and recommend improvements. Team collaboration across Risk, Safety, HR, Legal, and Operations. Qualifications Education: Associate or Bachelor&rsquo;s degree in Risk Management, Business Administration, Insurance, or related field preferred. Experience: 2&ndash;4 years of claims administration, insurance, risk management, or related experience (workers&rsquo; comp, liability, or auto claims preferred). Knowledge &amp; Skills: Strong understanding of insurance claims processes, OSHA, and regulatory compliance. Proficiency with claims management systems (e.g., Origami, Riskonnect, Fleet Response, Navex). Excellent organizational skills and attention to detail. Strong written and verbal communication abilities. Ability to multitask and manage a high-volume caseload under strict deadlines. Core Competencies Integrity and confidentiality in handling sensitive information. Customer service mindset when working with employees, customers, and vendors. Analytical and problem-solving skills to identify claim trends and recommend improvements. Team collaboration across Risk, Safety, HR, Legal, and Operations.

Claims Administrator

Paper Works Printers

Regiment Staffing is looking for Insurance Administrator to support one of our client's growing brokerages. This position requires a relationship-oriented individual with strong organizational and analytical skills. You will need to be comfortable in a customer facing role with an emphasis on telephone and computer skills.Responsibilities:<ul><li>Provide telephonic and email support to clients, handle policy endorsements and amendments, and resolve insurance queries.</li><li>Support the sales and customer service team while providing a superior level of service.</li><li>Manage the claims process from start to finish, including receiving claims, verifying details, communicating with clients, and liaising with insurers.</li><li>Administer policies, manage renewals, and handle client follow-ups to prevent policy cancellations.</li><li>Administer, support and complete policy changes within our company partner&rsquo;s portals and websites.</li><li>Adhere to the underwriting criteria set out by our broker partners.</li><li>Maintain accurate electronic and physical records, update client information in databases, and organize filing systems.</li><li>Process invoices, process payments, and prepare regular reports and presentations.</li><li>Build and maintain relationships with clients, insurers, and other internal and external stakeholders.</li><li>Resolve billing related concerns for clients.</li><li>Stay up-to-date with current insurance legislation, trends, and company policies.</li></ul>Qualifications:<ul><li>Must have a minimum 1 year experience as an Insurance Administrator preferably in a brokerage or insurance company.</li><li>2+ years experience in a customer service role.</li><li>Fluent in English, reading writing and communication.</li><li>Exceptional phone etiquette.</li><li>Be able to successfully pass Insurance Exam.</li></ul>Required Skills:<ul><li>Strong organizational, time management, and administrative skills are essential.</li><li>Excellent verbal and written communication skills are required for interacting with clients and stakeholders.</li><li>Proficiency with computer systems, including MS Office, insurance software, and database management.</li><li>A high level of accuracy is crucial for maintaining records and processing information.</li><li>Ability to problem-solve and handle urgent matters effectively.</li><li>Previous experience in a similar administrative or insurance-related role is often required.</li><li>Typically requires a Bachelor's Degree, though specific roles may prefer additional qualifications.</li></ul>Position Offers:<ul><li>Opportunity to work for Canada&rsquo;s fastest organically growing insurance brokerage.</li><li>People-oriented company's culture.</li><li>Tools &amp; resources to make you work smarter.</li><li>Training &amp; support that need to get growing.</li></ul>This role is ideal for a visionary candidate, if:<ul><li>You Think BIG. Growth &amp; finding ways to challenge yourself to be better is in your DNA.</li><li>You&rsquo;re resilient, adaptable &amp; embrace change.</li><li>You take care of others and support your colleagues, clients &amp; communities. You&rsquo;re professional and polite especially in tough situations.</li></ul>Shift Schedule - Monday to Friday , 07:00 p.m. to 03:00 a.m. . Please note that it is an In-person position and requires the candidate to be physically present in our Lahore Office.Job Type: Full-timePay: Rs90,000.00 - Rs100,000.00 per monthWork Location: In person

Insurance Administrator

Red Recruit Ltd

Claims Handler (Marine Cargo & Freight Liability) Location: Basildon Benefits: Clear Progression Path, Remote Working (if required) The Company Our client provides worldwide shipping solutions across a group of brands and is expanding its in-house claims function. You will support the Claims Supervisor and Claims Manager, handling cargo and freight liability claims from first notification through to final settlement for Scan-Shipping, SSC, ICT and Strait Air. You'll join a close-knit central claims team in Basildon and collaborate with colleagues across the UK and North America. The Role This is a full-time, remote or office-based position (Monday to Friday, 08:30-17:00). You'll investigate and manage claims day-to-day, negotiate outcomes in line with contractual terms and relevant international conventions, and maintain accurate records on the claims system. Key Responsibilities <ul> <li>Open and maintain claim files; complete daily data entry on the claims system (including Phoenix).</li><li>Issue letters of acknowledgement and intent to claim; keep all parties updated throughout.</li><li>Gather evidence and policy/contract documents; complete internal discovery and research across group offices.</li><li>Liaise with clients, group offices, insurers and third-party claimants (e.g., subrogated insurers, surveyors, lawyers).</li><li>Instruct cargo surveyors and/or lawyers where required and monitor progress to conclusion.</li><li>Assess liability and quantum; negotiate and adjust claims in line with contract terms and relevant international conventions within authority levels.</li><li>Process settlements and recoveries; raise/approve inter-company invoices and claims payments.</li><li>Extract and collate file documents from Phoenix; request any missing paperwork from agents and clients.</li></ul> About You <ul> <li>Experience with marine cargo or freight liability claims is advantageous; training provided as needed.</li><li>Strong written and verbal communication; confident stakeholder management.</li><li>Highly organised, numerate and detail-focused, with the ability to prioritise a busy caseload.</li><li>IT-literate (claims systems and MS Office); Phoenix experience helpful but not essential.</li></ul> Hours, Benefits & Progression <ul> <li>Clear progression path with potential promotion to Senior Claims Handler (subject to training and performance).</li></ul> How to Apply If you'd like to know more about this Claims Handler opportunity, or know someone suitable, please share this advert or send us their details. Successful referrals qualify for our candidate referral scheme. Red Recruit specialise in freight and shipping recruitment, with opportunities across all levels. Not all roles are advertised, so feel free to send us your CV in confidence or call us directly. If this opportunity sounds right for you-or for someone you know-please get in touch. You can recommend as many people as you like via our website and earn a referral fee per successful placement . T&Cs apply. Please contact the office for details.

Claims Handler - Marine Cargo & Freight Liability

Employees Mutuals Limited

Claims Advisor page is loaded  Claims Advisorlocations: Sydney, New South Walestime type: Full timeposted on: Posted Todayjob requisition id: JR4708EML is a leading Workers Compensation and Personal Injury Claims Management business. Our goal is to help people get their lives back through ongoing support during their return-to-work journey . We continue to experience ongoing growth and now have over 4,000 dedicated employees . We foster a learning culture that allows for us to continually invest in our employees ensuring a long-term career here at EML. THE OPPORTUNITY As part of our diverse team based in Sydney , you will help make a positive impact on someone's life every day. You will feel great satisfaction knowing your talent and hard work has a purpose.As a Claims Advisor, you will play an integral part within one of our supportive and growing business units helping make a positive impact on an injured workers life. Your role will consist of; inbound and outbound calls with external stakeholder and claim administration duties.This will be a full time, permanent position based in the Sydney office, with flexibility to work from home up to 3 days per week. YOUR RESPONSIBILITIES Assist the worker and employer with the claim process and providing support in the completion of relevant documents to ensure timely access to required services to support return to work and injury recovery Pro-actively proceed with appropriate case management to achieve the optimum outcome of early sustainable return to work for workers with reasonable claim costs Ensure that allocated work is actioned within appropriate timeframes Manage telephone enquiries within EML's guidelines and adhere to the EML's Communication Policy Collaborating with Injury Management Specialists and other subject matter experts to collect information and ensure customers receive expert advice and support Recording and maintaining accurate records ABOUT YOU You will show a high level of empathy while being passionate about providing great customer service You will be a great listening, display excellent communication skills and have a solution focused mindset You will embrace change with confidence and are comfortable with in a multi-system environment whilst having the ability to handle and overcome challenges Having great attention to detail, you will enjoy learning and growing within the business Proficient use of Microsoft Office Suite WHAT WE OFFER We stand together as equals. EML is an equal opportunity employer so by coming to work for us, you will be part of a culture that celebrates diversity and inclusion. We are committed to maintaining a workplace where everyone feels valued and where we show respect, integrity and honesty.EML provides career opportunities and great employee benefits, including: A vibrant, collaborative innovative team culture Flexibility with opportunity to WFH when you are fully trained in your role. A corporate wellbeing program with discounted health insurance and gym membership Access to discounts at over 350 retailers through our Rewards Hub program Entitlement to an annual tenure and performance-based recognition reward Comprehensive learning and development support Companywide events to celebrate success. Quarterly Reward and Recognition Awards Up to 16 weeks paid parental leave, plus superWe value our people and are committed to supporting our employees by investing in their professional development and providing generous employee benefits. If this position is of interest to you, please apply now. (blob:)  There's huge satisfaction from knowing that your talent and hard work has a purpose. You will be making a difference that counts.Our people care about making a difference. We are looking for people who share our commitment to positive change. Once we have found you, we pull out all the stops to keep you.The focus and support we provide for career development are one of the reasons we have such a vibrant, engaged, and talented team.You will not be forgotten here. Your career at EML will be full of opportunities to gain new skills, work, grow and succeed with us.

Claims Advisor

Operon Middle East

The IT Administrator will be responsible for managing and maintaining the organization&rsquo;s IT infrastructure, ensuring smooth operations across Microsoft 365 services, networks, security systems, and user support. This role requires strong technical expertise, problem-solving skills, and the ability to collaborate with both internal teams and external vendorsKey Responsibilities<ul><li>Microsoft 365 Administration: Manage user accounts, licenses, security groups, and Exchange Online mailboxes.</li><li>SharePoint &amp; OneDrive Management: Create folders, set permissions, and manage file access and sharing for users and departments.</li><li>Peripherals Management: Install, configure, and troubleshoot printers, copiers, scanners, and other IT equipment.</li><li>Network Management: Monitor and troubleshoot LAN/WAN connectivity, firewalls, switches, access points, and routers.</li><li>System Security: Implement and maintain security measures including antivirus and endpoint protection.</li><li>Backup &amp; Recovery: Perform regular data backups, verify integrity, and ensure disaster recovery procedures are in place.</li><li>User Support: Provide technical support for hardware, software, and network issues for end-users.</li><li>Asset Management: Maintain inventory of IT assets, software licenses, and oversee hardware lifecycle management.</li><li>Vendor Coordination: Liaise with IT vendors and service providers for procurement, maintenance, and warranty claims.</li><li>Documentation: Maintain documentation for system configurations, procedures, and policies.</li></ul>Education &amp; Experience<ul><li>Bachelor&rsquo;s degree in information technology, Computer Science, or related field.</li><li>Proven experience as an IT Administrator, End User Support Specialist, Network Administrator, or similar role.</li><li>Strong knowledge of IT infrastructure, Microsoft 365, systems, networking hardware/software, and protocols.</li><li>Experience with multiple operating systems (Windows, Linux, macOS).</li></ul>Certifications (Preferred)<ul><li>Microsoft 365 Certified: Administrator Expert or related certification).</li><li>CompTIA A+ (or equivalent certifications).</li></ul>Job Types: Full-time, PermanentPay: AED3,500.00 - AED4,000.00 per monthApplication Question(s):<ul><li>What is your Notice Period?</li><li>How many years of Experience do you have as an IT Admin?</li><li>Are you an Immediate Joiner?</li></ul>Location:<ul><li>Dubai (Preferred)</li></ul>Work Location: In person

IT Admin

RAADHA RAJENDRAN HOSPITAL

Department: InsuranceJob Summary:The Insurance Coordinator is responsible for managing all aspects of patient insurance processes, including verification, preauthorization, documentation, claims submission, and follow-up. The role ensures smooth coordination between patients, insurance companies, and hospital departments to facilitate timely and accurate claim settlements.Key Responsibilities:<ul><li>Insurance Verification &amp; Preauthorization:</li><li>Verify patients insurance coverage, eligibility, and policy details before admission or treatment.</li><li>Obtain preauthorization from insurance providers for procedures, surgeries, and inpatient admissions.</li><li>Documentation &amp; Coordination:</li><li>Ensure all required patient and clinical documents are complete and accurately submitted to the insurer.</li><li>Liaise with consultants, doctors, and billing departments for clarification and supporting documents.</li><li>Claims Management:</li><li>Prepare and submit insurance claims within the specified timelines.</li><li>Track claim status and follow up with insurance companies to resolve pending or denied claims.</li><li>Patient Communication:</li><li>Explain insurance processes, coverage limits, and exclusions to patients and their families.</li><li>Assist patients with queries regarding insurance approvals and claim settlements.</li><li>Compliance &amp; Reporting:</li><li>Maintain accurate records of insurance correspondence and claim logs.</li><li>Ensure compliance with hospital policies, TPA (Third-Party Administrator), and regulatory requirements.</li><li>Generate daily, weekly, and monthly insurance reports for management review.</li></ul>Qualifications &amp; Skills:<ul><li>Bachelors Degree</li><li>2 to 3 years of experience in hospital insurance or billing department preferred.</li><li>Good knowledge of health insurance procedures, TPAs, and claim documentation.</li><li>Strong communication and coordination skills.</li></ul>Job Type: Full-timePay: ₹20,000/-to - ₹25,000/- per monthWork Location: In personJob Type: Full-timePay: ₹20,000.00 - ₹25,000.00 per monthBenefits:<ul><li>Provident Fund</li></ul>Education:<ul><li>Diploma (Preferred)</li></ul>Experience:<ul><li>Management: 1 year (Preferred)</li><li>Microsoft Office: 1 year (Preferred)</li><li>total work: 1 year (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Work Location: In person

Insurance Coordinator (Hospital Experience )

Edison Hospital

The TPA Head will be responsible for overseeing all Third-Party Administrator (TPA) and insurance-related activities in the hospital. The role involves managing cashless processes, billing approvals, claims settlement, coordination with insurance companies, and ensuring compliance with regulatory requirements.Key Responsibilities:1. Operations Management<ul><li>Supervise and monitor the entire TPA and insurance operations of the hospital.</li><li>Ensure timely and accurate processing of pre-authorizations, approvals, and discharge summaries.</li><li>Maintain coordination between patients, doctors, billing, and TPA executives for smooth cashless operations.</li><li>Oversee the claim submission process and follow up on pending or rejected claims.</li><li>Ensure accuracy of documentation and adherence to insurance/TPA guidelines.</li></ul>2. Financial &amp; Claims Management<ul><li>Review and approve all insurance and TPA-related bills before submission.</li><li>Monitor claim settlements and ensure timely payments from insurance companies.</li><li>Track receivables, reconcile accounts, and minimize claim rejections.</li><li>Prepare MIS reports on TPA collections, outstanding claims, and rejections.</li></ul>3. Coordination &amp; Liaison<ul><li>Build and maintain strong relationships with TPA representatives and insurance companies.</li><li>Liaise with consultants and clinical teams for proper documentation and justification of medical procedures.</li><li>Act as a point of escalation for complex or disputed cases.</li></ul>4. Team Management<ul><li>Lead, train, and monitor the TPA team to ensure efficiency and service quality.</li><li>Allocate responsibilities and monitor daily operations to maintain turnaround times.</li></ul>5. Compliance &amp; Quality<ul><li>Ensure compliance with hospital policies and IRDA guidelines.</li><li>Periodically audit insurance files and claim documentation.</li><li>Implement continuous process improvement in TPA operations.</li></ul>Key Skills &amp; Competencies:<ul><li>Strong knowledge of hospital billing, insurance procedures, and TPA processes</li><li>Excellent communication and negotiation skills</li><li>Analytical and problem-solving ability</li><li>Team leadership and multitasking skills</li><li>Proficiency in hospital billing software and MS Office</li></ul>Qualification:<ul><li>Graduate in any discipline</li><li>Experience: Minimum 2 years in TPA/Insurance coordination</li></ul>Job Type: Full-timePay: ₹13,000.00 - ₹35,000.04 per monthWork Location: In person

TPA Executive

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