claims examiner

The Einfach Group

Position: Process Associate/ Sr. Process Associate - Title ExaminerJob Summary: The Title Examiner&rsquo;s main responsibility is to research the history of a particular property to access the costs/benefits of insuring it. This includes locating records regarding taxes, liens and judgments, bankruptcy, mortgages, and foreclosure proceedings during or preceding the title&rsquo;s existence. A successful Title Examiner must possess analytical and sound decision-making skills to be able to determine what items should be included/excluded from title commitment or other title report products.Primary responsibilities:&middot; Examine and verify titles of properties&middot; Search real estate records to locate all pertinent documents pertaining to chain of title and any outstanding liens/issues&middot; Summarize legal, tax, and/or insurance documents&middot; Compile lists of mortgages, contracts, and other instruments pertaining to titles by searching public and private records for law firms, real estate agencies, or title insurance companies&middot; Search, analyze, and evaluate records relating to titles of homes, land, and buildings.&middot; Ensure that the title to a property in question has no restrictions that may prevent or hinder its sale or use&middot; Issue title insurance commitment and final policies, acquire rights of way, buy and sell property, grant mortgage loans, and obtain and protect mineral rights&middot; Examine deeds, deeds of trust, liens, judgments, easements, and plats/maps to determine ownership, encumbrances, and to verify legal descriptions of property&middot; Prepare property reports, title commitments, and title policies&middot; Analyze the chain of title and preparation of reports outlining title-related matters&middot; Examine title reports from outside abstractors&middot; Perform other duties as required and assignedRequired Skills:&middot; Real Estate Title Exam/Closing Background preferred&middot; Strong interpersonal, written, and verbal communication skills&middot; Self-motivated, resourcefulness, and problem-solving aptitude&middot; Strong initiative, passion, and enthusiasm for achieving success&middot; Ability to successfully interface with both internal business units, as well as clients and third parties&middot; Excellent time management skills and proven ability to multi-task competing priorities&middot; Ability to learn and maintain knowledge of multiple tools and systems&middot; Working knowledge of real estate titles, deed preparation, and closing activities&middot; Ability to multi-task and work under pressure&middot; Display ability to meet strict deadlines and daily/weekly/monthly quotas&middot; Ability to input data accurately into multiple systems and templates&middot; Provide impeccable customer service&middot; Knowing bankruptcy and other relevant laws and regulationsJob Location: BangaloreShift: NightThe job is Bangalore based and candidates and are expected to work from the office.Job Types: Full-time, PermanentPay: &#8377;15,000.00 - &#8377;35,715.00 per monthWork Location: In person

Title Examiner

State Farm

<div>Overview:
<div>
Being good neighbors &ndash; helping people, investing in our communities, and making the world a better place &ndash; is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good!</div>
Grow Your Skills, Grow Your Potential:
<div></div>
Responsibilities:
<div>
Our Claim Specialists are committed to helping our customers through the claims process while providing Remarkable&reg; service. This includes:</div><ul><li>
Investigating, evaluating, negotiating, and settling claims</li><li>
Applying knowledge of policies and insurance regulations when determining coverage, liability, &amp; damages</li><li>
Handling high-volume inbound and outbound calls, tailoring each conversation to the specific merits and details of the claims being handled, written correspondence and/or various electronic media</li><li>
Effectively managing work through task driven queues while multi-tasking in a fast-paced call center environment</li><li>
Supporting our customers through personalized, caring, and simple interactions</li></ul><div>
Where You'll Work: This is a hybrid position which allows you to spend some of your time working from home as well as some time working collaboratively in-office. During the job training period you may have a higher percentage of time spent in-office to support your learning experience.</div><div>
Hours of operation are continually evaluated and may change based on business need. Successful candidates are able and willing to work flexible work shifts and may be asked to work overtime and/or irregular hours.</div><div>
Several of our Claims teams are hiring, and you may be considered for multiple opportunities where your skills and qualifications align.</div><div>
Some of the areas we hire Claim Specialists for could include any of the following:</div><ul><li>
Auto Injury: Handles bodily injury and uninsured/underinsured claims along with property damage claims involving injuries</li><li>
Personal Injury/Medical Payments (PIP/MPC): Handles first-party medical coverage for customers injured in an automobile accident</li><li>
Special Investigative Unit (SIU): Handles high-volume, complex auto and property claims involving NICB indicators of fraud to determine if specialized investigation is needed</li><li>
Auto Property Complex: Handles high-volume, mid-to-high complexity property damage claims, not involving personal injury</li><li>
Auto Total Loss: Settles auto claims where a vehicle is deemed a total loss</li><li>
Auto Weather Catastrophe: Handles weather-related auto claims</li><li>
Property Team: Handles low-severity Home and Renters claims in a team environment. Claims are primarily theft-related as well as minor weather and other types of property losses</li><li>
Boat, Commercial, Farm/Ranch Unit (BCFR): Handles commercial and boat claims</li><li>
Fire Property Stewardship: Handles property claims involving both weather-related events and non-weather-related incidents</li></ul>
Qualifications:
<div>
Preferred:</div><ul><li>
Bachelor's degree in a related field is preferred or equivalent work experience</li><li>
Experience as a Claim Specialist in the insurance industry, specifically in auto and/or property claims, including the following: 
<ul><li>
Proficiency in using CCC, Xactimate, XactContents, and other estimating/evaluation software tools</li><li>
Strong knowledge of auto and/or property insurance policies, coverage and claim handling practices</li><li>
Familiarity with state or local regulations and compliance requirements</li><li>
Proven ability to assess damages, estimate repair costs, and negotiate settlements</li></ul></li></ul><div>
Competitive candidates also demonstrate the following:</div><ul><li>
Excellent communication and interpersonal skills to effectively interact with clients, agents, and other stakeholders</li><li>
Proven effective empathy and de-escalation skills to handle difficult/emotional conversations with a customer-minded focus</li><li>
Detail-oriented with strong organizational and analytical skills</li><li>
Strong critical thinking and decision-making skills</li><li>
Ability to multi-task across technical platforms</li><li>
Accountability</li><li>
Resourcefulness</li></ul><div>
Additional Details:</div><ul><li>
Employees must successfully complete all required training, including applicable proficiency and licensing exam(s) and background checks required of various state(s).</li><li>
State Farm recently implemented new pre-employment assessments. Candidates that have previously taken an assessment may be asked to participate in additional testing.</li></ul>
Our Benefits:
<div>
Because work-life balance is a priority at State Farm, compensation is based on our standard 38:45-hour work week!</div> 
<div></div><ul><li>
Potential starting salary ranges $59,059 - $81,988 annually</li><li><ul><li>
Starting salary will be based on skills, background, and experience</li><li>
High end of the range limited to applicants with significant relevant experience</li></ul></li><li>
Potential yearly incentive pay up to 15% of base salary</li></ul><div> 
At State Farm, we offer more than just a paycheck. Check out our suite of benefits designed to give you the flexibility you need to take care of you and your family!</div><div></div><ul><li> 
Get Paid! On top of our competitive pay, you are eligible for an annual raise and bonus.</li><li>
Stay Well! Focus on you and your family&rsquo;s health with our robust health and wellbeing programs. State Farm pays most of your healthcare premium, and we offer multiple healthcare plan options, including a high deductible plan. All medical plans provide 100% coverage for in-network preventative care, AND you and your family have access to vision, dental, telemedicine, 24/7 mental health professionals, and much more!</li><li>
Develop and Grow! Take advantage of educational benefits like industry leading training programs, top-notch tuition assistance programs, employee resource groups, and mentoring.</li><li>
Plan Ahead! Plan for those big moments in life with benefits like fertility/IVF/adoption assistance, college coaching, national discount programs, interactive monthly financial workshops, free financial coaching, and more. You can also start a savings account or consider financing through our State Farm Federal Credit Union!</li><li>
Take a Little &ldquo;You&rdquo; Time! You will have access to our generous time off policies designed so you can plan around holidays, family events, volunteering, or just to take a relaxing day off. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!</li><li>
Give Back! We offer several ways to give back through our Matching Gift Program, Good Neighbor Grant Program, and the Employee Assistance Fund.</li><li>
Finish Strong! Plan for retirement using free financial advisors and a 401(k) plan with company contributions of up to 7% of your salary.</li></ul><div></div><div> 
Visit our State Farm Careers page for more information on our benefits, locations, and the hiring process of joining the State Farm team!</div></div>

Claim Specialist-Auto/Property-Hybrid

DeNOVO Review

<div><div>Established and well-known Florida based insurance company is currently seeking an experienced Workers&rsquo; Compensation Attorney for a Staff Counsel position on their team. This is an in-house counsel position, is full-time and on site in Coral Gables, Florida.
The ideal candidate is a Florida licensed attorney with 5-10 years&rsquo; experience in insurance defense and workers&rsquo; compensation as they will be expected to defend high exposure workers&rsquo; compensation claims. Medical deposition, hearing/trial and litigation docket management experience is required. The Staff Counsel will be responsible for all aspects of the workers&rsquo; compensation case, including but not limited to, evaluating the merits of a
workers&rsquo; compensation case, providing guidance and counsel through effective communication, medical review and negotiating, settling, and litigating cases, if necessary.
The successful candidate should possess strong negotiation and communication skills, a firm understanding of Florida workers&rsquo; compensation law, an ability to handle a large caseload, and effective leadership skills.
Responsibilities:
<ul><li>Ability to independently manage a full caseload of workers&rsquo; compensation cases of varying degrees of complexity from case inception through trial/resolution.
</li><li>Litigate cases to verdict, demonstrating superior use of trial skills and techniques.
</li><li>Independently draft pleadings, motions, briefs, discovery and other file documents.
</li><li>Attend court events, depositions, hearings and other appointments i ndependently.
</li><li>Provide recommendations and case analysis to department head on appropriate file handling strategy.
</li><li>Integrate legal support staff into case handling process.
</li><li>Provide advice and training to claim partners and clients.
</li><li>Create and maintain software documentation.
</li></ul>Requirements:
<ul><li>Must have a Juris Doctor degree and be actively licensed in good standing with the State Bar of Florida .
</li><li>Must have 5-10 years of workers&rsquo; compensation experience.
</li><li>Must be Extremely detail oriented, self-motivated, and disciplined.
</li><li>Must have a demonstrated track record of trial skills and techniques.
</li><li>Must have the ability to work in a paperless environment.</li></ul></div></div>

Workers’ Compensation Attorney – Staff Counsel (336/o)

IGI LIFE INSURANCE LIMITED

&middot; Evaluate medical claims including both out-patient claims and In-Hospitalization Claims under the policy terms and conditions and recommend claims for approval&middot; Handle claims from receipt of notification to settlement and take into consideration opinions of the outside Doctor's regarding the claims&middot; Correspond with clients and agents/Investigator regarding claim queries&middot; Coordinate with Accounts Department regarding claims payments&middot; Telephonic/Outdoor investigation of facts involved in claims.&middot; Monitor team reports, direct necessary action, and inform head of department regarding pertinent information&middot; Prepare the Service Quality complaint log, handle Service Quality projects and maintain claims TAT&middot; Participate in assigned claims projects as and when requiredQualifications/ Experience/ Capabilities&middot; Minimum level of Education for this job: Bachelors (medical related field preferred)&middot; Minimum Experience required for this job: 2 years (preferably in the corporate or billing section of a hospital or in claims in an insurance firm)Contractual position which can lead to permanent status.Job Type: Full-timePay: From Rs123,456.00 per monthAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Required)</li></ul>Work Location: In person

Officer Claims

Alliance Insurance Abu Dhabi

Responsibilities: Receive, review, and process medical insurance claims submitted by policyholders or healthcare providers.
Adjudicate claims based on policy terms, coverage limits, and medical necessity criteria.
Verify the accuracy and completeness of claim forms, medical records, and supporting documentation.
Investigate questionable claims by contacting healthcare providers, requesting additional information or documentation, and analysing medical records.
Make decisions on claim approvals, denials, or requests for additional information based on investigation findings and policy guidelines.
Ensure timely and accurate processing of approved claims for payment, including coordinating with finance departments and third-party administrators.
Communicate with policyholders, healthcare providers, and internal stakeholders regarding claim status, decisions, and any required actions.
Maintain detailed records of claims, correspondence, and investigation outcomes in accordance with regulatory requirements and company policies.
Ensure compliance with healthcare regulations, coding standards (e.g., ICD-10, CPT), and company policies throughout the claims process.
Provide excellent customer service to policyholders and healthcare providers, addressing inquiries and resolving issues related to claims.
 Qualification &amp; Skills: <ul>
<li>Bachelor of Medicine, Bachelor of Surgery (MBBS), Nursing degree, or relevant medical degree from an accredited institution.</li>
<li>Experience in the relevant health insurance industry is preferred.</li>
<li>Minimum knowledge of computer skills, including proficiency in Excel and other relevant software applications.</li>
<li>Strong analytical, communication, and problem-solving skills.</li>
<li>Attention to detail and ability to work efficiently in a fast-paced environment.</li>
<li>Ability to prioritize tasks and meet deadlines effectively.</li></ul>

Senior claims officer

Medi Assist Insurance TPA Private Limited

Roles &amp; Responsibilities:<ul><li>Claim Processing: Verify the medical admissibility of a claim by confirming diagnosis and treatment details.</li><li>Claim Scrutiny: Scrutinize claims according to the terms and conditions of the insurance policy.</li><li>Data Interpretation: Interpret ICD coding, evaluate co-pay details, and classify non-medical expenses, room tariffs, and capping details. Differentiate between open billing and package deals.</li><li>Process Verification: Understand the process difference between a PA and an RI claim, and verify necessary details accordingly.</li><li>Document Verification: Verify all required documents for processing claims and raise an IR (Information Request) if documents are insufficient.</li><li>Team Coordination: Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of a tariff.</li><li>Claim Approval: Approve or deny claims as per the terms and conditions within the TAT (Turnaround Time).</li><li>Communication: Handle escalations and respond to emails promptly.</li></ul>Interested candidates can share their resumes via email or WhatsApp:<ul><li>Email: abhilasha.dutta@mediassist.in</li><li>WhatsApp: 8050700698</li></ul>Job Type: Full-timePay: &#8377;335,000.00 - &#8377;430,000.00 per yearBenefits:<ul><li>Health insurance</li><li>Paid sick time</li><li>Paid time off</li><li>Provident Fund</li></ul>Application Question(s):<ul><li>What is your current CTC?</li><li>How many years of experience do you have?</li><li>What is your expected CTC?</li></ul>Work Location: In person

Consultant Medical Officer (Non-Clinical) - Mumbai

Allianz

Key responsibilities/What you do: <ul> <li>Review and assess medical claims for both inpatient and outpatient services to determine coverage eligibility and compliance with policy terms.</li> <li>Validate Diagnosis-Related Group (DRG) coding for inpatient admissions using ICD-10-CM and CPT standards, ensuring alignment with clinical documentation.</li> <li>Apply thorough knowledge of UAE healthcare billing regulations, including DHA, DOH, and MOH guidelines, to ensure claims meet local compliance standards.</li> <li>Identify and rectify incomplete or inaccurate claim submissions.</li> <li>Ensure all required documentation is present and properly coded aligning with policy guidelines.</li> <li>Notify payers regarding claims that exceed predefined financial thresholds, ensuring timely communication and resolution.</li> <li>Track and maintain both quantitative (volume) and qualitative (accuracy) metrics for claims processing.</li> <li>Achieve assigned daily processing targets while maintaining high levels of accuracy and efficiency.</li> <li>Collaborate with internal departments to resolve claim-related queries.</li> <li>Perform other responsibilities as assigned by the department lead, in line with the scope of the role.</li> </ul>

Medical Claims Senior Assessor

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