commercial auto claims specialist

Ecology Auto Parts Inc

<div>Description:

SUBROGATION SPECIALIST
Department: Corporate &ndash; Safety &ndash; Claims
Location: Corporate HQ &ndash; Cerritos CA
Classification: Full-Time, Non-Exempt
Reports To
Claims Manager
Position Summary
Ecology Auto Parts Inc. is seeking a diligent and detail-oriented Subrogation Specialist to join our Claims Department. Reporting directly to the Claims Manager, the Subrogation Specialist will be responsible for investigating and pursuing subrogation opportunities to recover claim payments made by Ecology Auto Parts, Inc. The ideal candidate will possess prior trucking/commercial transportation claims experience and will play a vital role in minimizing financial loss and optimizing recovery efforts. This position requires strong analytical skills, attention to detail, and the ability to work collaboratively with internal and external stakeholders.
Responsibilities<ul><li>
Investigate and evaluate subrogation potential for claims involving third-party liability.</li><li>
Communicate with insurance companies, attorneys, and other involved parties to negotiate and settle subrogation claims.</li><li>
Analyze claim documents, police reports, and other relevant information to determine liability and recoverable damages.</li><li>
Prepare and submit subrogation demands and documentation in a timely and accurate manner.</li><li>
Monitor and track subrogation claims through the entire recovery process, ensuring timely follow-up and resolution.</li><li>
Collaborate with internal Claims Department staff to identify potential subrogation opportunities and strategies.</li><li>
Maintain accurate records of subrogation activities, including documentation of communications and settlement agreements.</li><li>
Provide regular updates and reports on subrogation efforts to the Claims Manager and other stakeholders as needed.</li></ul>
Requirements:

Qualifications/Knowledge/Critical Skills<ul><li>
Previous Trucking/Commercial Transportation claims/subrogation experience HIGHLY PREFERRED</li><li>
Minimum of 2 years of experience in insurance claims handling or subrogation recovery REQUIRED</li><li>
Strong understanding of insurance principles, subrogation laws, and claims processes</li><li>
Excellent negotiation and communication skills, both written and verbal REQUIRED</li><li>
Ability to analyze complex claim information and make sound decisions regarding subrogation opportunities</li><li>
Proficiency in Microsoft Office Suite, particularly Excel and Word REQUIRED</li><li>
Experience with claims management software PREFERRED</li><li>
Detail-oriented with strong organizational and time management skills REQUIRED</li></ul>
Physical Demands/Environmental Factors<ul><li>
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.</li><li>
Occasionally required to stand and walk.</li><li>
Must frequently lift and/or move up to 25 pounds.</li><li>
Specific vision abilities required by this job include close vision, distance vision, depth perception, and ability to adjust focus.</li><li>
Minimal travel required.</li></ul>
Compensation
The Subrogation Specialist position offers a competitive hourly wage ranging from $22 to $28 per hour, commensurate with experience. In addition to competitive pay, Ecology Auto Parts Inc. provides a comprehensive benefits package, including medical, dental, and vision insurance, a 401k plan with employer matching, generous paid time off, and life insurance coverage.
PLEASE NOTE: This job description is not exhaustive and is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee.
Ecology Auto Parts Inc. is committed to providing a workplace and culture of respect, diversity, equity, inclusion, and belonging. We are dedicated to ensuring equal employment opportunity without regard to race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. Should you have a disability or specific needs requiring accommodation, please inform us.
Thank you for your interest in opportunities with Ecology Auto Parts, Inc. We appreciate the enthusiasm and professionalism demonstrated by individuals seeking to join our team.
Please be advised that Ecology Auto Parts, Inc. does not engage with or entertain solicitations from third-party recruiting firms for our hiring needs. We have a dedicated internal recruitment team managing our talent acquisition process. We kindly request that third-party recruitment firms refrain from submitting candidates for our open positions. Ecology Auto Parts, Inc. will not consider or entertain candidates represented by headhunter agencies for our current requisitions. Our commitment to fair and equitable hiring practices includes working directly with candidates who apply through our official channels. We believe in fostering a transparent and direct relationship with potential team members.
We appreciate your understanding and compliance with this policy. If you are interested in joining Ecology Auto Parts, Inc., please visit our official careers page here: EAP, Inc. | Career Center for a list of our current job opportunities and application instructions.</div>

COMMERCIAL TRUCKING CLAIMS SUBROGATION SPECIALIST

Blue Star Claims - Auto Physical Damage Claims Specialist

Philadelphia Insurance Companies

<div>Description
Marketing Statement:
Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.
We a re looking for a Claims Specialist - Auto to join our team!
JOB SUMMARY 
Investigate, evaluate and settle more complex first and third party commercial insurance auto claims.
JOB RESPONSIBILITIES 
Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. 
Communicates with all relevant parties and documents communication as well as results of investigation. 
Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts. 
Travel is required to attend customer service calls, mediations, and other legal proceedings. 
JOB REQUIREMENTS 
High School Diploma; Bachelor's degree from a four-year college or university preferred. 
10 plus years related experience and/or training; or equivalent combination of education and experience.<ul><li>National Range : $82,800.00 - $97,300.00</li><li>Ultimate salary offered will be based on factors such as applicant experience and geographic location.</li></ul>
EEO Statement:
Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Benefits:
We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online. 
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at https://www.phly.com/Careers/default.aspx</div>

Claims Specialist - Auto

First Chicago Insurance Company

<div>Are you unhappy at your present job?
Are you going nowhere in your current position?
Is it time for a change? 
Are you an experienced Auto Bodily Injury Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities? 
If you answered YES to the above, it's time to talk to First Chicago Insurance Company!
We offer:
<ul><li>Competitive Salaries</li><li>
Excellent benefits</li><li>
Growth opportunities!</li></ul>
Apply only if you consider yourself a career professional who loves to work, because we work hard here! 
If you are an experienced AUTO CLAIMS PROFESSIONAL (with many years of auto and especially non-standard auto related experience) we'll make sure you are COMPENSATED AS A PROFESSIONAL!! 
We are seeking an experienced Auto Bodily Injury Claims Specialist!
The Auto Bodily Injury Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. 
DUTIES &amp; RESPONSIBILITIES:<ul><li>
Review &amp; determine course of action on each file assigned, utilizing technical knowledge &amp; experience for the purpose of supporting final disposition of a loss</li><li>
Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim</li><li>
Process Bodily Injury, and coverage claims in accordance with established office procedures</li><li>
Work closely with Third Parties, plaintiff counsel, Claim Director and Chief</li><li>
Operating Officer to determine necessary injury and coverage investigation</li><li>
Research case and statutory law in order to conduct proper claim investigation</li><li>
Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims</li><li>
Prepare and present claim evaluations for the appropriate settlement authority</li><li>
Maintain reasonable expense factors</li><li>
Handle other duties as assigned</li></ul> 
QUALIFICATIONS REQUIRED:<ul><li>
3-5 Years in Auto Casualty claims experience a MUST!</li><li>
Non-Standard Auto Claims experience preferred, not required</li><li>
Minimum 5 years of Auto Bodily Injury Casualty experience to be considered hybrid/remote</li><li>
Knowledge of legal and medical terminology</li><li>
Excellent negotiation, communication, written, organizational and interpersonal skills</li><li>
Ability to pass written examinations where required by state statutes to become a licensed claims adjuster</li><li>
Proficiency in Microsoft Office products</li></ul> 
First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive:<ul><li>
Competitive Salaries</li><li>
Commitment to your Training &amp; Development</li><li>
Medical and Dental and Vision Reimbursement</li><li>
Short Term Disability/Long Term Disability</li><li>
Life Insurance</li><li>
Flexible Spending Account</li><li>
Telemedicine Benefit</li><li>
401k with a generous company match</li><li>
Paid Time Off and Paid Holidays</li><li>
Tuition Reimbursement
</li><li>Wellness Program</li><li>
Fun company sponsored events</li><li>
And so much more!</li></ul> 
Estimated Compensation Range: $54,750/year-$97,500/year*<ul><li>Published ranges are estimates</li></ul></div>

Auto Casualty Claims Specialist

<div>Are you unhappy at your present job?
Are you going nowhere in your current position?
Is it time for a change? 
Are you an experienced Auto Bodily Injury Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities? 
If you answered YES to the above, it's time to talk to First Chicago Insurance Company!
We offer:
<ul><li>Competitive Salaries</li><li>
Excellent benefits</li><li>
Growth opportunities!</li></ul>
Apply only if you consider yourself a career professional who loves to work, because we work hard here! 
If you are an experienced AUTO CLAIMS PROFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFESSIONAL!! 
We are seeking an experienced Auto Bodily Injury Claims Specialist!
The Auto Bodily Injury Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. 
DUTIES &amp; RESPONSIBILITIES:<ul><li>
Review &amp; determine course of action on each file assigned, utilizing technical knowledge &amp; experience for the purpose of supporting final disposition of a loss</li><li>
Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim</li><li>
Process Bodily Injury, and coverage claims in accordance with established office procedures</li><li>
Work closely with Third Parties, plaintiff counsel, Claim Director and Chief</li><li>
Operating Officer to determine necessary injury and coverage investigation</li><li>
Research case and statutory law in order to conduct proper claim investigation</li><li>
Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims</li><li>
Prepare and present claim evaluations for the appropriate settlement authority</li><li>
Maintain reasonable expense factors</li><li>
Handle other duties as assigned</li></ul> 
QUALIFICATIONS REQUIRED:<ul><li>
3-5 Years in Auto Casualty claims experience a MUST!</li><li>
Non-Standard Auto Claims experience preferred, not required</li><li>
Minimum 5 years of Auto Bodily Injury Casualty experience to be considered hybrid/remote</li><li>
Knowledge of legal and medical terminology</li><li>
Excellent negotiation, communication, written, organizational and interpersonal skills</li><li>
Ability to pass written examinations where required by state statutes to become a licensed claims adjuster</li><li>
Proficiency in Microsoft Office products</li></ul> 
First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive:<ul><li>
Competitive Salaries</li><li>
Commitment to your Training &amp; Development</li><li>
Medical and Dental and Vision Reimbursement</li><li>
Short Term Disability/Long Term Disability</li><li>
Life Insurance</li><li>
Flexible Spending Account</li><li>
Telemedicine Benefit</li><li>
401k with a generous company match</li><li>
Paid Time Off and Paid Holidays</li><li>
Tuition Reimbursement
</li><li>Wellness Program</li><li>
Fun company sponsored events</li><li>
And so much more!</li></ul> 
Estimated Compensation Range: $54,750/year-$97,500/year*<ul><li>Published ranges are estimates</li></ul></div>

Kern Health Systems

We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will help us potentially place you in a position that meets your objectives and those of the organization. Qualified applicants are considered for positions without regard to race, color, religion, sex (including pregnancy, childbirth and breastfeeding, or any related medical conditions), national origin, ancestry, age, marital or veteran status, sexual orientation, gender identity, genetic information, gender expression, military status, or the presence of a non-job related medical condition or disability (mental or physical).
 
KHS reasonably expects to pay starting compensation for the position of Claims Operations Senior Specialist, in the range of $35.89 - 45.76 hourly.
 
**Hybrid Position**
 
About us
 
Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.
 
About the role
 
This highly specialized position is responsible for analyzing statistics of all areas of Claims daily; and assisting in priority area as needed. This position is responsible for knowing and performing all functions within the department: Claims Processing, Auditing, Disputes/Rework, Calls, Training, Inventory Control, Systems Testing, Overpayments, and Encounter Processing – and offering suggestions for improvements to Management. This position is also responsible for keeping abreast of Medi-Cal, Commercial and Medicare rules for Dual membership or other LOB (Dental, Vision, LTC, Transplants, Mental Health, Pharmacy, etc.) and training when necessary.
 This position is responsible for identifying area most in need of attention and applying their knowledge and skill to help that specific area to be within operating standards/goals. This position will be required to perform all functions within Claims Operations. This position will use experience to identify areas to improve in workflow, system enhancements, and Auto Adjudication. This position will also be the primary SME for all other Lines of Business from Medicare to Commercial or other new benefits for Medi-Cal.
 
Essential Duties and Responsibilities
 
<ul>
<li>Analyze and identify (on a daily basis) area in Claims Department needing most assistance to hit optimal benchmarks.</li>
<li>Perform Claims Processing at all levels, Auditing, Dispute Processing, Calls, Overpayments, Encounter Processing, Training, Inventory Control and System Testing at optimum levels as needed with flexibility day to day.</li>
<li>Analyze via reports and experience in daily handling of all related department duties and recommend changes to work processes as needed.</li>
<li>Analyze via reports and experience in daily handling of all related department duties and recommend system enhancements/Auto Adjudication as needed.</li>
<li>Write and run reports in Business Objects as needed.</li>
<li>Acts as a resource and provides support to Customer Service and Provider Relations regarding Claims Payments.</li>
<li>Track and trend Provider disputes, denials and calls to effect improvement in compliance with billing rules and/or opportunities for Provider Training.</li>
<li>Key contact and oversight of Supplemental Payment programs via the Claims Department (Prop 56, GEMT, etc.).</li>
<li>Liaison with High Dollar Claim Review Vendor – monitor, verify, and validate data as well as communicate needs to vendor.</li>
<li>Performs other job-related duties as required.</li>
<li>Adheres to all company policies and procedures relative to employment and job responsibilities.</li>
<li>Telecommuting jobs will require some on site meetings/ trainings as identified by management.</li>
</ul>
Employment Standards: 
Bachelor’s degree in business from an accredited university or equivalent required AND ten (10) years of direct experience in combination of a minimum of eight (8) functions: Claims Processing, Auditing, Provider Dispute Processing/Rework, Claim Call Representative, Training, Inventory Control, System Testing, Overpayment Recovery, and/or Encounter Processing. Experience in Medicare, Medi-Cal and Commercial lines of business required.
 <ul>
<li>OR-</li>
</ul>
Fourteen (14) years of direct experience in combination of a minimum of eight (8) functions: Claims Processing, Auditing, Provider Dispute Processing/Rework, Claim Call Representative, Training, Inventory Control, System Testing, Overpayment Recovery, and/or Encounter Processing. Experience in Medicare, Medi-Cal and Commercial lines of business required
 
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis.

Claims Operations Senior Specialist

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