Senior Claims Specialist

Post Date

Apr 18, 2024

Location

Rancho Cordova,
California

ZIP/Postal Code

95670
US
Jul 04, 2024 Insight Global

Job Type

Perm

Category

Insurance

Req #

SMF-698452

Pay Rate

$73k - $109k (estimate)

Job Description

Day to Day:



Insight Global is looking for a claim's adjustor for one of our top Claims Management/Healthcare Management companies. This individual is going to be joining the Claims team consisting of 7 members and reporting to the Claims Supervisor. They will be responsible for handling a caseload of 130 files that they will need to review every 90 days. Typically, they will be handling about 4 indemnity claims a day for the end client and will be expected to handle any new claims that come in.



Responsibilities:

- Work closely with attorneys and case managers while managing subrogation and negotiating settlements

- Confirm policy coverage and validity of the claims

- Establish reserves and authorize payments

- Develop relationships with customers and comply with regulations

- Assist team members' knowledge and understanding of claims practice

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Required Skills & Experience

Must Haves:

- 3+ years' experience with handling Indemnity Claims in CA

- Experience handling Workers Compensation Claims

- Bilingual (English/Spanish) -- highly preferred for their client!!!

Nice to Have Skills & Experience

Plusses:

- Bachelor's degree

- Self-Insured Certificate and State Certification

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.