Top 38 Claims adjuster Jobs in Seven Fields, Pa

LTD (Long Term Disability) Claim Manager
New York Life —Pittsburgh, PA
- $50,000 - $71,500 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Outlook
- Mid-level
- Free parking
- Disability insurance
Property Field Adjuster - Pittsburgh, PA
DMA/Venbrook Claims —Pittsburgh, PA
- Up to $80,000 a year
- Part-time
- Customer service
- Military
- Writing skills
Quick Apply
Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh
Blink Health —Pittsburgh, PA
- 12 hour shift
- Research
- Office
- High school diploma or GED
- Free parking
- Commuter assistance
Quick Apply
Casualty Field Investigator
CUSTARD INSURANCE ADJUSTERS —Pittsburgh, PA
- $50,086.78 - $60,319.57 a year
- Full-time
- Mid-level
- Office
- Analysis skills
- Health savings account
- Health insurance
Quick Apply
Claims Adjuster Workers Compensation (5+ yrs exp required)
iSurity, Inc. —Pennsylvania
- Full-time
- Hybrid work
- Customer service
- Office
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Senior Workers Compensation Claims Adjuster
TheBest Claims Solutions —Pittsburgh, PA
- $40 - $45 an hour
- Temporary
- Remote
- Mid-level
- 2 years
- Commercial
Workers Compensation Adjuster
TheBest Claims Solutions —Pittsburgh, PA
- $33 - $43 an hour
- Temporary
- Remote
- Mid-level
- 2 years
- Commercial
3d
Field Claims Representative (Field Liability Claims Adjuster) - Pittsburgh
ACUITY, A Mutual Insurance Company —Pittsburgh, PA
- $75,000 - $150,000 a year
- Anatomy knowledge
- 5 years
- Driver's License
- Disability insurance
- Health insurance
Claims - Field Claims Representative
The Cincinnati Insurance Companies —Pittsburgh, PA
- $57,000 - $90,000 a year
- Day shift
- Driver's License
- Bachelor's degree
- Experience equivalent to degree accepted
- Paid time off
- 401(k) matching
Liability Specialist
Erie Insurance —Pittsburgh, PA
- $63,130 - $100,843 a year
- Full-time
- Adults
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
2d
Claim Rep Outside Liability
The Travelers Companies, Inc. —Pittsburgh, PA
- $67,000 - $110,600 a year
- Clean driving record
- Mid-level
- Driver's License
- Wellness program
- Paid holidays
Workers Compensation Claims Specialist, Sr
NJM Insurance Group —Pittsburgh, PA
- $79,129 - $91,834 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid parental leave
- Disability insurance
Senior Claim Examiner
Chubb —Pittsburgh, PA
- Full-time
- Bachelor of Science
- Mid-level
- Office
- On-the-job training
Multi-Line Adj
Crawford & Company —Pittsburgh, PA
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Driver's License
- Paid parental leave
- Health savings account
Quick Apply
Assistant Director of Claims
Pittsburgh Regional Transit —Pittsburgh, PA
- $86,900 - $130,300 a year
- 5 years
- Office
- Windows
Claims Processing Specialist - Tarentum, PA
Blackburn's Physicians Pharmacy, Inc. —Tarentum, PA
- Full-time
- Computer literacy
- Mid-level
- Office
- Profit sharing
- Paid holidays
Quick Apply
Lost Time Claims Specialist II (FL & GA)
UPMC —Pittsburgh, PA
- $27.89 - $48.21 an hour
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Lost Time Claims Specialist II (VA, MD, PA, and DC)
UPMC —Pittsburgh, PA
- $27.89 - $48.21 an hour
- Full-time
- Mid-level
- Analysis skills
- Bachelor's degree
Senior Claim Examiner-E&O
Chubb —Pittsburgh, PA
- Full-time
- Mid-level
- Travel
- Experience equivalent to degree accepted
Workers Comp Senior Claims Rep Remote-NJ PA MA
National Interstate —Pittsburgh, PA
- $72,000 - $82,000 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Finance
- Commuter assistance
- Employee stock purchase plan

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claims adjuster jobs near seven fields, pa

LTD (Long Term Disability) Claim Manager

New York Life -
Pittsburgh, PA

Apply Now

Job Details

Full-time
$50,000 - $71,500 a year

Benefits

Free parking
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Family leave
On-the-job training
Employee assistance program
Vision insurance
401(k) matching
Professional development assistance
Life insurance
Retirement plan

Qualifications

Microsoft Outlook
High school diploma or GED
Bachelor's degree
Disability determination
Technical Proficiency
Time management

Full Job Description

Work Schedule:
The first 10 weeks of training will take place onsite at The Vision (116 15th Street, Pittsburgh, PA 15222), Monday through Friday. After training, employees will be evaluated. Once they demonstrate proficiency, the role will transition to a hybrid schedule: Remote: Mondays and Fridays, and Onsite: Tuesday, Wednesday & Thursday.

Role Overview:
The LTD Claim Manager is responsible for accomplishing training requirements, learning, and applying the LTD concepts gained in classroom and on the job training to successfully manage an assigned LTD caseload. The Claim Manager is responsible for the development of strategic case plans informed by customer & key stakeholder interactions, leveraging Technical Coaches and Team Leaders where appropriate. As a key customer-facing role, the Claim Manager will communicate with customers, employers and treating providers.

The LTD Claim Manager will manage an assigned caseload of Long-Term Disability cases. This includes management of claims with longer duration and evolving medical conditions. LTD Claim Managers will have meaningful and transparent conversations with their customers and clinical partners to gather the information most relevant to each claim. It may also require potentially complex monthly benefit calculations. The Claim Manager will also evaluate customer eligibility and interact with internal and external customers including, but not limited to, customers, employers, physicians, internal business matrix partners and attorneys, etc. to gather the information to make the decision on the claim.

What You'll Do:
As a Long-Term Disability Claim Manager, with oversight and on an increasing scheduled basis, you will -

Proactively manage your block of claims by regularly talking with and knowing your customers, their level of functioning, and having a command of case facts for each claim in your block.
Develop and document Strategic Case Plans that focus on the future direction of the claim using a holistic viewpoint
Determine customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented
Leverage claim dashboard to manage claim inventory to determine which claims to focus efforts on for maximum impact
Have probing conversations with customers and employers regarding return-to-work opportunities and communicate with an action-oriented approach.
Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty basis
Ask focused questions of internal resources (e.g., nurse, behavioral, doctor, vocational) and external resources (customer, employer, treating provider) to question discrepancies, close gaps and clarify inconsistencies
Have detailed phone conversations with both customers and physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information
Execute on all client performance guarantees
Respond to all communications within customer service protocols in a clear, concise, and timely manner
Make fair, accurate, timely, and quality claim decisions
Adhere to standard timeframes for processing mail, tasks, and outliers
Support and promote all integration initiatives (including Family Medical Leave, Life Assistance Programs, Integrated
Personal Health Team, Your Health First, Healthcare Connect, etc.)
Clearly articulate claim decisions both verbally and in written communications
Understand Corporate Compliance, Policies and Procedures and best practices
Stay abreast of ongoing trainings associated with role and business unit objectives

What You'll Bring:

High School Diploma or GED required, with 3 years minimum of professional experience or bachelor’s degree strongly preferred
Experience in hospital administration, medical office management, financial services and/ or business operations is a (+)
Comfortable talking with customers and having thorough phone conversations
Excellent organizational and time management skills
Strong critical thinker
Must be technically savvy with the ability to toggle between multiple applications and/ or computer monitors simultaneously
Ability to focus and achieve production goals through high quality work
Proficiency with MS Office applications is required (Word, Outlook, Excel)
Strong written and verbal skills demonstrated in previous work experience
Proven skills in positive and effective interaction with challenging customers
Experience in effectively meeting/exceeding individual professional expectations and team goals
Must have the ability to work with a sense of urgency and be a self-starter with a customer focus mindset
Comfortable giving and receiving feedback
Flexible to change and highly cooperative
Demonstrated analytical and math skills

Critical Capabilities:

Critical Thinking
Trust and Transparency
Bias for Action
Leads with Agility
Customer Orientation

Work Schedule:
The first 10 weeks of training will take place onsite at The Vision (116 15th Street, Pittsburgh, PA 15222), Monday through Friday. After training, employees will be evaluated. Once they demonstrate proficiency, the role will transition to a hybrid schedule: Remote: Mondays and Fridays, and Onsite: Tuesday, Wednesday & Thursday.

Onsite Amenities:
Employees working onsite will have access to the following amenities:

Fitness center
Tenant lounge
Nearby retail
Bike storage
Outdoor space
Concierge services
Dry cleaning
EV charging stations
Puttery mini golf
The Roaming Bean Coffee
Tapville Social
Onsite free parking

Pay: $50,000.00 - $71,500.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Family leave
Health insurance
Life insurance
Paid time off
Professional development assistance
Retirement plan
Tuition reimbursement
Vision insurance

Work Location: In person

Apply Now

Refine Your Search

claims adjuster jobs in seven fields, pa

LTD (Long Term Disability) Claim Manager

Property Field Adjuster - Pittsburgh, PA

Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh

Casualty Field Investigator

Claims Adjuster Workers Compensation (5+ yrs exp required)

Senior Workers Compensation Claims Adjuster

Workers Compensation Adjuster

Field Claims Representative (Field Liability Claims Adjuster) - Pittsburgh

Claims - Field Claims Representative

Liability Specialist

Claim Rep Outside Liability

Workers Compensation Claims Specialist, Sr

Senior Claim Examiner

Multi-Line Adj

Assistant Director of Claims

Claims Processing Specialist - Tarentum, PA

Lost Time Claims Specialist II (FL & GA)

Lost Time Claims Specialist II (VA, MD, PA, and DC)

Senior Claim Examiner-E&O

Workers Comp Senior Claims Rep Remote-NJ PA MA

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