Claims Processing Clerk, Sr. jobs in Kentucky

Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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Sr. Claims Examiner
  • Harford Mutual Insurance Group
  • Louisville, KY OTHER
  • Job Details

    Level:    Experienced
    Job Location:    MID West Location - Louisville, KY
    Position Type:    Full Time
    Education Level:    4 Year Degree
    Salary Range:    Undisclosed
    Travel Percentage:    Up to 25%

    WHO WE ARE:

    Harford Mutual Insurance Group is a growing, dynamic community partner located in Bel Air in Harford County, Maryland, offering a positive, diverse, and inclusive work environment with a rich company culture. We provide commercial property and casualty insurance products and services to a regional market. Founded in 1842 on the principles of mutuality for our business clients, our agents, and our company, we believe in insuring opportunity through mutual success® and invite our employees to continue that tradition with respect, integrity, exemplary service, and personal responsibility.

     

    THE OPPORTUNITY

    The Senior Claims Examiner investigates, evaluates, and resolves commercial lines claims and makes recommendations for resolutions from any of Harford Mutual Insurance Group companies.  The incumbent will be expected to handle efficiently and competently medium to high severity claims, and to possess comprehensive knowledge of all coverages and claims handling procedures while providing quality claims service to policyholders and agents. 

     

    WHAT YOU’LL DO: 

    • Conducts prompt and thorough investigations of commercial line claims within departmental and regulatory guidelines through telephone, written, and other communication methods with policyholders, claimants, attorneys, public adjusters, witnesses, and others with pertinent information.
    • Provides quality claims service to our policyholders and agents by remaining in constant communication with them throughout the claim lifecycle.
    • Evaluates coverage, determines liability, utilizes negotiation skills to resolves claims within authority to include ability to draft the respective communications required on the claim.
    • Analyze information to evaluate assigned claims to determine the extent of loss, taking into consideration coverage, damages, liability, and future investigation needs. Assign and manage independent adjusters, defense counsel, or other experts on a task assignment basis where necessary.
    • Demonstrate in-depth understanding of commercial lines coverage issues, policy forms, contracts, regulatory requirements, and changing legal landscape.     
    • Accurately apply the HMIG reserving practice by continually evaluating claim exposure to establish appropriate and timely reserves over the life of the claim and notify claim management when exposure exceeds authority.
    • Establish and execute appropriate action plans to manage claims proactively and promptly with a strategic plan for optimal claim outcomes.  
    • Maintain a claim diary and comply with departmental diary procedures.
    • Excellent organization and problem-solving skills along with the ability to multi-task and prioritize to ensure that all claims are handled efficiently and effectively.
    • Direct and handle subrogation, salvage, and loss recovery efforts on assigned files
    • Continuing education on insurance and claims matters.
    • Performs other duties or special projects as required or as assigned by a supervisor.

     

    WHAT YOU’LL BRING:

    • 3-4 bullet points on from essential duties and responsibilities from old template
    • Four-year college degree; or comparable claims work experience
    • Over 5 years’ experience in progressive claims roles
    • AIC or similar designation

     

    WHO YOU ARE: 

    • Ability to understand and analyze policy coverages
    • Ability to analyze information to virtually estimate damages
    • Strong negotiation skills
    • Strong collaborating skills, and an ability to work effectively both independently and as part of a team
    • Comfortable in a fast-paced environment with frequent deadlines; high energy, self-motivated and proactive
    • Excellent communication and interpersonal skills to convey complex data and information to audiences with varying levels of expertise
    • Ability to multitask, and be flexible regarding workload and assignments
    • Ability to exercise judgment
    • Strong organizational skills and time management of claims desk
    • Maintain valid adjusters’ license(s) in states assigned or an ability to obtain same.                                                                                              

     

     

    Visit our Careers Page for more information on our competitive compensation/benefits packages.

     


  • 17 Days Ago

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Deputy Clerk
  • Muhlenberg County Clerk
  • Greenville, KY FULL_TIME
  • Job Overview:We are seeking a highly organized and detail-oriented individual to join our team as a Deputy Clerk. The Deputy Clerk will provide administrative tasks in a busy office environment. Dutie...
  • Just Posted

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KY - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Louisville, KY CONTRACTOR,PART_TIME
  • 1099 Property Claims AdjusterCopper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA.Copper Claims Services excels in providing custom claims solutions for ...
  • 15 Days Ago

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Mailroom Clerk 18$ hlry
  • Office Clerk - Full Time
  • Lexington, KY FULL_TIME,CONTRACTOR
  • We are looking for our newest Mailroom ClerkJob description:Key position that supports the daily operations, implementations, expansions and administration of the main office site and the sites around...
  • 30 Days Ago

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Processing Clerk - Mailroom Entry Level
  • CONDUENT
  • Lexington, KY FULL_TIME
  • About Conduent: Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes ...
  • 30 Days Ago

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Hemp Processing Operations Technician Short Path Distillation
  • XYZ CBD PROCESSING LLC
  • Franklin, KY FULL_TIME
  • XYZ CBD PROCESSING LLC (the “Company”) is an equal opportunity employer. The Company does not discriminate in hiring or employment on the basis of race, color, religious creed, national origin, sex, a...
  • 8 Days Ago

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Legal Assistant
  • DTD Law Firm
  • DTD Law Firm is a personal injury firm in San Antonio. We seeking a dependable Legal Assistant/Paralegal (Bi-lingual pre...
  • 4/25/2024 12:00:00 AM

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Medical Front Desk Receptionist
  • Insight Global
  • Orlando, FL
  • Required Skills and Experience * High School Diploma or GED required 2 years of experience in a physician’s clinic, hosp...
  • 4/25/2024 12:00:00 AM

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Associate Attorney
  • Law Offices of Mark L. Karno & Associates, LLC
  • Chicago, IL
  • Company Description The Law Offices of Mark L. Karno & Associates, LLC is an AV-rated 5 Attorney law firm based in downt...
  • 4/25/2024 12:00:00 AM

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Pharmacy Technician
  • OMNI FAMILY HEALTH
  • Fresno, CA
  • JOB SUMMARY: The Pharmacy Technician position is responsible for supporting and assisting the operation of the pharmacy ...
  • 4/25/2024 12:00:00 AM

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Kitchen Clerk $16.50/hr-$18.75/hr
  • Vallarta Supermarkets
  • Salinas, CA
  • Description: California Minimum Wage is $16.00/hr effective 1/1/2024 Some Cities have higher Minimum Wages (LA City curr...
  • 4/25/2024 12:00:00 AM

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Patient Access Pre-Admission/Admission Clerk - PRN
  • National Park Medical Center
  • Hot Springs National Park, AR
  • ESSENTIAL DUTIES AND RESPONSIBILITIES: These functions are not intended to be an exhaustive list of all responsibilities...
  • 4/25/2024 12:00:00 AM

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Shipping & Receiving Clerk (2nd Shift) - Princeton (Princeton (NJ), US)
  • Firmenich
  • Princeton, NJ
  • Shipping & Receiving Clerk - 2nd Shift Princeton, NJ, US On-Site SL 11 As a Shipping & Receiving Clerk, you will be work...
  • 4/25/2024 12:00:00 AM

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Warranty Claims Processing Clerk
  • Active Staffing Services
  • Riverdale, NJ
  • Job Description Job Description A dynamic and growing Warranty Claims company is looking to expand its office team in Ri...
  • 4/22/2024 12:00:00 AM

Kentucky (/kənˈtʌki/ (listen) kən-TUK-ee), officially the Commonwealth of Kentucky, is a state located in the east south-central region of the United States. Although styled as the "State of Kentucky" in the law creating it, (because in Kentucky's first constitution, the name state was used) Kentucky is one of four U.S. states constituted as a commonwealth (the others being Virginia, Pennsylvania, and Massachusetts). Originally a part of Virginia, in 1792 Kentucky became the 15th state to join the Union. Kentucky is the 37th most extensive and the 26th most populous of the 50 United States. Ke...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk, Sr. jobs
$45,196 to $55,745

Claims Processing Clerk, Sr. in Dallas, TX
Get full salary data for Insurance Claims and Policy Processing Clerk, including data for your industry, geographic region or metro area and employer size.
January 17, 2020
Claims Processing Clerk, Sr. in Moline, IL
Claims or legal experience is preferred, but not mandatory.
January 27, 2020
Claims Processing Clerk, Sr. in Lawrence, MA
These professionals handle much of the paperwork required when issuing and processing insurance policies and claims.
November 28, 2019