Claims Specialist

• The position of Care Advocate will play a leading role in developing an innovative digital product strategy based off your deep expertise and knowledge of the long-term care needs of the aging in your market.
• You will be part of a team delivering concierge services care-seekers and care-managers including but not limited to Caregiver support and Education.
• Conducting consultations with older adults and caregivers on aging services and supports providing support and guidance on the caregiving journey.
• Unlike other traditional Care Advocacy roles, your responsibilities will not stop there but will extend to working with digital product teams to help infuse your patient-centered knowledge into the design process and provide feedback that will help create incredible digital user experiences for millions of care-seekers and care-managers at a tremendous scale.
• This role will provide Subject Matter expertise on the local and state level programming and resources for aging adults and their caregivers.
• This role will provide education and resources to aging individuals seeking assistance with care options and navigating challenges.
• Intensive case management experience and crisis intervention.
• Approach problem-solving with a human-centered lens.
• Regular document key and frequent needs of users and report qualitative data (such as quotes and anecdotal stories that representative of user needs) and quantitative data (such as frequency of user needs and trends in gaps in local care environments and resources) to the digital product and design teams.
• Bring deep understanding of landscape and individual aging and long-term resources, facilities, organizations, agencies, and referral sources to help marketing team reach key partnerships and potential consumers who would benefit from our digital products.
• Report back to product and design teams opportunities for improvement of the digital products based off of user feedback.
• Review new product features before they are released to consumers to identify improvements or potential issues to proactively improve user experience.

Associate Claims Clinical, Care Advocacy

• Your role is crucial in ensuring accurate and efficient processing of claims related to transportation services.
• You will be responsible for reviewing, investigating, and resolving transportation claims in accordance with company policies and procedures.
• Demonstrate comprehensive knowledge of carrier services, including tracking, reporting, and billing methods.
• Utilize effective problem-solving skills to verify potential claims identified by our proprietary auditing systems.
• Communicate information to carriers clearly, concisely, and in an organized manner.
• Meet or exceed company expectations for key performance indicators.
• Prioritize daily tasks of claims to be completed using time management skills.
• Provide accurate and timely updates of claims information and resolutions in our proprietary systems.
• Escalate issues to leadership as they arise.

Claims Processor – Part-Time

• Investigate and resolve Homeowners claims of moderate complexity in a prompt and efficient manner.
• Document with photographs, measurements, recorded interviews as needed, write a repair estimate to capture damages, and complete thorough file notes.
• Ability to use imagery and advanced video technology to collaborate with onsite vendors and insureds to identify damage and write damage estimates from a virtual setting.
• Compare facts gathered during the investigation against the policy to determine coverage of claim; extend or deny coverage as appropriate.
• Establishes reserve amounts within prescribed settlement authority limit and negotiates settlement of claims; recommends claims which exceed personal authority limit to supervisor for approval.
• Responsible for effectively and timely communicating with insureds and /or their representatives to resolve issues and ensure customer satisfaction.

Property Claims Examiner II – Wind/Hail

• Manage a caseload of General Liability, Construction Defect, and Professional Liability claims from first notice of loss through resolution
• Conduct thorough coverage analysis on all new losses
• Investigate claims by gathering and analyzing relevant documentation
• Assign, direct, and manage outside defense counsel
• Maintain accurate and timely reserves on all files
• Proactively communicate with insureds, brokers, and carriers on claim status
• Identify subrogation, contribution, and recovery opportunities on applicable files

Claims Specialist jobs in Mississippi

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Associate Claims Clinical, Care Advocacy

Claims Processor – Part-Time

Property Claims Examiner II – Wind/Hail

Claims Examiner – General Liability, Professional Lines