Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Field Adjuster - Property/Casualty - Beaumont, TX
3/6/2024
As a Multi-line Adjuster for Brezina Claim Associates, Inc., you will serve as a field investigation representative knowledgeable of the entire claims process. You will provide claims investigative service and technical expertise regarding physical damage losses and injury claims. You will appraise, evaluate, negotiate and equitably settle first and third party property damage and bodily injury losses in accordance with the terms and conditions of corporate guidelines, policy contracts and existing insurance laws and regulations.
Qualified candidates need to possess:
• High school diploma or equivalent.
• 2 years of relevant adjusting and physical damage appraisal experience.
• Experience and/or working knowledge of estimating and total loss evaluation systems.
• Current knowledge of property damage repair process.
• Computer literacy in a Windows operating environment.
• Texas P&C adjuster’s license.
• General understanding of liability assessment and relevant claims processes.
• Driving record verifiable through MVR.
• Ability to regularly lift 30 lbs.
Preferred experience includes:
• Bachelor’s degree
• Knowledgeable of Xactimate estimating platform.
• Ability to complete on site inspections in most weather conditions.
• Willingness to handle volume in outlying areas that may deem extended hours.
• ICAR certification.
Qualified applicants must successfully complete a pre-employment background.
Brezina Claim Associates, Inc. is an Equal Opportunity Employer.
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