Insurance Claims Case Manager Job at Allied Universal® (Columbia)

Case Manager

At Allianz, we’re proud to be named one of the Best Workplaces in Australia 2024...

Location

Australia , Brisbane

Salary:

Not provided

Allianz

Expiration Date

Until further notice

Requirements

Insurance Claims experience preferred but not a must
Having a genuine customer focused approach
Negotiation and conflict resolution skills
Ability to work in a high-pressure environment

Job Responsibility

Managing CTP claims portfolio from lodgement to finalisation
Building effective working relationships with a variety of key stakeholders including injured claimants and their solicitors, and rehabilitation advisors and medical professionals, to drive successful rehabilitation and return to work outcomes
Assessing claims for reasonable and necessary treatment and rehabilitation requirements
Assessing and managing injury needs of claimants, handling correspondence regarding CTP benefits, treatment and rehabilitation, and interpreting medical reports

What we offer

Inclusive Culture: Join a supportive, open-minded team focused on customer outcomes, bringing your authentic self to work every day!
Flexible Work-Life Balance: Enjoy flexible and remote work options and workplace adjustments, with support for your work/life balance.
Career Development: Access mentoring, development and global mobility opportunities for growth and success, including access to over 10,000 learning resources.
Financial and Well-being Perks: Enjoy discounts on Allianz products, retail, tech, and travel, plus financial wellness initiatives and the Employee Share Purchase Program- own a piece of your employer!

Fulltime

Case Manager

As a Case Manager in the Critical Support Team, you will help vulnerable custome...

Location

Australia , Charlestown

Salary:

Not provided

Allianz

Expiration Date

Until further notice

Requirements

Experience in a comparable industry (disability support, case management, social services, critical incident response) is desirable but not essential
Experience in a similar case management role within personal injury insurance is desirable but not essential
Experience in evaluating claims or assessing damages for common law settlements is desirable but not essential
Strong drive and interest in leveraging your customer-focused experience to grow a career in case management
Known for your empathetic style and customer-focused approach, allowing you to ‘walk beside our customers’
Ability to handle difficult situations professionally while resolving complex issues
Solid problem-solving and relationship-building abilities
Year 12 certificate or equivalent
High attention to detail, excellent time management skills, and adaptability to changes
Ability to work collaboratively in a team environment, providing advice and guidance to other team members

Job Responsibility

Build effective working relationships with injured customers, family members, legal providers, and medical professionals to drive successful outcomes
Maintain high customer service standards and effective relationships with key stakeholders
Focus on strategic collaboration and case management to maximise return to health and work outcomes for customers
Make key liability decisions and assess claims for reasonable and necessary treatment
Tailor communication skills to suit client interactions, matching voice tone, pace, and style appropriately
Assess and manage injury needs, handle correspondence regarding CTP benefits, treatment, rehabilitation, and interpret medical reports
Provide timely and effective responses to customer needs and ensure accurate processing of claims.

What we offer

Inclusive Culture: Join a supportive, open-minded team focused on customer outcomes, bringing your authentic self to work every day
Flexible Work-Life Balance: Enjoy flexible and remote work options and workplace adjustments, with support for your work/life balance
Career Development: Access mentoring, development and global mobility opportunities for growth and success, including access to over 10,000 learning resources
Financial and Well-being Perks: Enjoy discounts on Allianz products, retail, tech, and travel, plus financial wellness initiatives and the Employee Share Purchase Program- own a piece of your employer.

Fulltime

Claims Paralegal/Account Manager

Robert Half Legal is partnering with an insurance company located in downtown Ch...

Location

United States , Chicago

Salary:

85000.00 - 100000.00 USD / Year

Robert Half

Expiration Date

Until further notice

Requirements

BA/BS degree required
J.D. preferred but not required
5+ years of experience working in a law firm or corporate legal department
Prior experience handling complex environmental, asbestos, liability, and/or insurance claims
Independent Property and Casualty adjuster’s license a plus but not required
Strong research and report writing skills are necessary
Excellent negotiation and communication skills

Job Responsibility

Analyzing, investigating, and evaluating new loss notices and claim tenders
Collaborating with policy search teams to find copies of alleged coverage where appropriate
Analyzing and positioning claim under applicable primary, umbrella, and excess coverage swiftly
Coordinating the retention of defense counsel with internal/external stakeholders
Establishing defense strategy with insured, defense counsel, and/or other participating insurance carriers
Managing the case resolution process and actively participating in mediations as needed
Working with the reinsurance department to provide notice of new accounts, updates on existing accounts, and responding to specific reinsurer inquiries
Collaborating with in-house Legal/management to manage declaratory judgment actions, including formation and implementation of resolution strategy, settlement valuation, and obtaining settlement authority
Coordinating timely processing of payments including verifying proper allocation of such payments across appropriate policies
Managing ALAE through strategic handling and bill review/payment processing in coordination with the billing unit

What we offer

5% bonus
Full benefits
Generous PTO
40-hour work week

Fulltime

Case Manager Level 1

At Allianz, we’re proud to be named one of the Best Workplaces in Australia 2024...

Location

Australia , Melbourne

Salary:

Not provided

Allianz

Expiration Date

Until further notice

Requirements

Excellent customer service & ability to engage with multiple stakeholders
Ability to achieve outcomes by reviewing medical and factual evidence
Proven ability to manage time effectively
Excellent team ethos
Proven ability to work in a fast-paced environment

Job Responsibility

Maintaining and improving technical knowledge across all facets of claims management
Keeping up to date with legislative amendments and their practical application
Managing claims within delegated authority level whilst reviewing medical and like entitlements in line with our legislation and communicating these outcomes to the relevant stakeholders
Ensuring that customer service standards are maintained through prompt resolution of enquiries

What we offer

Inclusive Culture: Join a supportive, open-minded team focused on customer outcomes, bringing your authentic self to work every day!
Flexible Work-Life Balance: Enjoy flexible and remote work options and workplace adjustments, with support for your work/life balance.
Career Development: Access mentoring, development and global mobility opportunities for growth and success, including access to over 10,000 learning resources.
Financial and Well-being Perks: Enjoy discounts on Allianz products, retail, tech, and travel, plus financial wellness initiatives and the Employee Share Purchase Program- own a piece of your employer!

Fulltime

Major Claims Manager

To process claims and to ensure that the departmental strategic initiatives, con...

Location

Malaysia , Kuala Lumpur

Salary:

Not provided

Allianz

Expiration Date

Until further notice

Requirements

Bachelor's Degree in Insurance, Business, or a related field
At least 5 years of experience in claims assessment, preferably in the insurance industry, with a proven track record in handling Major Claims & PA claims
Experience in a leadership or supervisory role, particularly managing a team of junior assessors, is an advantage
Comprehensive understanding of the Insurance Act 1996, AMLA, Bank Negara Malaysia guidelines, and standard operating procedures

Job Responsibility

Assessment and approval of Major claims & PA claims within the defined approval authority limit set and committed service level
Review processes to propose new guidelines, rules & requirement, procedures and system enhancement for operational efficiency and effectiveness
Constantly monitor and review pending claims and appeal within the committed service level and make appropriate revised decision if it is within the authority limit
Handle enquiries and provide quality customer service to clients and agents including investigating into customer/agent’s complaints on delay in claims assessment
Conduct closed file and open file audit review of junior assessors
Liaison with Consultant Doctor and other Insurers to determine validity and liability of the Company
Support other section within the dept. to ensure efficiency
Assist Superior in the monitoring of Daily TAT, Penders’ File and work performance towards the objectives and goals of the dept
Assist to provide training for junior staff and contract staff
Clearing of Suspense Account and UMA reporting

Fulltime

Claims Management Tracking Officer

Claims Management – Tracking Officer is responsible for tracking all Direct Clai...

Location

Egypt , Cairo

Salary:

Not provided

Allianz

Expiration Date

Until further notice

Requirements

Bachelor’s Degree
from 0 to 2 years management experience within Healthcare Industry (TPA, Insurance Companies, Hospitals, Medical Centers or Pharmacies)
physically fit to carry out duties
legally permitted to work in the country of operations
fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.

Job Responsibility

Checks claim submission for proper completion
ensures that standard format for submission is followed such as general statement of account and detailed statement of account
adheres to initial check of received physical claims count VS the listed in the statement
ensures feedback within set specified time for any corrections, missing information, and any standard format not being followed
batching the received claims as per our standards and hand over physical claims to Retrospective team
ensures proper documentation, feedback, and endorsement on claims
communicates directly with providers for missing information and reports cases where necessary
returns claims with incomplete administrative information to the provider
directs providers not created on TATSH to MPM team for creation.

What we offer

Personal and professional development with a large variety of courses and targeted development programs
global environment encouraging international mobility and career progression
Work Well programs focused on health and wellbeing
flexibility in planning for a better work-life balance
equal opportunity employer with a focus on inclusivity and diversity.

Fulltime

Technical Manager

Admiral Business sit within the Admiral Group, and are the experts in business i...

Location

United Kingdom , Cardiff

Salary:

Not provided

Admiral Group Plc

Expiration Date

Until further notice

Requirements

Proven expertise in one or more of the specialist areas outlined below
Handling bodily injury claims, including cases valued in excess of £1m
Managing liability claims, including EL/PL and road traffic incidents
Experience with litigation processes
Resolving complex indemnity queries
Supply chain management, particularly for complex and high-value claims
In-depth knowledge of insurance principles, risk management, and claims handling
Strong understanding of regulatory and legislative requirements
Exceptional analytical skills with the ability to interpret complex data and drive decisions
Experience in training and coaching, supporting team development and technical growth

Job Responsibility

Overseeing the claims handling of our highest value bodily injury claims
Providing support and direction to our supply chain
Developing & maintaining our relationship with EUI’s Claims Department, ensuring Admiral Business benefits from EUI’s market-leading capabilities
Claim reviewing & auditing support
Supporting our supplier relationship management & procurement activities, where specific expertise or advice is required
Travel, including supplier & broker visits will be required
Using MI & data to assess performance, identify opportunities for improvement and/or issues that require intervention
Seek ways to improve innovation in processes, reduce costs, manage and reduce risk and stimulate performance improvement
Designing solutions that develop great customer outcomes whilst contributing to efficient loss ratio results
Direct, hands-on claims & complaint handling, where required

What we offer

Everyone receives 33 days holiday (including bank holidays) when they join us, increasing the longer you stay with us, up to a maximum of 38 days (including bank holidays)
You also have the option to buy or sell up to an additional five days of annual leave
Eligible for up to £3,600 of free shares each year after one year of service
Financial & Mortgage Advice
24-Hour Ecare
Cycle to Work Scheme
Annual Holiday Allowance
Flexible Working
Simply Health
Private Health Cover

Fulltime

Marine Claims Team Leader

We are looking for a Marine Claims Team Leader to oversee a team of Marine claim...

Location

United States of America , New York; O'Fallon; Chicago

Salary:

104361.00 - 187548.00 USD / Year

Allianz

Expiration Date

Until further notice

Requirements

7 - 10 years’ experience in specialized understanding of LOB products and portfolio with technical specialist knowledge
Management of systems (e.g., WINS, CLAWS, Global Genius)
Specialized understanding of regional/local LoB insurance markets and competitor landscape
7 - 10 years’ experience in specialized understanding of insurance related financial mechanisms and KPIs
7 - 10 years’ experience in in-depth understanding of Claims Handling requirements as per internal and regulatory guidelines
7 - 10 years’ experience in understanding of reporting and evaluating Claims data for management purposes
Managing people: Ability to lead and manage a team of claim handlers
Recognized relationship building with brokers at peer group level and well established within local market
Strong understanding of legal and regulatory framework
Experience in applying artificial intelligence (AI) and machine learning (ML) to improve business process and decision-making is highly beneficial

Job Responsibility

Lead and manage Marine Claims Team that handles Marine claims
Act as a technical referral point for Claims handlers
Ensure claims handled within authority limits, and in line with AzC Claims Standards procedures and guidelines
Utilize third party service providers to achieve economical results and to provide a high-quality service to all internal and external customers
Develop and maintain strong relationships with brokers and clients
Managing a team of Claims Handlers including training and mentoring of staff, managing technical referrals, and supporting Data Quality and Reporting initiatives
Oversight of investigations and reserving claims
Investigation of claims, including coverage determination and evaluation of loss exposures
Determine appropriate reserving levels
Oversight of claims processing and administration

What we offer

Hybrid working model
Great compensation and benefits package
Annual performance-based cash incentive awards
Career development and digital learning programs
International career mobility
Health and wellbeing benefits including private healthcare and generous parental leave
Flexible working
Pension scheme

Fulltime

Insurance Claims Case Manager

Allied Universal®

Location:
United States , Columbia ▼
Greenville
Charleston

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
March 20, 2026

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