ZipRecruiter

Log In

2

Contractual Remote Claims Manager Jobs in Indiana

CSAA

Manage homeowners property claims from first notice of loss through resolution, handling low- to high-complexity losses. * Investigate coverage by analyzing policy language, endorsements, and ...

CSAA

Job Title Senior Commercial Claims Analytics Consultant - Remote Requisition Number R7770 Senior ... Works in highly consultative role and presents issues to senior management. Typically assigned to ...

FCCI Services Inc.

E&S Claim Adjuster

Carmel, IN · On-site +1

$91K - $140K/yr

Attend mediations and manage claims effectively to closure, coordinating with independent adjusters ... Richmond, VA and Richardson, TX) or can be remote within FCCI territory. In exchange for your ...

next page

Showing results 1-20

All JobsContractual Claims JobsContractual Remote Claims Manager JobsContractual Remote Claims Manager Jobs in Indiana

Contractual Remote Claims Manager information

What is the difference between Contractual Remote Claims Manager vs Remote Claims Adjuster?

AspectContractual Remote Claims ManagerRemote Claims Adjuster
CredentialsCertifications like CPCU, AIC, or state licensing often preferredAdjuster licenses (e.g., Property & Casualty license), certifications like AIC
Work EnvironmentOversees claims processes remotely, manages teams, and coordinates with clientsEvaluates and settles claims remotely, often working independently
Employer & Industry UsageInsurance companies, third-party administrators, and claims management firmsInsurance carriers, third-party administrators, and independent adjusting firms

The main difference is that a Contractual Remote Claims Manager typically oversees claims operations and manages teams remotely, requiring managerial skills and certifications. In contrast, a Remote Claims Adjuster focuses on evaluating and settling individual claims, often with licensing and technical expertise. Both roles are remote and industry-specific but differ in responsibilities and scope.

What are popular job titles related to Contractual Remote Claims Manager jobs in Indiana?

For Contractual Remote Claims Manager jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Contractual Remote Claims Manager jobs in Indiana look for?

The top searched job categories for Contractual Remote Claims Manager jobs in Indiana are:

What cities in Indiana are hiring for Contractual Remote Claims Manager jobs?

Cities in Indiana with the most Contractual Remote Claims Manager job openings:

Contractual Remote Claims Manager jobs near you

Life & DI Claims Examiner II

Renaissance Life and Health Insurance Company of America

Indianapolis, IN • Remote

$27 - $29/hr

Full-time

Posted 12 days ago

Job description

Job Title:

Life & DI Claims Examiner II

Number of Positions:

1

Location:

Indianapolis, IN

Location Specifics:

Fully Remote

Job Summary:

Renaissance Benefits is seeking an experienced Life and Disability Claims Examiner to join our growing team!

At Renaissance, the Life & DI Claims Examiner II is responsible for evaluating and processing group insurance claims for payment or denial according to the terms and conditions of each policy. In addition, the Life & DI Claims Examiner II is responsible for handling more complex processing issues such as long-term disability claims, provide backup and processing support for team members and assist with department projects as needed.

What will this role entail?

  • Review submitted claims to ensure proper guidelines have been followed and eligibility requirements have been met. Contact group policyholders, beneficiaries or other third parties for missing information.

  • Consult with other professionals, such as management, senior team members, and other available resources, on complex claims.

  • Communicates with the claimants and employers to set expectations regarding return to work or claim status and next steps. Communicates clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system.

  • Determines benefits due, makes timely claims determinations, payments/approvals and adjustments

  • Investigate claims. Search database to obtain background information and interview claimants and witnesses. Consult police, hospital records and policy files to verify information reported in a claim.

  • Calculate and authorize the appropriate payment for claim or refer to manager for additional review.

  • Focus predominantly on long-term disability claims processing.

  • Assist in handling claims with suspected fraudulent or criminal activity. Access personal information and past claims histories to establish whether a claimant has ever attempted insurance fraud.

  • Answer verbal and written inquires and customer service queued calls on Group claims from insureds, group policy holders, agents, physicians, hospital attorneys, Workers' Compensation Board, Workers' Compensation carriers, State agencies, other insurance carriers, TPA's, Reinsurers and internal staff.

  • Respond to requests for information or return calls within established service guidelines.

  • Adheres to determined quality standards for the handling of calls and written inquiries.

  • Other duties and responsibilities as needed or assigned.

Minimum Requirements:

  • Associate's degree in business required, bachelor's degree preferred

  • 2-4 years of related industry experience preferred

  • Disability and/or life insurance claims administration experience strongly preferred

  • Knowledge of ERISA regulations, statutory disability claims administration, required offsets and deductions, disability duration and medical management practices and Social Security application procedures strongly preferred

  • Basic proficiency in Microsoft Word/Office Suite required

  • Intermediate proficiency in Microsoft Excel required

  • Experience with claims management systems and electronic/paperless claims processing strongly preferred.

  • Ability to perform work accurately and thoroughly

  • Ability to pay close attention to detail

  • Ability to prioritize and organize a heavy workload

Pay Range: $27.00-29.00/hour

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

Apply