Initiate investigation of new claims and evaluate coverage to make appropriate policy decisions.
Evaluate and negotiate settlements of property, collision, and transportation losses while managing outside adjusters.
Ensure compliance with state laws, maintain licenses, and handle small claim suits as needed.
ClaimsPro LP, part of SCM Insurance Services, is a Third Party Administrator handling claims across the US and Puerto Rico. SCM is Canada's largest privately owned insurance services provider, known for a culture of continuous learning and recently winning a Culture Innovator Award.
Analyze and investigate practitioner information using health information systems to distribute credentialing and enrollment packets.
Prepare and distribute data for state, federal, and commercial carriers, ensuring compliance with legal and regulatory requirements.
Collaborate with internal departments and partners to achieve accurate credentialing, timely enrollment, and compliant billing status.
OHSU is Oregon's only public academic health center, combining patient care with groundbreaking research and training the next generation of healthcare professionals. As Portland's largest employer, OHSU offers opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington, fostering an inclusive, anti-racist multicultural institution.
Investigate, evaluate, and adjust commercial auto and property claims from assignment through resolution while ensuring compliance with standards and regulations.
Conduct thorough liability investigations, establish reserves, and negotiate settlements within authority limits in alignment with client expectations.
Maintain accurate claim documentation, communicate effectively with clients and claimants, and identify subrogation opportunities where applicable.
CCMSI is the largest privately-owned Third Party Administrator (TPA) that partners with global clients to solve complex risk management challenges through advanced technology and collaborative problem-solving. As a certified Great Place to Work®, the company is employee-owned and empowers its staff to grow, collaborate, and make meaningful contributions every day.