Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim. Responsible for the timely evaluation, reserving and disposition of assigned claims. Investigates potentially fraudulent claims and takes appropriate action. Makes recom...
A company is looking for a Senior Claims Specialist - Liability and First Party (1099 Contractor) position. ...
Compliance & Quality Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the implementation of Management Action Plans for all claims groups in Axis Claims. Participate in and support the Axis-wide data analytics strategy and ...
A company is looking for a Claims Specialist I, ERBI. ...
Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. The Senior Claims Specialist may also assist the Claims Team Mana...
Key Responsibilities:Investigate, evaluate, and determine life claims based on contract language and policy provisionsComplete accurate financial calculations and review complex medical recordsConduct claimant interviews, identify benefit discrepancies, and escalate issues as neededRequired Qualific...
Develop a working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which the claims arise. Exercises critical thinking, proper judgment and decision making in a best practices claim environment to promptly analyze the claim exposure, determine the prop...
This position in Healthcare Claims will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. Confirms coverage of claims by reviewing policies and documents submitted i...
North America Claims team reporting to the Manager of Casualty Claims. This position requires senior claims management and handling expertise for both the oversight and management of TPA handled claims. Compliance & Quality Assurance - Comply with best practices measured by monthly Quality Assur...
Manage bodily injury claims, auto material damage claims and total loss claims process. We'll trust you to handle claims involving coverage issues, significant injuries, contractual liability issues, and other claims that require specialized handling. Review new losses and appropriately manage claim...
Claim Specialist -m Prop E&S Claims. Candidate must have proven technical knowledge in the investigation and analysis ofmercial Property Claims, with a minimum of 3+ years of experience in the handling ofmercial Property Claims. This "individual contributor" position will service claims in the Westc...
North America Claims team reporting to the Manager of Casualty Claims. This position requires senior claims management and handling expertise for both the oversight and management of TPA handled claims. Compliance & Quality Assurance – Comply with best practices measured by monthly Quality Assurance...
Manage bodily injury claims, auto material damage claims and total loss claims process. We'll trust you to handle claims involving coverage issues, significant injuries, contractual liability issues, and other claims that require specialized handling. Review new losses and appropriately manage claim...
Manage bodily injury claims, auto material damage claims and total loss claims process. We'll trust you to handle claims involving coverage issues, significant injuries, contractual liability issues, and other claims that require specialized handling. Review new losses and appropriately manage claim...
Handle a pending claim count of complex and non-complex claims involving underlying litigations/investigations/claims predominantly pending in the US. Actively participate in negotiation and settlement of both underlying claims and claims for coverage . Experience arbitrating, mediating, and/or nego...
The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. The Senior Claims Specialist may also assist the Claims Team Manager with ass...
As a Commercial/Specialty Casualty Adjuster, you will be responsible to resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, ...
The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. Assesses policy coverage for submitted claims and notifies the insured of any issues; determine...
Under limited supervision, acts as highest level individual contributor directly reviewing primary and excess Financial Institutions and Management Liability claims to determine nature of loss, coverage provided, and scope of claim and to make recommendations regarding settlement/disposition of clai...
Claim Specialist – Auto Litigation. This position routinely handles litigated auto claims frequently reserved in excess of $200,000. Appropriately manage litigated moderately complex auto exposure claims through coverage analysis, investigation, damage evaluation, reserving, and resolution. ...
North America Claims team reporting to the Manager of Casualty Claims. This position requires senior claims management and handling expertise for both the oversight and management of TPA handled claims. Compliance & Quality Assurance – Comply with best practices measured by monthly Quality Assur...
Develop a working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which the claims arise. Exercises critical thinking, proper judgment and decision making in a best practices claim environment to promptly analyze the claim exposure, determine the prop...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Presents at roundtables to senior claims leaders and underwriters on cases going to trial and provides advice/insight on others claims going to trial. Ability to influence claims stakeholders and to effec...
Claim Specialist – Auto Litigation. This position routinely handles litigated auto claims frequently reserved in excess of $200,000. Appropriately manage litigated moderately complex auto exposure claims through coverage analysis, investigation, damage evaluation, reserving, and resolution. ...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. ...