A company is looking for a Senior Medicare Claims Specialist - RemoteKey Responsibilities:Leverage strong understanding of claims processing to provide research support for products; assist in resolution of business and technical problemsIdentify and document system defects related to products suppo...
Medical Claims Intake Specialist. Evaluate and research cases, coordinate documentation, research claims for next steps using various systems. Perform adjustments on medical claims. Perform written outreach to customers to obtain necessary details on medical claims. ...
A company is looking for a Third Party Liability (TPL) Claims Specialist. ...
Our client is seeking to add a Senior Workers' Compensation Claims Examiner to their New Mexico operations. This role will consist of handling moderate to complex Workers’ Compensation Lost Time claims throughout the state of New Mexico from inception to close. Handle mid to complex Workers' Compens...
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...
Senior Claims Specialist position. A minimum of 10 years of Georgia workers' compensation claims adjusting experience with higher exposure claims is required. Our service in claims and loss control is second to none. Your role would be to investigate and adjust workers' compensation claims with high...
Candidate must have proven technical knowledge in the investigation and analysis of Commercial Property Claims, with a minimum of 3+ years of experience in the handling of Commercial Property Claims. This "individual contributor" position will service claims in the Westchester Excess and S...
The Complex Claims Specialist is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our ...
Client is currently looking for a Refund Specialist for our Credits Team in our Revenue Operations Department. Autonomously research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer); actions included bu...
The Complex Claims Specialist is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our ...
Client is currently looking for a Refund Specialist for our Credits Team in our Revenue Operations Department. Autonomously research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer); actions included bu...
The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. Position: Senior Complex Claims Specialist - Miscellaneous Professional Liability (Accountants and Tax Preparers, Property Managers, Real Es...
Claims Specialist, General Liability112572Zurich is seeking an individual interested in growing their claims career with our General Liability (GL) team. Location: Maitland, FL; Rancho Cordova, CA; Dallas, TX; Atlanta, GA; Omaha, NE; Overland Park, KS; New York, NY; or Schaumburg, ILAs a General Lia...
Senior Claims Examiner - Claims Specialist - Construction Defect. Claims examiner will handle claims in accordance with established James River Claims Best Practices. The Senior Claims Examiner will manage a caseload of insurance claims pending under a moderate to low level of supervision. Job funct...
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. ...
RSUI is seeking an experienced Chief Claim Specialist to join our Management Liability/EPL claims team in Atlanta, Georgia! The Chief Claim Specialist provides a high level of specialized claim handling expertise for Management Liability/EPL claims. Initial and ongoing investigation of employment pr...
The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. The Senior Complex Claims Specialist is the most senior technical role in the organization. This person adjudicates assigned claims within g...
IAT Insurance Group has an immediate opening for a Homeowners Property Senior Claims Specialist that can report to one of the following locations:. This role will be tasked with handling complex exposure claims for homeowners. Handles highly complex exposure claims relative to homeowner’s property b...
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...
Prudential’s Group Insurance, Claim Operation is seeking an experienced and highly motivated individual to join our team as a Senior Complaints Resolution Specialist. This position is a multifaceted role requiring disability claims expertise and close collaboration with departmental management, comp...
In this role, the claims professional investigates, evaluates, negotiates, and resolves litigated and non-litigated property damage, personal and advertising injury, and claims of high exposure and complexity with significant experience/Focus on specialized claims in the area of construction defect ...
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...
Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collectio...
Senior Claims Specialist position. A minimum of 10 years of Georgia workers' compensation claims adjusting experience with higher exposure claims is required. Our service in claims and loss control is second to none. Your role would be to investigate and adjust workers' compensation claims with high...
This position will be responsible for the resolution of claims of average complexity and low to mid exposure claims. Confirms coverage of claims by reviewing policies and documents submitted in support of claims. The primary purpose of this job is to investigate, evaluate, negotiate and settle assig...