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...
Key Responsibilities:Collaborates with Claims and Actuarial leadership teams to analyze claims trends and patternsDrives the creation of a robust data foundation for Workers' Compensation and Managed CarePrepares deliverables for senior leaders and supports ad-hoc requests from the Claims leadership...
We are seeking a talented and dynamic claims professional to join our Design Professional & Environmental (DP&E) claims team as a Senior Claims Specialist. This DP&E Claims position will work under limited direction, acts as highest level individual contributor directly reviewing claims to determine...
A company is looking for an Insurance Claims Specialist PB. Key Responsibilities:Submit accurate and timely claims to third party payersResolve claim edits and account errors prior to claim submissionContact third party payers to resolve unpaid claimsRequired Qualifications:High School diploma or eq...
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...
A company is looking for a Bilingual Spanish FMLA Claims Specialist. ...
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...
AXIS is seeking a Senior Claim Specialist - Construction Claims to join our North America Claims team and will report to the Head of Property Claims. As a direct report to the Head of Property Claims,the candidate should possess the ability to handle Large Complex Builder’s Risk claims in the short ...
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...
As a direct report to the Head of TPA & Programs Claims,the candidate should possess the ability to handle Surety in the short term and, over time, develop a sophisticated team of claims professionals handling and managing Surety Claims. Developing and maintaining relationships with internal and ext...
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...
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...
AXIS is seeking a Senior Renewable Energy Claims Specialist to join our North America Claims team. Reporting to the manager of Property Claims, handles claims to determine nature of loss, coverage provided, and scope of claim and to make recommendation regarding settlement/disposition of claims. Thi...
Accountable for security of financial processing of claims, as well as security information contained in claims files. Must have experience handling bodily injury claims and the role is to handle complex bodily injury claims. Manages, investigates, and resolves claims. Investigates and evaluates cov...
Automotive Claims Specialist II. A high school diploma/GED and 3 years of experience in a related field of claims management, claims investigation, and/or problem and conflict resolution (or an equivalent combination of education and experience). You'll dive into the heart of the matter as you resea...
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...
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...
AXIS is seeking a Senior Renewable Energy Claims Specialist to join our North America Claims team. Reporting to the manager of Property Claims, handles claims to determine nature of loss, coverage provided, and scope of claim and to make recommendation regarding settlement/disposition of claims. Thi...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Ability to influence claims stakeholders and to effectively direct claims strategy. This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims...
Liberty Mutual has an immediate opening for an Excess and Coverage Senior Technical Claims Specialist as part of our Excess, Coverage and Specialized Claims Unit. The Senior Technical Claims Specialist determines coverage, investigates highly complex commercial casualty claims, determines liability,...
This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims. Experience handling moderate to high exposure general liability BI and PD claims and/or a legal background as a practicing attorney with litigation or coverage experience is requ...
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 Surplus lin...
Automotive Claims Specialist II. A high school diploma/GED and 3 years of experience in a related field of claims management, claims investigation, and/or problem and conflict resolution (or an equivalent combination of education and experience). You'll dive into the heart of the matter as you resea...
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims professional to join our team. Claims may be either first or third. Meet with people involved with commercial auto claims, sometimes outside of the office. Handle claims activities and investigations by phone, mail, ...
Senior Claims Specialist-Westchester,mercial Property (Hybrid). 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 ...