Manage bodily injury claims, auto material damage claims and total loss claims process. This position routinely handles claims involving coverage issues, significant injuries, contractual liability issues, and other claims that require specialized handling. Review new losses and appropriately manage...
The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this ca...
A company is looking for a Clinical Claims Appeals Specialist. ...
Manage a high volume of healthcare claims thoroughly to maximize savings opportunities on each claim within the established department production standards and individual goals by contacting provider on all assigned claims and presenting a proposal while maintaining high quality standards. Update pr...
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 Claims Resolution Specialist I. Key Responsibilities:Review all medical insurance claims for resolution and paymentResolve inquiries or payment denials from insurance providersContact insurance carriers to collect on open account balancesRequired Qualifications:Excellent k...
The Customer Support Specialist (Claims) will provide excellent customer service to our customers and dealers by resolving high priority claims including damages, defects, warehouse errors, carrier issues that arise after the freight has left our distribution centers. Properly maintains personal cas...
Experienced claims professional responsible for overseeing the adjustment and resolution of recreational and commercial inland and ocean marine claims. This position manages pending inventory and daily workflow of incoming claims while ensuring high customer service levels and compliance with best p...
AXIS is seeking a Senior Claims Specialist - Excess Claims to join our North America Claims team and will report to the Claims Manager. Under limited direction, the candidate should act as highest level individual contributor directly reviewing excess casualty claims to determine nature of loss, cov...
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...
Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims, etc. Evaluate claims, reporting forms and cancellations and initiate necessary corrections to ensure accuracy of dates, coverage, signature, commission, premium,...
Claims Document Specialists handle the administrative tasks associated with claims. Job Title: Claims Document Specialist. Claims Document Specialist Skills Required. Maintain business documents used to substantiate claims, contracts, and payments of goods and services to ensure company compliance w...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. This position will be responsible for the investigation and resolution of lower to medium complexity and lower to medium exposure claims. These claims will consist of non-litigated and litigated matters. ...
Conducts a 1 to 3-point contact on the managed claims, which is dependent on either the facts of the case or the claim type; determines compensability of claims, manages the medical treatment program, and assists in the return-to-work process. Participates actively in quarterly claims reviews with a...
The Property Claims Field Adjuster ll will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Company and...
The role will support the Property Claims Department and its SVP, Property and Inland Marine Claims in the handling of litigation against the company arising from first-party property claims. IAT Insurance Group has an immediate opening for a Property Litigation Senior Claims Specialist that can rep...
Under moderate direction, the Auto Litigation Claims Specialist II handles single and multi-party personal or commercial line claims of low to moderate exposure and complexity within specific limits of authority. Zurich is currently seeking an Auto Litigation Claims Specialist II. Our ZNA Claims hyb...
The Claims Representative guides, counsels, and directs clients through the claims process with insurance carriers. The Claims Representative reviews and audits completed claims to determine they have been settled in accordance with company practices and procedures. Ability to determine relevant fac...
Conducts a 1 to 3-point contact on the managed claims, which is dependent on either the facts of the case or the claim type; determines compensability of claims, manages the medical treatment program, and assists in the return-to-work process. Participates actively in quarterly claims reviews with a...
The Chubb Claims Specialist position operates on a hybrid work schedule (3 days in office, 2 days remote), and based out of our Alpharetta, Georgia office. Provide accurate and timely expense and loss assessments on Lost Time claims. Ensure the establishment, documentation, and execution of appropri...
Manage bodily injury claims, auto material damage claims and total loss claims process. This position routinely handles claims involving coverage issues, significant injuries, contractual liability issues, and other claims that require specialized handling. Review new losses and appropriately manage...
Settle claims within authority granted by the Claims Director, Claims Supervisor and/or insurance carrier, as appropriate. Professional Protector Plan is seeking a Claims Specialist to join our team. Reports to the Claims Director or Senior Claims Counsel. Process assigned primary and excess Profess...
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. ...
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