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 Recovery Resolution Specialist. Key Responsibilities:Prepare collection letters and send them to providers within established guidelinesFollow up on outstanding claims by contacting providers and resolving issuesInvestigate claim disputes, escalate issues, and provide accu...
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...
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...
The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads. The Senior Claims Specialist works within a Shared Economy Team, using the latest technology to review, analyze and process claims ...
A company is looking for a Revenue Cycle Claims Denial Specialist-Temp. ...
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...
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...
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...
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...
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...
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...
The Claims department within IAT has an immediate opening for a Homeowner’s Claims Specialist that can be located in one of the following locations:. Handles claims, moderate to severe in scope, relative to homeowner’s property based on Claim Guidelines. HS degree/GED with 5+ years of relevant claim...
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...
The Westchester Casualty Senior Claim Specialist is responsible for investigating and settling high exposure, high risk claims while ensuring a high level of customer service and claim file quality. Provides outstanding customer service and works well with the insured, broker and TPA in the adjustme...
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, ...
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...
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...
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...
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...
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...
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...
Operations - Insurance Operations.When you join Prudential, you’ll unlock a motivating and impactful career – all while .Departments, or Executive Offices.The current employee work arrangement for .While this position does not require your on-site presence on a regular basis, depending on business p...