If you are an experienced claims professional with Commercial Excess Claims experience, this is the role for you!. 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. If you have experience...
Handle a caseload commensurate with the complexity level of claims assigned. All file handling must be within state statutes, Client Claims Handling Guidelines and NARS Best Practices. Assist with training/mentoring of Claims Adjusters. Verify facts of loss and pertinent claims facts such as employm...
Review all medical insurance claims for resolution and payment. The Claims Resolution Specialist must have excellent knowledge of insurance carrier billing and reimbursement with knowledge of medical terminology, ICD-9, and CPT codes. ...
With minimal supervision, the Claims Officer, Cyber Claims independently handles a book of specialty lines claims throughout the entire claim's life cycle. Utilizes Global Claims Center to document claims and to diary future events or follow-up. Responsible for conducting investigations, setting ade...
The client is looking for someone who can analyze complex or technically difficult CA(California) workers'' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, ...
As a Claims Specialist, you will be responsible for handling a caseload of complex, high exposure, auto and general liability claims throughout the claim’s life cycle. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required. ...
This is one of the more complex desks on their team working for a prestigious client so the client needs someone who is reliable and has good references with a Self Insurance Plans Certificate to analyze complex or technically difficult workers'' compensation claims to determine benefits due; to wor...
Claims Departments ability to process claims accurately and forwarding those issues to the correct internal department, attaching all necessary documentation, to ensure the system is updated, as appropriate and follow-up with these departments. The Quality Control Analyst is responsible for claims a...
The Unemployment Claims Appeals Specialist will work within the Risk & Insurance team to assist with resolving vendor inquiries, and remitting information to state agencies. As a Unemployment Claims Appeals Specialist, how results are achieved is paramount for your success and ultimately result in o...
Utilize real-world evidence and claims data to support evidence-based decision-making in product development and market strategies. Strong proficiency in pharmaceutical claims data analysis and interpretation. ...
Accountable for security of financial processing of claims, as well as security information contained in claims files. This position includes responsibility for handling claims involving severe and catastrophic injuries. Required to have 5+ years of casualty commercial lines litigated claims and com...
Knowledge of claims and/or encounter processing and data analysis experience preferred. ...
In this role, you will be responsible for the development, implementation, and ongoing management of claim strategy, processes, and supporting tools within the Disability (STD/LTD) area of claims. Represent claims in contributing to development of marketing and other client facing content. ...
Sr Representative Claims - CH08BE. Handle higher complexity Workers’ Compensation claims requiring timely investigations, financial accuracy, effective benefit oversight, appropriate file disposition, and adherence to statutory guidelines. Plan, recommend, and execute the investigation and dispositi...
Workers Compensation Claims Manager | VA Jurisdiction | Remote. Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements. Must have experience handling claims in the VA jurisdiction. Eight (8) yea...
Investigate all aspects of assigned claims from cradle to grave including coverage determination, resolving informally postured claims directly, working with defense counsel where defense obligation exists, issuing reservation of rights letters where coverage does exist, issuing coverage declination...
Supervisor - Claims Specialist Team. The Claims Supervisor is responsible for the coordination and control of the Claim Specialist Team, ensuring that effective operations run smoothly and staff-assigned work queues are maintained within the budgeted benchmarks. Effectively resolves problems and dis...
Our real estate litigation and title claims litigation group has extensive experience representing the title insurance industry and insured purchasers and lenders in all aspects of title insurance coverage and related title claims litigation. Seeking Lateral Partner in Real Estate & Title Claims Lit...
This is a contingent hire mid-level professional position that will perform medical record and claims review for Medicare, Medicaid, and/or other claims data in order to ensure that proper guidelines have been followed. As a member of an investigative team, may act as a facilitator as well as a case...
Focusing on the accurate and timely processing of content claims, via the use of edjuster’s claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system – exclaim. Work with Central Claims Processing to organize/direct the resources (claims...
As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Commercial Property Desk Claims Adjuster. Alacrity Solutions is a full end-to-end provider delivering streamlined insurance ...
Litigation Team, you will be responsible for managing outside counsel on litigated claims files, conducting legal research, assisting non-litigated claims teams with jurisdictional and claims related matters as well as assist with organizational improvement activities. How does a Claims Attorney mak...
As an Auto Claims Manager, you willsupervise handling of general liability and commercial liability claims, supervise a team of adjusters, review claim files for proper handling, and maintain proper staffing needs. Results oriented professional with strong investigative skills with the ability to de...
The Claim Analyst is a key member of the claims team reporting to the Casualty Manager of the associated zone. This person will handle first and third-party claims in a quality manner and meet our high standards of accuracy, efficiency, quality customer service, and regulatory compliance. Resolve cl...
To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Remote) Claims Examiner - Workers Compensation | ...