Description The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload from the investigation of the claim through resolution. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve re...
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. The primary purpose of this job is to handle claims from coverage enquiry through legal liabilit...
You have a clear vision of where your career can go.And we have the leadership to help you get there.At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.The Product Man...
Description The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload from the investigation of the claim through resolution. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve re...
Individual contributor responsible for direct handling and management of a variety of nation-wide high exposure and complex claims involving loss types such as sexual abuse, talc, PFAS/AFFF, product exposures involving multiple claimants, pollution, and other general liability claims that span multi...
Essential Functions and Responsibilities: * Provide independent initial (Level I) approval for all valid claims in a timely fashion * Research the status of pending claims and provide updated information to claimants * Return claims to claimants that require additional information * Follow establish...
Individual contributor responsible for the direct handling and management of complex and high exposure claims in our Major Litigation Unit. Has national or company-wide scope of responsibility within the commercial claims department. Manages an inventory of highly complex commercial claims with larg...
Investigative and evaluate property claims, including complex and catastrophic claims, as part of claim audits. Review, analyze and provide opinions as to claim handling practices of claims handled by Third Parties. Review regulatory compliance and proper handling of moderate to complex claims. ...
Develop and implement new claims strategies that improve the efficiency and effectiveness of the claims process. Reporting directly to the Vice President of Claims, the Director will oversee our MA and NH casualty and medical claim operations. The Director will have oversight of four casualty and tw...
Claims Auditor performs accurate and timely reviews of medical claims for internal audits. Claims Auditor reviews detailed medical claims data, medical records, reference materials, provider contracts, medical policies, and payment policies. Claims Auditor utilizes CPT and ICD-10 coding to review ph...
Document information related to the claim and make decisions consistent with claims standards and local laws. Evaluate and handle claim payments and resolution of claims without payments. ...
We are excited to bring on a Claims/ Complex Corrections Processor representative to the. As a Claims & Complex Corrections team member, you will be responsible for efficiently and accurately processing corrections needed at either the plan or the participant level. ...
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...
Join us as a Complex Claims Director, Lexington to grow your experience in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience....
Berkshire Hathaway Specialty Insurance has an exciting opportunity for a Senior Claims Examiner who has a passion for providing top notch customer service and claims excellence. The Senior Claims Examiner will handle a diverse mix of work consisting of claims against insurance agents, including prop...
Active oversight of claims currently managed by a Third Party Administrator as well as direct handling of an active inventory of primary and excess claims related to policies written out of the Energy Profit Center in various jurisdictions. Position: Manager, Energy Claims. The Claims Manager, Energ...
Claims Representative - Auto Liability. To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Perf...
Advanced technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures. Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. Manages all types of investigative...
Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for an experienced Project Manager to facilitate all aspects of several major IT programs.The Project Manager is responsible for planning, facilitating, and supporting the execution of our business systems initiatives.The role...
Insurance Company Client is looking for an experience Excess Claims professional. This position will need at least 8 years experience Excess/Umbrella claims as well as litigation management. ...
Hancock leads the way in claims resolution services by complete nationwide coverage, fast, full-services claims inspections, and superior quality and accuracy. Our proven process is your assistance of high-quality claims support from rapid catastrophe response to direct inspections. Successful Techn...
Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. To analyze mid- and higher-level general liability claims to determine ben...
Does your claims management job feel stale? A process driven organization can lose sight of the true purpose of managing claims -- good outcomes on each claim. Most of our strongest competitors over the years, all of them process driven in their claims handling, are no longer in business. Our servic...
Performs claims oversight of a third-party claim administrator (TPA). Reviews open claims to ensure carrier/excess carrier reporting, determines compensability, scheduling of IME’s, medical case management, surveillance, subrogation and litigation tasks are completed timely. Utilize risk information...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...