Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims. Investigate, evaluate, and resolve complex Construction Defect claims, applying your claims experience and analytical skills to...
Analyze claim coverage with insurance carriers to ensure claims are paid accurately. Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims, etc. Evaluate commercial Construction Defect claims, reporting forms and can...
The Executive Specialist will handle a regular diary of Cyber claims and must have experience handling first-party Cyber claims. The Executive Specialist will be expected to handle Incident Response and must analyze and resolve claims from coverage determination through resolution—including Incident...
Duties include:You will submit claims or Claims Specialist, Claims, Specialist, Insurance. As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim. ...
Investigate, evaluate, and resolve complex Misc Med Mal claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution. Interact extensively with various parties involved in the claims process, and may recommend retaining the advice of outside...
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols. Authorizes and ensures claim disbursemen...
As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim. You will submit claims or provide guidance on claim submission;. Review of client's overall ...
OVERVIEW OF YOUR DAILY TASKS: Receives claims notification of defective materials and/or installation Verifies all supporting documentation (samples, pictures) to claim is provided Sets up vendor/independent inspections of home Schedules movers in consultation with homeowner to vacate home while re-...
The Technical Claims Specialist position will be responsible for handling, negotiating and resolving first and third party commercial general liability, property, Inland Marine and automobile bodily injury and property damage claims to conclusion. This position may also handle worker’s compensation ...
Senior Technical Auto Claim Specialist. As a Senior Technical Auto Claim Specialist, you will:. Manage claim authorization and negotiate complex claims. Handle, negotiate, and resolve third-party commercial general liability and automobile bodily injury and property damage claims. ...
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, ...
As a Technical Claims Specialist, you will play a crucial role in managing and resolving a variety of commercial claims, including general liability, property, Inland Marine, automobile bodily injury, property damage, and potentially worker's compensation claims. A well-respected Insurance Carri...
They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Conduct thorough investigations and keep accurate and ...
As a key member of our Claims Adjuster team, you will • Investigate, evaluate, and resolve complex Construction Defect claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution. Location: This role is eligible for fully remote work How yo...
CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department. They will work closely with other members of the Commercial Services Operations team providing root ...
Work in partnership with our clients to deliver innovative solutions and enhance the claims management process Think critically, solve problems, plan, and prioritize activities to optimally serve clients REQUIRED QUALIFICATIONS: High school diploma 7 or more years related claims experience and prove...
Under the direction of the Manager of Revenue Cycle Management, the Complex Medical Claims Project Specialist (AR manager) is responsible for the consolidation of tasks between the AVP of RCM, the Manager of Revenue Optimization and the Manager of Revenue Cycle Management. Experience: 5+ years medic...
The successful candidate will manage a caseload of personal lines automobile claims in litigation, with a focus on Texas-based claims. With over 40 years of service to the insurance industry, we provide third-party claims administration, automobile material damage, and catastrophe response services ...
Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You will be responsible for improving our in-house certification functions by providing updates to the plan of care, in-house certificatio...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Ability to influence claims team members 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...
Work in partnership with our clients to deliver innovative solutions and enhance the claims management process Think critically, solve problems, plan, and prioritize activities to optimally serve clients REQUIRED QUALIFICATIONS: High school diploma 7 or more years related claims experience and prove...
Medical Claims Specialist (Optometry)-(STA013923). ...
This position is responsible for accurate reporting and filing of claim litigation to the respective Carrier, in addition to handling complex claims scenarios along with resolution of claims disputes. At the very least 5+ years claims adjusting experience including experience of managing Complex Ene...
Berkshire Hathaway Specialty Insurance has an exciting opportunity for a Claims Recovery Specialist in our Atlanta, Boston, Chicago, Dallas, Houston or New York Offices. Conduct Claim Quality Reviews on Property & Marine Claims. Minimum of 7 years of Commercial Property, and/or Marine claim handling...
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. ...