AXIS is seeking a Claims Specialist to join our North America Accident & Health Claims team reporting to the Head of Accident and Health Claims. May be part of a Claims Audit Team or travel to assess claims. This position provides claims handling. Accident and Health division, both claims. ...
Work as a point person to internally assist claims professionals with their underwriting questions while also assisting underwriters with their claims questions. Claims Business Advocate will be a primary relationship manager, researching and resolving problem claim issues and/or workflows on behalf...
Large Complex Builder's Risk claims (retail). Large Complex Builder's Risk claims. Direct management of claims including the investigation, analysis and evaluation of coverage liability and damages, within best practices. Collaborating across disciplines and business units, including: the general co...
This individual is responsible for the handling of Auto Property Claims in accordance with NJ Unfair Practices Act. Identify and investigate Contested Coverage Claims with recommendation prepared for coverage committee. Negotiate and settle claims within his/her individual authority. Submit claims f...
Epic Resolute Hospital Billing Administration and/or Resolute Professional Billing Administration as well as Epic Resolute Hospital Billing Claims / Electronic Remittances and/or Resolute Professional Billing Claims / Electronic Remittances. ...
Assigned to Worker's Compensation claims, the Adjuster I is responsible for prompt and independent review of insurance claims through effective research, evaluation, investigation, negotiation and interaction with insureds and claimants. The Adjuster I is often assigned to mid-size or mid complexity...
Responsible for the oversight of complex and litigated claims. This includes direction and oversight of investigation, evaluation, reserving and overall handling of complex and litigated claims. Direct, guides and develops staff handling complex and litigated claims, including providing ongoing perf...
Job DescriptionInsight Global is looking for a Medical Claims Biller for one of our healthcare clients in Somerset, NJ. They will be submitting and following up on claims to ensure that they are fully reimbursed for the specific healthcare service provided. They must have experience following medica...
Experience working in the claims processing arena a plus. ...
FACETS Claims Adjudication System Training, Learn FACETS Claims Adjudication System with Online Practices, in-class Seminars, and Certifications from the list of world-class FACETS Claims Adjudication System trainers. FACETS Claims Adjudication System training **FACETS Claims Adjudication System T...
Claims - Regular meetings with claims leaders for liaison over service, customer satisfaction and the auditing of TPAs (QA Team). Claims QA - Liaise with Global Claims QA Lead to agree annual audit regime for TPAs. Claims QA – Liaise with the Global Claims QA Lead to ensure alignment of TPA audit pl...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Auto Liability Bodily Injury Claims Examiner. To analyze and process complex auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims...
The Claims Specialist in the Property team is a critical role in our growing Claims Department, and will be responsible to direct all aspects of file handling on both in-house and third-party administered property claims, with growth opportunity in depth of technical handling and multi-faceted profe...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
As a direct report to the Head of TPA & Program Claims, the successful candidate should be a problem-solver, and self-starter with the ability to support the development and execution of a TPA & Program claims service model for Axis North America TPA & Programs Claims. TPA managed claims in P&C comm...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
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 working within a structured environment with established Standard Operating Procedures to ensure consistency o...
Withum is seeking an experienced health claims auditor possessing in-depth knowledge of group health and disability claims procedures, medical/dental terminology, including CPT, ADA, HCPC and ICDA codes, and a thorough understanding of automated health claims systems as well as manual claims payment...
AXIS is seeking a Senior Claims Specialist to join our North America Accident & Health Claims team reporting to the Head of Accident and Health Claims. This position provides senior claims handling expertise for all product lines of the Accident and Health division, both claims adjudicated in-house ...
Manages an inventory of low to mid complexity and exposure Private D&O and EPL claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working rel...
Epic Resolute Hospital Billing Administration and/or Resolute Professional Billing Administration as well as Epic Resolute Hospital Billing Claims / Electronic Remittances and/or Resolute Professional Billing Claims / Electronic Remittances. ...
Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working relati...
Support claims leaders in their handling and oversight of approximately 7,000 new claims per year from 44 states, covering various lines of business including APD, AL, GL, Property, WC, LEL, POL, EPL, Med Mal, and Cyber claims. Youll leverage your deep expertise in claims operations, internal contro...
Under minimal supervision, the Property Claims Adjuster III is responsible for planning and executing the investigation and processing of assigned first-party commercial property claims that are of medium complexity and severity from beginning to end. AmTrust North America is looking for a Property ...