Medical Claims Specialist - Hamilton, NJ. Resolves pending claims based on Medicaid rules and regulations established for final processing. Price claims manually as required by Medicaid rules and system limitations as defined by policy and departmental procedures. Good working knowledge of medical c...
Claims, you'll oversee all aspects of the claims process related to accident and health. Ensuring accurate and consistent claims management and reporting across all A&H Re underwriting segments and lines of business. Claims, to deliver best in class. Lead and foster a change, transformation mindset ...
Litigation Specialist - Complex APH Insurance Claims - West Orange, NJ. Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard _. ...
Under limited supervision, acts as highest level individual contributor directly reviewing primary and excess Financial Institutions and Management Liability claims to determine nature of loss, coverage provided, and scope of claim and to make recommendations regarding settlement/disposition of clai...
Assists the Senior Director, Contracts and Claims with the negotiation of complex contracts required to implement capital projects. ...
Zurich is currently looking for a Legal Claims Professional for our Management Solutions group to work out of any of our Claims offices throughout the US. The Claims Professional will handle Private/Non-Profit D&O, EPL, and Fiduciary claims of moderate to high complexity under limited supervision. T...
Create and implement claims best practices Review reservation of rights, denials, large losses, and payment of claims Monitor cash flow for escrow accounts. Prior claims experience involving TPAs and delegated claims authority preferred. Claims Manager - TPA Oversight. As Claims Manager you will wor...
Reporting to the Managing Director of Professional Liability and Cyber Claims, this position will also handle special projects that span the Professional Liability and Cyber Claims department. Ensure that the team adheres to Fair Claims Practices regulations and internal Claims Quality Performance O...
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...
This position is a multifaceted role requiring disability claims expertise and close collaboration with departmental management, compliance and legal counsel in investigating and responding to formal inquiries from, but not limited to, Social Media sites, State Insurance Departments, or Executive Of...
The Claims Specialist III will handle and analyze general liability claims under general supervision and moderate exposure claims involving litigation. Analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine the exposure on the...
Develop and implement, in coordination with Claims Quality Assurance, an enhanced Claims Quality Control Program for Personal Insurance claims processes. This role is the head of North America auto, property, and casualty claims for Personal Risk Services (PRS) and reports to the Head of NA Claims a...
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...
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?. INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!. Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry ...
Manage large claims, catastrophic loss situations, mold, unusual occurrences, inconvenience claims, property damage claims, and MCO demands and ensure the settlement practices allow for prompt subrogation recoveries. Addressing with Claims Adjuster on any areas of improvement and involving the Claim...
We are seeking talented and enthusiastic individuals to proactively investigate and directly handle lawyers' and accountant's professional liability claims. Be responsible for lawyers' and accountant's professional liability claims from first notice through resolution, including coverage evaluation ...
Receive new claims, register in the system, and assign to a Claims Adjuster. Claims Administrator (SCA) HHG/Military Move. Claims Administrator/Data Processor with experience in HHG/Military Move. Previous knowledge and/or experience working in an administrative/data processing role within Military ...
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...
Manages an inventory of moderate to high complexity of Director & Officers claims for Community Associations by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes an...
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...
GEICO is seeking an experienced Staff Engineer with a passion for building high-performance, low maintenance, zero-downtime platforms, and applications.You will help drive our insurance business transformation as we transition from a traditional IT model to a tech organization with engineering excel...
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...
Assign field adjuster investigation on potentially suspect claims. ...
Handle Personal Auto/PD claims. ...
Professional liability and Error & Omission claims. Prior experience adjusting Professional Liability and Error & Omission Claims . ...