Claims Coordinator to support our FEMA contract within our National Flood Insurance Program (NFIP) Claims department. This remote position is integral to our claims team, focusing on adjuster registration and ensuring timely and accurate processing of adjuster applications. Two years minimum experie...
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...
As a Disability Claims QA - Long Term Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure to accuracy and completeness of reports accompanying medical records. Verify that the claims support the physicians determinations in long-term disability...
This Claims Team Manager will lead a team of Claims Specialists who manage a portfolio of Commercial Auto and General Liability claims to achieve the best possible outcomes and deliver an exceptional customer experience. Supervises the day-to-day operations for the claims staff by establishing prior...
This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, construction defect and construction related property damage claim...
This role is responsible for providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government Programs. ...
The US Retail Markets (USRM) Claims Data Science team is hiring two Directors of Data Science to each manage a new team, one will be focused on Auto Physical Damage claims and one will be focused on Property claims. Collaborating with claims process, experience, technology, and analytics teams to he...
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...
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...
We're on a mission to make the assessment and claims process more efficient, accurate, and customer-centric. Must have solid knowledge of property claims/underwriting workflow and operations. ...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Ability to influence claims stakeholders 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...
With minimal supervision, handles a book of specialty lines claims, throughout the entire claim's life cycle. Responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed auth...
The Default Claims Specialist is responsible for preparing, filing, and following up on all FHA, VA, USDA, PMI, and investor claims timely and accurately according to insurer/investor guidelines. Prepare and file all FHA, VA, PMI, and investor claims timely and accurately according to investor/insur...
To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. Manages workers compensation claims determining comp...
Job Description: Disability Claims Specialist. Must have at least + years prior LTD/IDI Insurance Claims Experience. The LTD Claim Consultant evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the LTD Claims ...
Our Configuration Operations team manages claims system logic, provider fee schedules, benefit configuration, and pre-pay edit functions to ensure industry-leading claims payment accuracy and provider satisfaction. At Devoted, we understand that building trust hinges on our ability to pay claims acc...
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...
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. ...
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...
The CorVel University Claims Trainee will participate in CorVel Claims College, internal mentorship, and/or on-the-job programs to provide them with the tools they need to properly investigate, analyze and manage claims within CorVel’s Best Claims Practices. The CorVel University Claims Trainee is a...
Eight (8) years of casualty claims experience or equivalent combination of education and experience required to include three (3) to five (5) years of experience handling complex claims and experience in negotiation, mediation, arbitration or ADR skills on higher value complex claims. Subject matter...
This positions is contingent upon CMS funding approval - Mid-level professional performs 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 w...
Openly is building an advanced claims organization leveraging technology and experienced property claims professionals to build a best-in-class end-to-end customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spann...
IT Business Analyst (Medical Claims experience) - Fully Remote. ...