Our client, an A-rated Insurance Carrier, is seeking to add an experienced California Workers' Compensation Claims Specialist to join their team in a fully remote capacity (must reside in the state of California). This person will be responsible for managing moderate to complex California Workers' C...
The Claims Specialist at Everstory will handle insurance claims for the Company, including general liability, auto and property damage claims, and assist with worker’s compensation claims. Responsible for evaluating claims, reviewing reserves, identifying and acting upon claims resolution oppo...
NEMT Medical Claims Specialist. You will collaborate closely with various stakeholders to facilitate timely claims resolution. Review and process NEMT claims submissions, ensuring accuracy and completeness. Track and correct rejected as well as denied claims within timely filing period. ...
Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims. Claims Background: A minimum of 5 years experience adjusting workers compensation lost time/indemnity claims and/or federal cla...
Claims Legal and Regulatory Compliance Specialist. Partners with Claims L&D to identify, analyze, improve, and implement targeted training solutions. ...
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...
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 cancellations and initiate necessary corrections to ensure accuracy of dates, coverage, ...
Manages an inventory of moderate to high complexity and exposure Healthcare 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...
The Claims Specialist will manage an assigned pending of various types of contract surety bond claims. The Claims Specialist will work closely with the bond underwriting division to assist underwriters on taking appropriate action on the bonded programs and will operate under appropriate levels of s...
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...
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...
As a General Liability (GL) Senior Claims Specialist, you will work with a team of claims professionals with diverse experiences and backgrounds. At this level, you will handle multi-party commercial line claims of moderate to high exposure and complexity within specific authority limits, while supp...
NEMT Medical Claims Specialist. You will collaborate closely with various stakeholders to facilitate timely claims resolution. Review and process NEMT claims submissions, ensuring accuracy and completeness. Track and correct rejected as well as denied claims within timely filing period. ...
Claims Specialist, General LiabilityZurich is seeking an individual interested in growing their claims career with our General Liability (GL) team. As a General Liability (GL) Senior Claims Specialist, you will work with a team of claims professionals with diverse experiences and backgrounds. At thi...
With moderate direction, this position handles single and multi-party personal or commercial line claims of moderate to high exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while del...
The Claims Specialist at Everstory will handle insurance claims for the Company, including general liability, auto and property damage claims, and assist with worker’s compensation claims. Responsible for evaluating claims, reviewing reserves, identifying and acting upon claims resolution opportunit...
As a General Liability (GL) Claims Specialist, you will work with a diverse team of claims professionals. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facil...
Accountable for security of financial processing of claims, as well as security information contained in claims files. Must have experience handling bodily injury claims and the role is to handle complex bodily injury claims. Manages, investigates, and resolves claims. Investigates and evaluates cov...
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, ...
The Auto Specialist is responsible for the timely investigation, evaluation and determination of settlement or denial of minor to moderate auto claims. Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. Athens A...
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...
The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
The Workerspensation Claims Specialist will handle single and multi-party personal ormercial line Workman'spensation claims of moderate to high exposure andplexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-cen...