Overview: Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U. Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years. ...
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...
This position will be responsible for the resolution of claims of average complexity and low to mid exposure claims. Confirms coverage of claims by reviewing policies and documents submitted in support of claims. The primary purpose of this job is to investigate, evaluate, negotiate and settle assig...
Provide outstanding customer service and work with the insured, broker, and counsel in the adjustment of Professional Liability Claims. Experience with EPL, E&O or other Financial Lines claims preferred but not required. Thepany is distinguished by its extensive product and service offerings, broad ...
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 complexity and lower exposure claims. Adheres to Fair Claims Practices regulations in states where applicable. Handle minor ...
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...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Presents at roundtables to senior claims leaders and underwriters on cases going to trial and provides advice/insight on others claims going to trial. Ability to influence claims stakeholders and to effec...
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...
Qualities like these cannot be taught, but they can be sharpened, strengthened and appropriately compensated when you join Liberty Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be fulfilling the promise we made to our customers when they purchased their p...
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...
The Regional Claims Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim, and outlining and recommending an action plan to manage the claim. Ensure quality management of claims in accordan...
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...
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 Claim Specialist, under moderate direction from the manager, investigates and settles claims promptly, equitably, and within established best practices guidelines. Confirm coverage of claims by reviewing policies and documents submitted in support of claims. The Claim Specialist, under some dire...
Evaluate claims for coverage, liability, and damages to negotiate and resolve claims on reasonable terms and at an appropriate value. Berkley Public Entity (BPE) team! You will be responsible for the review, oversight, and specific handling of Professional Liability, General Liability, and Automobil...
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...
As a Claims Specialist, you will manage a pending of at least 70 claims arising from property, physical damage, and cargo. S&S Transportation & Sharing Economy is looking for a Claims Specialist who enjoys being a key part of a dynamic team. Consults with the claim manager on those claims in which a...
Claims Administrative Support SpecialistJoin Forbes' 2024 Best Employer for Diversity!. ...
The Regional Claims Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim, and outlining and recommending an action plan to manage the claim. Ensure quality management of claims in accordan...
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 Claims Handling Specialist is responsible to receive, register, evaluate, administer, and process air/ocean cargo damage/loss claims pursuant to Yusen's claim handling procedure. Monitors claims processing timelines and analyzes/reports trends, characteristics, and causes of claims; helps develo...
The Senior Claim Specialist, under an appropriate level of direction from the manager, investigates, evaluates, and resolves Professional Liability claims while ensuring the highest level of customer service. Provide outstanding customer service and work with the insured, broker, and counsel in the ...
With moderate direction, this position handles multi-party CGL 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 delivering a customer-centric claims s...
The REH TPA-Oversight Senior Claim Specialist is responsible for investigating and settling high exposure, high risk claims while ensuring a high level of customer service and claim file quality while providing oversight and guidance to our TPA partners. Experience in successfully handling severity ...
Talascend is currently seeking a Claims Specialist for a long-term contract opportunity in Ridgefield Park, New Jersey. Claims Adjuster License a plus. ...