The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlem...
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. A minimum of 3-5 years experience handling ca...
Investigate, analyze, and determine the extent of company's liability concerning Claims and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve payment of Claims ...
The Surety Claims Specialist is a critical role in our growing Claims Department, and will be responsible to direct all aspects of in-house file handling of Performance Bonds and Payment Bonds and Commercial bonds. The Claims Specialist will direct the adjusting and litigation process, strategically...
We are looking for a highly capable Senior Technical General Liability Bodily Injury Claims Specialist to join our team and work from any of our US offices (Chicago, IL, New York City, NY, Omaha, NE, Richmond, VA, Rockwood, PA, San Antonio, TX, or Scottsdale, AZ). A deep knowledge of claims adjudica...
The Surety Claims Specialist is a critical role in our growing Claims Department, and will be responsible to direct all aspects of in-house file handling of Performance Bonds and Payment Bonds and Commercial bonds. The Claims Specialist will direct the adjusting and litigation process, strategically...
Managing assigned claims across multiple jurisdictions, as well as setting the case strategy for these claims in partnership with Regional Practice Leaders and Claims management. Loss Claims Specialist - Multinational Solutions. Our experienced Claims professionals use their specialized expertise to...
Managing assigned claims across multiple jurisdictions, as well as setting the case strategy for these claims in partnership with Regional Practice Leaders and Claims management. Senior Claims Specialist - Excess Casualty. Our experienced Claims professionals use their specialized expertise to handl...
Do you enjoy puzzles and research? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within Select Medical! Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. Claims Reso...
CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Medical Claims Refund Specialist. ...
Division or Field Office: Johnstown Claims Office Department of Position: Corporate Claims Department Work from: Johnstown Claims Office Salary Range: $31,300. We are seeking candidates who will play a vital role in supporting our claims team by performing various administra...
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...
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, ...
Senior Claims Specialist – TPA Liability. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. You build a team of passionate and innovative claims experts who see success as a reason to roll up their sleeves and drive for improvemen...
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...
As a Construction Defect Large Loss Claims Specialist, you will be responsible for handling and resolving complex, highly specialized, and high exposure Primary and Excess Construction Defect claims, through investigation, evaluation and disposition. Large Loss Claims Specialist - Construction. At A...
The Surety Claims Specialist is a critical role in our growing Claims Department, and will be responsible to direct all aspects of in-house file handling of Performance Bonds and Payment Bonds and Commercial bonds. The Claims Specialist will direct the adjusting and litigation process, strategically...
We have a medical/dental billing opportunity at an exciting healthcare company in Warminster, PA! We are looking for motivated candidates who are ready to take the next step in their careers at a growing medical practice.Dental billing and insurance experience required.This position reports to our W...
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...
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...
A growing healthcare company based in Pennsylvania that owns long term acute care, inpatient rehabilitation hospitals, occupational health, and physical therapy clinics is looking to add to their Patient Billing Team! In this role, you will be responsible for the daily billing process to ensure that...
As a Field Claims Specialist, you'll investigate and resolve moderate to severe property damage claims by phone and face-to-face. Claims inspections will include onsite and virtual inspection. Solid experience writing own estimates and handling claims start to finish. No two property claims are ever...
About You REQUIRED QUALIFICATIONS: High School Diploma Minimum of 5 years related claims experience required working within the applicable specialty claims area or demonstrated ability to handle unique/challenging claims issues Appropriately licensed and/or certified in all states in which claims ar...
We are looking for a highly capable Senior Technical General Liability Bodily Injury Claims Specialist to join our team and work from any of our US offices (Chicago, IL, New York City, NY, Omaha, NE, Richmond, VA, Rockwood, PA, San Antonio, TX, or Scottsdale, AZ). A deep knowledge of claims adjudica...
The Surety Claims Specialist is a critical role in our growing Claims Department, and will be responsible to direct all aspects of in-house file handling of Performance Bonds and Payment Bonds and Commercial bonds. The Claims Specialist will direct the adjusting and litigation process, strategically...