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 Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. Description Liberty Mutual has an immediate opening for a Claims Specialist II to join our shar...
As part of the Price Optimization division, this role will be depended on as an Operations SME to support clients through areas including but not limited to implementations, escalated routing/pricing issues, data intel, and product nuances to provide a favorable client experience.This role will also...
Join Forbes' 2023 Best Employer for Diversity! .In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable.High School diploma/GED equivalent or higher and a minimum of one year of administ...
The Claims Review Specialist processes claims that do not auto adjudicate through the claim system adhering to Mass General Brigham Health Plan current administrative policies, procedures, and clinical guidelines. Job Description - Claims Review Specialist (3305296). Manually enter claims into claim...
As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry. You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to review and carry out processes on all out of network c...
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 set...
Claims Solutions — supports end-to-end claims handling with analytic and automation tools that streamline workflow, improve claims management, and support better customer experiences. Assist with client testing requests in conjunction with ClaimSearch testing team. Previous experience wit...
Demonstrated experience in the field of compliance including a working knowledge of claims handling or specialized area of expertise. American Family Insurance Claims Services, Inc. At American Family Insurance Claims Services (AFICS, Inc. ...
Claims Solutions — supports end-to-end claims handling with analytic and automation tools that streamline workflow, improve claims management, and support better customer experiences. Assist with client testing requests in conjunction with ClaimSearch testing team. Previous experience wit...
The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex Commercial Casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. As the claims owner, determines coverage, ...
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...
Assist with client testing requests in conjunction with ClaimSearch testing team. Previous experience with insurance claims or Medicare compliance preferred. ...
Under immediate supervision, investigate and dispose of first and third party claims. Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system. ...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve personal lines property damage claims on the phone and/or in person. Maintains and develops current knowledge of assigned insurance lines, court decisions ...
Fraud and Claims Operations group, one of our most critical departments at Citizens. You’ll use critical thinking skills to assist customers with existing claims and determine the best next step for the customer and the bank. Specialists manage competing priorities in an accurate and timely manner a...
Are you looking for an opportunity to join a claims team with a fast-growing company that has consistently outpaced the industry in year-over-year growth? Liberty Mutual has an excellent claims opportunity available for a Claims Specialist within our Commercial Lines division!. The Claims Specialist...
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, ...
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...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
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...
Location: On-Site in Bedford, MA This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry. You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to review and...
Assist with client testing requests in conjunction with ClaimSearch testing team. Previous experience with insurance claims or Medicare compliance preferred. ...
The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjuster’s content claims handling operations:. Focusing on the accurate and timely processing of content claims, via the use of edjuster’s claims handling professional-service ...
Liberty Mutual has an immediate opening for an Excess and Coverage Senior Technical Claims Specialist as part of our Excess, Coverage and Specialized Claims Unit. If you are an experienced claims professional with Commercial Excess Claims experience, this is the role for you!. If you have experience...