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...
Description The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload from the investigation of the claim through resolution. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve re...
The Claims Support Specialist position provides comprehensive administrative support as part of the Client Experience. Background in healthcare, health insurance, healthcare compliance, medical billing, negotiations, or state and federal regulated claims. ...
Effectively evaluate claim facts and negotiate claim settlements. Adhere to all statutory and regulatory fair claims practices. Recognize and identify potential fraudulent claims. Experience in commercial claims handling would be preferred. ...
Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collectio...
Description 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. Assesses policy coverage for submitted claims and notifies the insured of any issue...
The base salary range for the Senior Claims Specialist position is $74,900-$109k/year with 25% bonus potential. This position 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...
To analyze complex or technically difficult surety and surety bond claims; to provide resolution of highly complex nature and/or high exposure surety claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the to...
The position will handle Environmental claims directly that involve asbestos, and latent type claims to include the resolution of coverage issues and establishing reserves. Will need at least 4 years’ experience in commercial claims or 2 years preferred of handling environmental or large comme...
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...
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 to medium complexity and lower to medium exposure claims. These claims will consist of non-litigated and litigated matters. ...
Claim Service Specialists are responsible for thoroughly checking claim case facts, determining coverage, liability and reserves, and accurately reporting on each settlement. Claim Service Specialists are advocates for our customers. Claim your future with Arbella! If you’re looking for a dynamic op...
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. Are you looking for an opportunity to join a claims team with a fast-growing company that has c...
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols. Conducts focused investigation to determ...
Claim Service Specialists are responsible for thoroughly checking claim case facts, determining coverage, liability and reserves, and accurately reporting on each settlement. Claim Service Specialists are advocates for our customers. Claim your future with Arbella! If you’re looking for a dynamic op...
Berkshire Hathaway Specialty Insurance has an exciting opportunity for a Claims Recovery Specialist in our Atlanta, Boston, Chicago, Dallas, Houston or New York Offices. Conduct Claim Quality Reviews on Property & Marine Claims. Minimum of 7 years of Commercial Property, and/or Marine claim handling...
Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system. Maintain claim files and document claim file activities in accordance with established procedures. Under immediate supervision, investigate a...
Effectively evaluate claim facts and negotiate claim settlements. Adhere to all statutory and regulatory fair claims practices. Recognize and identify potential fraudulent claims. Experience in commercial claims handling would be preferred. ...
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...
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...
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...
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 improving our in-house certification functions by providing updates to the plan of care, in-house certificatio...
Performs claims oversight of a third-party claim administrator (TPA). This includes ensuring TPA best practices are executed; responding to TPA requests for team member information; providing wage information, consults with outside counsel, processes claim billing and funding requests. Reviews open ...
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols. Conducts focused investigation to determ...
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...