A company is looking for a Medical Malpractice Lead Claims Specialist in Long Term Care. ...
The Senior Claims Specialist will report directly to the Director of Risk Management. Ensure the timely logging of all new claims (delegate to Claims Assistant if necessary) and timely reporting to our Insurance Carrier, with guidance by the Dir of Risk Management. Review and approve the status of a...
A company is looking for a Claims Resolution Specialist I- Remote. ...
Phoenix Loss Control is seeking qualified individuals to fill 1099 contractor openings for Claim Recovery Specialists. The Claim Recovery Specialist Contractor is responsible for reviewing information provided on a damage, determining the liable party, invoicing the responsible party, and pursuing r...
A company is looking for a Virtual Property Claims Specialist. ...
Manages, investigates and resolves assigned high severity Property Loss claims under limited supervision. May assist Customer Claims Representatives with in-person inspection/policyholder contact where necessary. Investigates, determines coverage of loss and adjusts all elements of Property Loss cla...
Chubb is currently seeking a Workers' Compensation Senior Claims Specialist for our West Region. Display advanced claim handling skills on claim investigation, reserving, medical, disability and litigation management, case resolution and settlement strategies. Partner with underwriting, claims busin...
Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Construction Defect Commercial Claims Specialist II. This position can be located in one of our claims offices, with the possibility of working remotely. The successful candidate will directly handle Construction r...
Training: Chubb managers, claim examiners and defense counsel provide a combination of classroom and on-the-job training to ensure our Claim Examiners are prepared to assume full claim handling responsibilities. Our Claims Professionals in Employment Practices Liability enjoy the work they do and wo...
SGA), is searching for a Claims Review Specialist for a Contract assignment with one of our premier Healthcare clients in Los Angeles, CA. ...
The Claims Training Specialist is primarily responsible for designing and conducting training programs using established departmental guidelines. This position is responsible for providing ongoing training on the core processing system, claims processing procedures, communicating regulatory changes ...
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, dir...
Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or *** Health agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and compa...
Elevates problems up to the Account Claims Specialist II when unable to resolve. File and process funeral insurance claims and assist with third party insurance claims timely. Process funeral insurance claims (Global Atlantic and TruStage) and follow up with third party insurance vendor (American Fu...
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...
Analyze hospital billing claims within the EHR and claim scrubber system. Resolve claim errors, edits, and other holds. Understanding of Medicare/Medi-Cal claims processing guidelines. Experience with EPIC EHR, Cirius Claim Scrubber, or other EHR system. ...
Manages, investigates and resolves assigned high severity Property Loss claims under limited supervision. May assist Customer Claims Representatives with in-person inspection/policyholder contact where necessary. Investigates, determines coverage of loss and adjusts all elements of Property Loss cla...
Manages, investigates and resolves assigned high severity Property Loss claims under limited supervision. May assist Customer Claims Representatives with in-person inspection/policyholder contact where necessary. Investigates, determines coverage of loss and adjusts all elements of Property Loss cla...
The Property Claims Field Adjuster ll will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Company and...
Chubb is currently seeking a Workers’ Compensation Senior Claims Specialist for our West Region. Display advanced claim handling skills on claim investigation, reserving, medical, disability and litigation management, case resolution and settlement strategies. Partner with underwriting, claims busin...
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather necessary claim information, managing the claim process from the initial request to the return to work. Collaborating with fellow case managers, nurse case managers, and consulting physicians...
Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established p...
Our Claims Legal Specialist will act as an expert on requirements to properly resolve matters when Sentry is faced with a conditional demand from counsel for a claimant. Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, tec...
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 issues; determine...
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. Main...