Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. The Senior Claims Specialist may also assist the Claims Team Mana...
Partner with OON Mgmt to define ongoing KPI's to ensure Quality product performance including but not limited to volume, performance, and claim mix. ...
The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. The Senior Claims Specialist may also assist the Claims Team Manager with ass...
The Senior Claims Specialist administers information from clients by phone, email and fax in order to process insurance claims; work with clients, adjusters, and Producers on claims status, problems, and questions. Reports claims for clients and works directly with both insureds and claimants to ide...
Adjust contract surety bond claims by receiving claim assignments, communicating with claimants and principals, investigating claims, analyzing documentation, understanding coverage under the bonds, evaluating exposure, setting reserves, making payments, and asserting indemnification rights. The Cla...
As a Bilingual Claims Service Specialist, you will collect facts about the accident, investigate claim details, and collect statements from involved parties. Bilingual (English/Spanish) Claims Service Specialist – Richardson, TX. Bilingual Claims Service Specialist. Claim your career growth as a. ...
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...
Handle a pending claim count of complex and non-complex claims involving underlying litigations/investigations/claims predominantly pending in the US. Actively participate in negotiation and settlement of both underlying claims and claims for coverage . Experience arbitrating, mediating, and/or nego...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Ability to influence claims stakeholders and to effectively direct claims strategy. This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims...
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...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Ability to influence claims team members and to effectively direct claims strategy. This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims...
Present Service Teams and Clinical Team with findings on a) large claims b) abnormal utilization results c) monthly claims experience d) set strategies and goals and e) if needed conduct on-site claims visits. Lockton Dunning Benefits is currently seeking a Senior Claims Analyst responsible claims r...
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. Authorizes and ensures claim disbursemen...
Reporting to Risk Management Manager, this position manages the claim process for employees Workers’ Compensation, General Liability, and Auto Claims. Track multiple claims simultaneously with accuracy. Input initial basic notes relating to the claim. General Liability, Auto, Workers Compensation, a...
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. Determine coverage, investigate the claims...
CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department. They will work closely with other members of the Commercial Services Operations team providing root ...
The Senior Claims Specialist administers information from clients by phone, email and fax in order to process insurance claims; work with clients, adjusters, and Producers on claims status, problems, and questions. Reports claims for clients and works directly with both insureds and claimants to ide...
The Senior Technical Claims Specialist determines coverage, investigates highly complex commercial casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, manages the litigation, negotiates a settlement, authorizes and pays the claim. As the claims owner, determines co...
Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and co Claims Specialist, Claims, Specialist, Senior, In...
The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. The Senior Claims Specialist may also assist the Claims Team Manager with ass...
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...
Up to $20 per hour / Health, dental & vision / 401k match / PTO - As a Data Entry Specialist you'll: Organize assigned work and perform data entry/claim processing on large volumes of claims for commercial and residential property claims; Perform claim setup and entry, electronic imaging or indexing...
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...
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 improving our in-house certification functions by providing updates to the plan of care, in-house certificatio...