Under limited supervision, acts as highest level individual contributor directly reviewing primary and excess Financial Institutions and Management Liability claims to determine nature of loss, coverage provided, and scope of claim and to make recommendations regarding settlement/disposition of clai...
Key Responsibilities:Investigate, evaluate, and determine life claims based on contract language and policy provisionsComplete accurate financial calculations and review complex medical recordsConduct claimant interviews, identify benefit discrepancies, and escalate issues as neededRequired Qualific...
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic no-fault claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel....
A company is looking for a Revenue Cycle Claims Denial Specialist-Temp. ...
LHH Recruitment Solutions is seeking a Claims Specialist for a great plaintiff law firm. Preparation of submissions involving large volumes of individual claims. ...
A company is looking for a Medicaid Claim Follow Up Specialist. ...
The Claims Adjustment Specialist I will also be responsible for adjusting medical claims that result in overpayment or underpayment due to claim processing system issues, contract amendments, processing errors, or other issues. As a Claims Adjustment Specialist I, this individual will be responsible...
As an Associate Claims Specialist- Cyber, you will play a critical role in AXA XL's claims for the Cyber & Technology team. Associate, Claims Specialist - Cyber. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. Complete initial c...
With moderate direction, this position handles multi-party CGL claims of moderate to high exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims s...
Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim. Excels in a best practices claim environment, thoroughly documenting the claim process. Highest level individual contributor directly reviewing claims to determine natur...
Claim Specialist Job Description:*For the Claims Specialist role, the ideal candidate will be a proactive and meticulous critical thinker, willing to work long hours, as necessary. Input, analyze, maintain, and monitor claims data. Education / Experience:** Bachelor’s Degree* 2+ years of experience ...
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, ...
The Claim Specialist must demonstrate the ability to independently and timely manage all aspects of the most complex, high-value claims while exhibiting a detailed knowledge of the claim, a well-reasoned analytical focus, and a clear strategy for resolution. The Claim Specialist must also be willing...
Job Opportunity: Claims Specialist - Environmental. Our client, a leading company in the Insurance industry, is currently seeking a skilled Claims Specialist in Environmental Liability to join their dynamic team. If you are a dedicated Claims Specialist with expertise in Environmental Liability, we ...
Exercises critical thinking, proper judgment and decision making in a best practices claim environment to promptly analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion. Work closely with Insureds, Claimants, attorneys and brokers ensuring a premier and b...
To deliver this customer experience the candidate would manage end to end claims processes including lodgement, adjudication, case management and settlements of Insurance and Warranty claims. Reporting to the Claims Team Leader you would be responsible for:. Resolving claims in the most cost effecti...
Through the application of SNAP benefit rules and using retrospective budgeting; determine the overpayment start date, claim period, claim type, claim amount and complete a claim packet and/or process manual/electronic paperwork for manual collections on closed SNAP claims. YOU MUST BE PERMANENT IN ...
Maketimely claims payments and adjustments; communicateclaim action/processing with claimant and client. Work proactively towards claims resolution with defense counsel and clients, while adhering to audit requirements and resolving claims in a timely manner. Ensureclaim files are properly documente...
Operations - Insurance Operations.When you join Prudential, you’ll unlock a motivating and impactful career – all while .Departments, or Executive Offices.The current employee work arrangement for .While this position does not require your on-site presence on a regular basis, depending on business p...
PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. BLA is seeking qualified candidates for the position of Claim Specialist in the Litigation Support Unit. The Claim Specialist will need to become familiar with DEP’s Databases to effec...
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 - Excess Casualty. Our experienced Claims professionals use their specialized expertise to handle ...
The Senior Claim Specialist, under the direction of a Claims Supervisor, investigates and settles Property claims promptly, equitably and within established best practices guidelines in the New York City area. Effectively evaluate claim facts and negotiate claim settlements. Analyze first reports an...
As a Claims Specialist, you'll investigate, evaluate and negotiate claims to successful resolution. If you can put your keen legal mind to work analyzing, managing and resolving insurance coverage and claims, we want to know more about you! Working on our team offers the opportunity to be involved i...
Open only to current City of New York employees serving in a permanent (not provisional) civil service title of Claim Specialist. Completing a full investigation of property damage claims against the City of New York, which includes obtaining and reviewing agency reports, analyzing liability and dam...
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...