Senior Claims Examiner - Claims Specialist - Construction Defect. The Senior Claims Examiner will be recognized as having extensive claims handling experience, including the handling of complex high exposure claims. The Claims Specialist will review claims to analyze and determine applicable coverag...
ACG is seeking a Claim Specialist who has the ability to work under minimal supervision with a high-level of approval authority to handle complex technical issues and complex claims. Document claim file memos, upload documents to claim file, complete claim coding. Thoroughly document and/or code the...
Senior Claims Examiner - Claims Specialist. The Claims examiner l will handle claims in accordance with established James River Claims Best Practices. The Claims Examiner l will manage a caseload of low to moderate severity/complexity property and casualty insurance claims under a moderate level of ...
A company is looking for an Unemployment Claims Appeals Specialist to assist with resolving vendor inquiries and remitting information to state agencies. ...
Our client, an A-rated Insurance Carrier, is seeking to add a Senior Commercial General Liability Claims Specialist to their Southeast team. Maintain a high level of communication internally with Claims Management team and externally with Insureds, claimants, attorneys, and brokers. This person woul...
A company is looking for an Assistant Claim Specialist to process medical and dental claims. ...
TriSure, an Alera Group company is looking for dynamic and experienced Claims Specialist to serve our clients. Work closely with the Agency Claims Manager to communicate changes in claims reported and handled. Maintain documentation/notes of claim activities within the agency management system. Prep...
A company is looking for a Specialist, Claims Quality Regulatory Operations to join their Claims Quality team. ...
Our client, an A-rated Insurance Carrier, is seeking to add a Senior Commercial General Liability Claims Specialist to their Southeast team. Maintain a high level of communication internally with Claims Management team and externally with Insureds, claimants, attorneys, and brokers. This person woul...
Senior Claims Examiner - Claims Specialist - Construction Defect. The Senior Claims Examiner will be recognized as having extensive claims handling experience, including the handling of complex high exposure claims. The Claims Specialist will review claims to analyze and determine applicable coverag...
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 ...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve moderate to severe property damage claims by phone. Prior insurance field/property claims handling or adjusting experience. Ability to handle claims of var...
Technical Specialist - Expert (HB, PB, Claims Analyst). Technical Specialist - Expert (HB, PB, Claims Analyst). Epic HB/PB Claims Certification. Must have experience with Epic PB, HB, and Claims. ...
Responsibilities include finalizing claims processed electronically for payment and reviewing claim adjudication results for both Title XIX and non-title XIX claims, payment, and denial patterns, ensuring adjudication accuracy in the claims processing system, adhering to policy and procedures, respo...
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...
The Claims department within IAT has an immediate opening for a Homeowner’s Claims Specialist that can be located in one of the following locations:. Handles claims, moderate to severe in scope, relative to homeowner’s property based on Claim Guidelines. Negotiates directly with claimants and claima...
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, ...
Great American Risk Solutions is adding an experienced Claim Specialist / Sr. Claim Specialist to their team. The positions will focus on losses in a nationwide book of surplus lines business, including primary and excess claims under commercial general liability policies (CGL) with a focus on const...
Candidates must be able to analyze individual rework claims for root cause errors, work across teams to correct those errors, and reprocess the claims. ...
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims professional to join our team. Claims may be either first or third. Learn and comply with the Company’s claim handling procedures. Continue to develop skills in claim negotiations and settlements. ...