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. ...
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...
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. ...
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...
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...
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...
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. ...
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 ...
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...
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, ...
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...
Effectively evaluate claim facts and negotiate claim settlements. Chubb is looking for an experienced Outside Property Claims field adjuster in the greater Boston area. This position will be responsible for handling field property claims in the Boston area. Adhere to all statutory and regulatory fai...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve personal lines property damage claims on the phone and/or in person. Maintains and develops current knowledge of assigned insurance lines, court decisions ...
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 ...
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...
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 requirements, ...
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...
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...
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...
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...
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...
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...