Direct management of claims including the investigation, analysis and evaluation of coverage liability and damages, within best practices. Collaborating across disciplines and business units, including: the general counsel team overseeing errors and omissions issues arising from claims. Formulating ...
Key Responsibilities:Calculate and communicate changes to benefits based on contract termsTrain case managers on financial components affecting claimsMaintain reporting and metrics on overpayment recoupment and waiversRequired Qualifications:College degree or equivalent work experience3 to 5 years o...
Manage a portfolio of claims presenting moderate complexity and exposure to ensure Industry Leading Customer Experience through exceptional service, unmatched relationships and superior claims outcomes. Adjudicate claims in accordance with Amerisure claims guidelines and quality standards. Contribut...
A company is looking for a Health Claims Specialist. ...
Join us as a Senior Claims Examiner to grow your experience in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Provide tec...
A company is looking for a Claims Processor II. ...
The Claims Analyst III will handle and analyze general liability claims under general supervision and moderate exposure claims involving litigation. Analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine the exposure on the cl...
AVP, Construction Claims Manager. Analyze loss and expense trends on a portfolio of claims and assist in the development and implementation of plans to improve results. Evaluate exposures and make substantive claim decisions for Construction Casualty claims and as needed on other lines of business. ...
Join us as a Complex Claims Director to grow your experience in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. As a claim...
Develop a working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which the claims arise. Exercises critical thinking, proper judgment and decision making in a best practices claim environment to promptly analyze the claim exposure, determine the prop...
Workers Compensation Claims Adjuster II. The Workers' Compensation Adjuster II is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. T...
Full-time medical insurance claims position in Norcross/Peachtree Corners, GA. Knowledge of workers comp claims process is a plus. ...
This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims. Experience handling moderate to high exposure general liability BI and PD claims and/or a legal background as a practicing attorney with litigation or coverage experience is requ...
Partnering with Producers to manage claims relationships with carrier partners, regional peers and third party consultants and providing guidance on our claims advocacy service, providing suggestions and rmendations to adjusters to assist with claims resolutions, developing claims management strateg...
Work with the ACA Commercial Stakeholders, ensure timely reconciliation of claims for encounter submission deadlines; while also meeting the needs of Revenue Integrity’s internal market and product customers. ...
We are seeking a dedicated individual to join our Claims Department as a Claims Agent, an entry-level position pivotal to our operational success. Reporting directly to the Claims Manager, this role entails the acquisition, documentation, research, and processing of claims on behalf of the company, ...
A high school diploma/GED and 3 years of experience in a related field of claims management, claims investigation, and/or problem and conflict resolution (or an equivalent combination of education and experience). We're hiring an Automotive Claims Specialist II to join our vehicle operations team ...
Under limited supervision, investigates, evaluates, negotiates, and resolves litigated and non-litigated bodily injury, property damage, personal and advertising injury, and/or professional liability claims of high exposure and complexity. Adhere to all statutory regulations, Unfair Claims Practices...
To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Performs coverage, liability, and damage ana...
Reporting to the Managing Director of Professional Liability and Cyber Claims, this position will also handle special projects that span the Professional Liability and Cyber Claims department. Ensure that the team adheres to Fair Claims Practices regulations and internal Claims Quality Performance O...
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 a Complex Claims Unit Manager role, to support our Commercial Casualty Excess Coverage and Specialized Claims Unit. In this role, you will manage the Casualty Environmental Claims team, which handles Primary and Excess Casualty environmental matters (inclu...
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...
As an RCM Claims Denial Specialist - MAV1/Accounts Receivable Specialist, you will:. Research, resolve, and prepare claims that have not passed the payer edits daily. Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances. Guide/instruct and suppor...
Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to...