Pharmacy Claims Analyst- Hybrid (Quincy, MA). Under the direction of the Director of Pharmacy Technology and Informatics or designee, the Pharmacy Business System will drive operational excellence within the team by ensuring the accurate processing of pharmacy claims within a real time system. Prefo...
At American Family Insurance Claims Services (AFICS, Inc. An experienced adjuster who can work on moderately complex claims. You will work in the field and handle moderately complex homeowner property field claims near the Framingham area. You will investigate origin and cause of claims by contactin...
This Claims Team Manager will lead a team of Claims Specialists who manage a portfolio of Commercial Auto and General Liability claims to achieve the best possible outcomes and deliver an exceptional customer experience. Supervises the day-to-day operations for the claims staff by establishing prior...
At American Family Insurance Claims Services (AFICS, Inc. An experienced adjuster who can work on moderately complex claims. You will work in the field and handle moderately complex homeowner property field claims near the Framingham area. You will investigate origin and cause of claims by contactin...
Our client, an A-rated Insurance Carrier, is seeking to add a New York Workers' Compensation TPA Claims Oversight Specialist. This person would be responsible for evaluating and reviewing New York Workers' Compensation claims handled by Third Party Administrators (TPA) for adherence to company's bes...
Oversee requests for Enterprise Claims Center (ECC) administrative updates, including hierarchy changes. ...
Title: Senior Software Solutions Engineer - Claims. The Senior Software Solutions Engineer (Claims) will assist in defining and reviewing the technical requirements for the Duck Creek application, including security, integration, performance, quality, and operations requirements. Experience with sys...
Focusing on the accurate and timely processing of content claims, via the use of edjuster’s claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system – exclaim. Work with Central Claims Processing to organize/direct the resources (claims...
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...
The Regulated Claims Settlement Coordinator supports the Claims Settlement Team through leading the review and response to disputed claims submitted through state and federal arbitration processes. The Regulated Claims Settlement Coordinator will be responsible for supporting Zelis’ settlement offer...
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 Complex Claims Director for Management Liability, you will have the unique op...
Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working relati...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize dis...
Supervises a team of liability adjusters who handles complex litigated liability claims arising from commercial and personal liability policies throughout the United States to ensure claims efficiency. Claims Supervisor-Commercial General Liability. Appropriately identify significant claims to the m...
If you are an experienced claims professional with Commercial Excess Claims experience, this is the role for you!. 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 have experience...
The Complex Claims Representative would handle loss time CCU level claims primarily for New York. Handle Primarily New York and some New Jersey CCU claims. Determines compensability and/or coverage issues for workers’ compensation loss time claims. Completes timely and efficient claims handling resp...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goals and to ensure compliance with legal statutes, po...
Ability to work in adverse conditions (post loss insurance claims). ...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Hancock leads the way in claims resolution services by complete nationwide coverage, fast, full-services claims inspections, and superior quality and accuracy. Our proven process is your assistance of high-quality claims support from rapid catastrophe response to direct inspections. Successful Techn...
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...
This Claims Team Manager will lead a team of Claims Specialists who manage a portfolio of Commercial Auto and General Liability claims to achieve the best possible outcomes and deliver an exceptional customer experience. Supervises the day-to-day operations for the claims staff by establishing prior...
Third Party Claims Reviewer-(3293531). Process rejected/adjusted claims through Medicare FISS system. ...