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...
A company is looking for a Claims Experience Specialist to deliver exceptional claims service in the travel industry. ...
The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
A company is looking for a Claims Compliance and Audit Specialist responsible for executing quality and compliance assessments and regulatory management activities. ...
Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications. Your role will also be responsible for handling an inventory of claims, triaging critical claims, ...
A company is looking for a Claims Resolution Specialist responsible for correcting, rebilling, and collecting audited patient accounts. ...
As a direct report to the Head of Property Claims, the candidate should possess the ability to handle Large Complex Builder's Risk claims in the short term and, over time, develop a sophisticated team of claims professionals handling and managing Large Complex Builder's Risk claims (retail). Develop...
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...
The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
The Complex Claims Specialist - Allied Healthcare is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolutio...
This position in Healthcare Claims will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. Confirms coverage of claims by reviewing policies and documents submitted i...
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...
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...
Specialist I, Claims & Revenue. Specialist I, Claims & Revenue. ...
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 working within a structured environment with established Standard Operating Procedures to ensure consistency o...
Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim. Responsible for the timely evaluation, reserving and disposition of assigned claims. Investigates potentially fraudulent claims and takes appropriate action. Makes recom...
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...
This position will resolve claims according to Best Practices and within authority limits by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering excellent customer claims service. The Workers Compensation Claims Specialist is respon...
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. ...
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Our Client is an A rated Insurance Company looking for an experienced Commercial General Liability Claims Professional with knowledge of Property, Auto, and Workers Compensation. ...
The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. The Senior Complex Claims Specialist is the most senior technical role in the organization. This person adjudicates assigned claims within g...
Remote Claims Policy and Procedure Specialist. Assist with the management of the Claim Processing Team by handling escalated claims processing and benefit configuration questions. Assist with the management of complex claims issues such as coordination of benefits and adjustments. ...
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 – Multinational Solutions. Our experienced Claims professionals use their specialized expertise to...
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...