The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlem...
Administrative Claims Specialist. Administrative Claims Specialist. Prior experience in physical damage claims, total loss claims handling, or salvage operations preferred. Review and manage aged vehicle inventory to support accurate and timely resolution of claims. ...
Claims Solutions — supports end-to-end claims handling with analytic and automation tools that streamline workflow, improve claims management, and support better customer experiences. Assist with client testing requests in conjunction with ClaimSearch testing team. Previous experience wit...
As part of the Price Optimization division, this role will be depended on as an Operations SME to support clients through areas including but not limited to implementations, escalated routing/pricing issues, data intel, and product nuances to provide a favorable client experience.This role will also...
Assist with client testing requests in conjunction with ClaimSearch testing team. Previous experience with insurance claims or Medicare compliance preferred. ...
Claim Service Specialists are advocates for our customers. Claim Service Specialists are responsible for thoroughly checking claim case facts, determining coverage, liability and reserves, and accurately reporting on each settlement. They prepare and maintain well-written files and keep their teams ...
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...
The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex Commercial Casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. As the claims owner, determines coverage, ...
Assist with client testing requests in conjunction with ClaimSearch testing team. Previous experience with insurance claims or Medicare compliance preferred. ...
Berkshire Hathaway Specialty Insurance has an exciting opportunity for a Claims Recovery Specialist in our Atlanta, Boston, Chicago, Dallas, Houston or New York Offices. This role is responsible to manage subrogation and salvage recoveries, and recovery reporting for our North America claims group. ...
The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlem...
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...
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...
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. ...
Claim Service Specialists are advocates for our customers. Claim Service Specialists are responsible for thoroughly checking claim case facts, determining coverage, liability and reserves, and accurately reporting on each settlement. They prepare and maintain well-written files and keep their teams ...
Demonstrated experience in the field of compliance including a working knowledge of claims handling or specialized area of expertise. American Family Insurance Claims Services, Inc. At American Family Insurance Claims Services (AFICS, Inc. ...
Under immediate supervision, investigate and dispose of first and third party claims. Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system. ...
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...
Location: On-Site in Bedford, MA This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry. You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to review and...
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...
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, ...
Location: On-Site in Bedford, MA This Role: As a Claims Specialist in EDI at LogixHealth, you will perform general tasks in the EDI Department on the Billing Team. Key Responsibilities: Print paper claims for all Allscripts databases Work daily custom reports for client specific issues Void and re-e...
Assist with client testing requests in conjunction with ClaimSearch testing team. Previous experience with insurance claims or Medicare compliance preferred. ...
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...
The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjuster’s content claims handling operations:. Focusing on the accurate and timely processing of content claims, via the use of edjuster’s claims handling professional-service ...