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...
Join Forbes' 2023 Best Employer for Diversity! .In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable.High School diploma/GED equivalent or higher and a minimum of one year of administ...
The Claims Review Specialist processes claims that do not auto adjudicate through the claim system adhering to Mass General Brigham Health Plan current administrative policies, procedures, and clinical guidelines. Job Description - Claims Review Specialist (3305296). Manually enter claims into claim...
Berkshire Hathaway Specialty Insurance has an exciting opportunity for a Claims Recovery Specialist in our Atlanta, Boston, or New York Offices. This role is responsible to manage subrogation and salvage recoveries, and recovery reporting for our North America claims group. Conduct investigations of...
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...
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...
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...
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 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. Liberty Mutual has an opening for a Claims Specialist II to join our Sharing Economy Bodily Inj...
Are you looking for an opportunity to join a claims team with a fast-growing company that has consistently outpaced the industry in year-over-year growth? Liberty Mutual has an excellent claims opportunity available for a Claims Specialist within our Commercial Lines division!. The Claims Specialist...
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. ...
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, ...
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. ...
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...
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. ...
Assist with client testing requests in conjunction with ClaimSearch testing team. Previous experience with insurance claims or Medicare compliance preferred. ...
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...
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 ...
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 ...
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...
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...
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...
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...
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...