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...
Description The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload from the investigation of the claim through resolution. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve re...
The Claims Support Specialist position provides comprehensive administrative support as part of the Client Experience. Background in healthcare, health insurance, healthcare compliance, medical billing, negotiations, or state and federal regulated claims. ...
The base salary range for the Senior Claims Specialist position is $74,900-$109k/year with 25% bonus potential. This position 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...
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...
Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collectio...
Description The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload from the investigation of the claim through resolution. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve re...
To analyze complex or technically difficult surety and surety bond claims; to provide resolution of highly complex nature and/or high exposure surety claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the to...
The Default Claims Specialist is responsible for preparing, filing, and following up on all FHA, VA, USDA, PMI, and investor claims timely and accurately according to insurer/investor guidelines. Prepare and file all FHA, VA, PMI, and investor claims timely and accurately according to investor/insur...
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...
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...
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...
The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload from the investigation of the claim through resolution. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, ...
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...
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...
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. ...
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...
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...
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...
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, ...
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...
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. ...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve personal lines property damage claims on the phone and/or in person. Maintains and develops current knowledge of assigned insurance lines, court decisions ...
Performs claims oversight of a third-party claim administrator (TPA). Reviews open claims to ensure carrier/excess carrier reporting, determines compensability, scheduling of IME’s, medical case management, surveillance, subrogation and litigation tasks are completed timely. Utilize risk information...