- AUROBINDO (Durham, NC)
- …(FMLA, STD, etc.), Visas and Immigration (H1B, L1, etc.), Workers Compensation claims , Unemployment Claims , etc.Committee member for all employee activities ... and shall be treated as such.Should be willing to work more than 8 hours a day when workload is busy. Knowledge of HRIS systems (eg, Paylocity, Workday).Must… more
- Zurich NA (Schaumburg, IL)
- …and management of all communications and reporting associated with the life of a claim . At Zurich North America Claims we acknowledge that work life-balance and ... Sr. Pollution Claim Specialist 125621 Zurich is currently seeking a Sr. Claims Professional to join our Latent & Environmental team in Schaumburg, IL. This is an… more
- CVS Health (Franklin, TN)
- …it all with heart, each and every day. **A Brief Overview** Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates ... with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical … more
- CVS Health (Franklin, TN)
- …claim processing. + Advises team members in resolving complex or escalated claims issues by providing guidance on claim handling procedures, policy ... of team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs work flow to ensure the efficient and accurate… more
- CRC Insurance Services, Inc. (ID)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with...computer and office skills 12. Ability to work extended hours when necessary **Preferred Qualifications:** 1. New York adjuster… more
- CRC Insurance Services, Inc. (NC)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage. 6. Anticipate and meets all ... of America) **Please review the following job description:** Analyzes and processes claims by gathering information, drawing conclusions. tracking and managing the … more
- CVS Health (Augusta, ME)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- The Hartford (San Antonio, TX)
- Claims Representative - CH09CNAssociate Claim Representative - CH10DN We're determined to make a difference and are proud to be an insurance company that goes ... help shape the future. As a General Liability Associate Claims Representative for all business lines, you're at the...customer. Your primary role is to investigate and manage claim files to help individuals and businesses prevail after… more
- CVS Health (Boston, MA)
- …II License.** + **Active PTCB certification (CPhT).** **Position Summary** As a Claim Reprocessing Coordinator, you will be responsible for the timely and accurate ... reprocessing of pharmacy claims that require corporate edits. In this role, you...team process improvements and keeping process documents updated. The Claim Reprocessing Coordinator will manage workflow within the team's… more
- NJM Insurance (Trenton, NJ)
- …the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all internal ... guidance and collaborative engagement during the life of a claim . The WC Claims Department takes pride...other providing for a positive and nurturing work environment. Hours : Monday to Friday 8:00AM- 4:15PM ( Hours … more
- BJs Wholesale Club (Marlborough, MA)
- …severity and costs. Major Tasks, Responsibilities, and Key Accountabilities: + Performs claims oversight of a third-party claim administrator (TPA). This ... benefits, HR, LOA, defense counsel and TPA. + Identifies claim trends and provides recommendations to the Claims...Participates in department projects and other tasks. + After hours coverage, including weekends, as needed. Job Qualifications: +… more
- EquipmentShare (St. Louis, MO)
- …insurance claims from initiation to resolution. This includes verifying claim information, assessing damages, and determining claim validity. + Customer ... 5:00 PM, and offers overtime pay after working 40 hours . (On call during the weekend only in special...customers filing claims . Guide them through the claims process, keeping them informed of their claim… more
- MTA (Brooklyn, NY)
- …Completed Authority: TA/OA Department: Law Division/Unit: Torts Work Location: 130 Livingston Hours of Work: As required Compensation Claim Examiner: Min: ... and four years of full-time experience investigating and settling liability claims ; or Senior Claim Examiner One (1) year of permanent service in the title… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental ... claims against established criteria, and in accordance with specific...to respond to client, member, and/or provider inquiries on claim status, benefit designs, and claim payments… more
- CVS Health (Plymouth, MN)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... and external stakeholders and the stop loss administrators. Managing stop loss claim filings, you will reconcile and resolve discrepancies between the amount… more
- SSM Health (MO)
- …including regional leaders to identify and correct root cause of denied claims through process improvements, set goals, measure process effectiveness and identify ... an individual contributor to achieve goals. Lead projects to improve denial claim performance, compliance and efficiency within the denials process and structures.… more
- Kuehne+Nagel (Jersey City, NJ)
- …solutions, products, and services to over 30 countries worldwide since 1972. As Claim Analyst you will handle Marine Liability claims for North America, ... to more than we imagine. **** As a Liability Claims Analyst, you will be an integral team member...handling operating procedures + Assist in conducting effective liability claim training for our internal and external customers +… more
- Allied Universal (Butte, MT)
- …Investigator's license** **required** **prior to applying** Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- The Hartford (ID)
- …is accountable to plan, recommend and execute the investigation of worker compensation claims . Our dynamic team of claim professionals provide superb customer ... with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim...while improving our performance. Start Date: September 2, 2025 Hours : Monday - Friday, core business hours … more
- Allied Universal (Las Vegas, NV)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic...Off and Paid Holidays (FT only)** + **Will** **require** ** Claims and Surveillance investigations as needed to ensure a… more
