- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after ... training. The Complex Claim Specialist will be responsible for contacting...policyholder's reporting practices + Prepare, attend, and participate in Claim Reviews as needed with the Claims … more
- CVS Health (San Antonio, TX)
- …measures to assist in the claim adjudication process. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or ... related to claim processing issues. - Routes and triages complex claims to Senior Claim Benefits Specialist . - Proofs claim or referral submission… more
- Travelers Insurance Company (Columbus, OH)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling and superior customer service ... as appropriate or required. **What Will You Do?** + CLAIM HANDLING: + Directly handle assigned severe claims when Travelers has coverage of $2 million or greater… more
- CVS Health (Hartford, CT)
- …and Training Hours: + Training 8:00am-4:30pm + Shift: 8am-4:30pm Claim Benefit Specialist Reviews and adjudicates claims in accordance with claim ... Efficiently use multiple systems and screens to obtain and record claim information + Review claims information to determine the nature of a member's illness or… more
- City of New York (New York, NY)
- …New York employees serving in a permanent (not provisional) civil service title of Claim Specialist . The New York City Comptroller's Office works to promote the ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...in a permanent (not provisional) civil service title of Claim Specialist . Qualifications 1. A baccalaureate degree… more
- Travelers Insurance Company (Lake Oswego, OR)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file… more
- Samsung SDS America (Plano, TX)
- …Account Group and its Settlement subpart as well as the company's Management/Finance Group. Claims Specialist will work on a resolution of logistics claims , ... any delays or issues that arise. + Notify involved parties of claim filings and/or rejected claims and work with the claimant to understand the value of damaged… more
- Axis (Red Bank, NJ)
- …request for candidates taking part in the selection process. Grade H Senior Claims Specialist , Property Salary range: Alph: $95K-130K Job Summary: Under limited ... of claim and to make recommendation regarding settlement/disposition of claims . Develop and maintain relationships with internal and external partners. Ideal… more
- MetLife (Oriskany, NY)
- STD / LTD Claim Specialist City/Cities Aurora, Bloomfield, Cary, Omaha, Oriskany, Tampa State(s) Connecticut, Florida, Illinois, Nebraska, New York, North ... is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to...claim decisions on STD, LTD, PML and state claims . Clarify functional capacity through independent problem solving… more
- MassMutual (Springfield, MA)
- **DI Claim Specialist , DI Claims ** **Springfield Office, Fulltime (Hybrid)** **Job Description** We're growing and our clients deserve the best. As a DI ... Claim Examiner, you will be responsible for adjudicating Individual...claims of varying complexity. **The Opportunity** As a Claim Examiner, you will collaborate with subject matter experts;… more
- CVS Health (Pittsburgh, PA)
- …written correspondence related to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim ... and affordable. Position Summary * Reviews and adjudicates routine claims in accordance with claim processing guidelines....and adjudicates routine claims in accordance with claim processing guidelines. * Analyzes and approves routine … more
- City National Bank (Los Angeles, CA)
- **PAYMENTS CLAIM SPECIALIST ** **WHAT IS THE OPPORTUNITY?** The Payment Claims Specialist is responsible for the investigation and processing of payment ... identification of miss/near miss opportunities etc. A successful Payment Claim Specialist will be able to navigate...of actions as needed. + Perform quality checks of claims for accuracy and feedback for the claim… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The ... evaluate the claim and implement an action plan to manage the claim . The Claims Account Specialist will work with and communicate to NJM policyholders,… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to... Claim Specialist is the highest claim handling designation within the Complex Claims Unit ... to manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to...timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim… more
- The Hartford (Penn, PA)
- Specialist Claims - CH07DE We're determined to... Claim Specialist is the highest claim handling designation within the Complex Claims Unit ... to manage and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to...claims while exhibiting a detailed knowledge of the claim , a well-reasoned analytical focus, and a clear strategy… more
- CVS Health (Columbus, OH)
- …who can work across teams to provide claim subject matter expertise. The Claim Lifeline Specialist will respond to Lifeline inquiries and handle real time ... to effectively collaborate with Member Services and serve as a claim expert and will rework claims real time to expand our current service model. The candidate… more
- CVS Health (St. Paul, MN)
- …to complex issues. May handle customer service inquiries and problems. Reviews pre-specified claims or claims that exceed specialist adjudication authority ... affordable. Position Summary Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (Columbus, OH)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process.- Insures all compliance requirements are satisfied and all… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
- NJM Insurance (Hammonton, NJ)
- Job Description The Claim Resolution Specialist 1 will be responsible for contacting all parties involved in the claim , gathering, and securing all necessary ... and implement an action plan to manage the claim . The Claim Resolution Specialist ...a timely fashion + Prepare, attend, and participate in Claim Reviews as needed with the Claims … more
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