- APTIM (Santa Fe, NM)
- **Summary:** The Senior - Level Claims Reviewer is responsible for independently reviewing, analyzing, and processing complex claims related to ... on claims interpretation, policy compliance, and documentation quality. The Senior Reviewer also supports mentoring of mid- level staff, provides guidance… more
- NTT DATA North America (Ontario, CA)
- …2-4 week training on camera.** **Job Description** To serve as a senior - level adjudicator and SME for medical claims within the Xcelys environment. Provide ... ** Senior Claims Examiner (Xcelys System)** **NTT...and process optimizations. **Key Duties & Responsibilities** -Adjudication & Review -Process comprehensive medical claims using Xcelys… more
- NTT DATA North America (Ontario, CA)
- …work 8:00 am-5:00 pm Pacific time zone** **Purpose** To serve as a senior - level adjudicator and SME for medical claims within the Xcelys environment. Provide ... NTT DATA is currently seeking ** Senior Medical Claims Examiners (3+ years...system enhancements, audits, and process optimizations. **Responsibilities** Adjudication & Review + Process comprehensive medical claims using… more
- Zurich NA (Maitland, FL)
- WC Senior Claims Specialist 126746 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to ... escalating issues as appropriate. + Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and… more
- UPMC (Pittsburgh, PA)
- …triage and resolve Level 2 and Level 3 issues. Act as a mentor for associate- senior level staff in resolution of Level 2 and Level 3 issues. ... UPMC is hiring a Systems Analyst- Senior (Epic PB Claims and Remittance)...and senior staff, the Systems Analyst - Senior requires a proficient level of experienced… more
- HUB International (Chicago, IL)
- …+ Review and comment on policy wordings for account teams + Review of claims with clients/insurers/loss adjusters regularly + Communicate with insureds, ... by developing relationships with others **Position Summary** Working within the Claims Department in a client-facing role, the successful candidate will apply… more
- USAA (Chesapeake, VA)
- …what truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager Senior , you will managed complex litigation arising out ... (Georgia, South Carolina, Virginia, Maryland). Accountable for delivering a concierge level of best in class member service through setting appropriate expectations,… more
- CRC Insurance Services, Inc. (NY)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between ... insured and insurance carrier to report, track and manage claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential functions… more
- AIG (Atlanta, GA)
- …outcomes. + Provide superior customer service and investigate first party commercial property claims . + Coverage review and determination on all files. + Work ... Join us as a Property Claims Analyst to take on key responsibilities within...skills. Ready to take your career to the next level ? We would love to hear from you. At… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office ... Analyst also reviews and provides comments on design-phase project documents.Essential Functions* Review and analyze claims in coordination with internal and… more
- HUB International (Brentwood, TN)
- …under which our subsidiaries reside: + Avant Underwriters (AU + Avant Specialty Claims (ASC) + Avant Brokerage (AB) + Avant Supermarket Group (ASG) + SafeHerb ... source for insurance solutions **Job Summary** Investigate, evaluate, and adjudicate claims for workplace injuries that fall under an occupational accident policy,… more
- Blue KC (Kansas City, MO)
- …adoption financial assistance** **Employee discount program** **Job Description Summary:** The Senior Workers' Compensation Claims Adjuster is responsible for ... of legal issues and liability related to workers' compensation injuries. + High level of knowledge of the worker's compensation industry and claims processes,… more
- Port Authority of New York and New Jersey (New York, NY)
- …to ensure alignment on valuation of the exposure and strategy to resolve claims . Oversee the accident reporting process to ensure that injury reports are completed ... TPA in a timely manner by all internal units. Review for accuracy and coordinate the delivery of salary...coordinate the delivery of salary adjustments on lost time claims from the TPA to the Agency's accounting staff.… more
- CHS (Clearwater, FL)
- …requirements. * Establishing and monitoring strong operational controls relating to claims cost control, including review processes for potential pre-existing ... reviews and contracting of vendors. **Primary Performance Expectations:** Performance review for the Claims Manager is ongoing,...Claims Manager will be evaluated based on the level of variance with the budget established for the… more
- Library of Congress (Washington, DC)
- …Congress require completion of a one-year probationary period. In addition, all newly appointed Senior Level executives, from outside the Library as well as from ... year probationary period in accordance with the Library of Congress Regulations (LCRs) 9-1610 Senior Level Executive System. The Library of Congress is an equal… more
- AIG (Atlanta, GA)
- …accidents, plant explosions, class action injury claims , catastrophic product liability claims . You will be required to review coverage under Excess ... Join us as a Complex Claims Director to grow your experience in ...the adjuster to present the large value cases to senior management. The adjuster will need excellent customer service… more
- Unilever (Englewood Cliffs, NJ)
- OVERVIEW The Senior Scientist, Claims , Compliance, Consumer Technical Insights (CTI) works collaboratively across functions and product groups to support all ... of product development to help ensure product safety, robustly supported advertising claims , with a comprehensive and accurate product data management system. In… more
- Allied Solutions (Plano, TX)
- …potential for EZ Claim Total Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; + Adjudicate claims ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...and assessed for coverage application. This position will also review database information found in systems such as Unitrac,… more
- The Hartford (San Antonio, TX)
- …as well as wrap policies, is a plus + Experience handling New York Labor Law claims is a plus + High level of discipline, results-oriented and able to focus ... Specialist Claims - CH07DESpecialist Claims CA -...inclusive of litigation planning and execution, budgeting and bill review . + Attending trials and mediations, as necessary. +… more
- American Water (Camden, NJ)
- …for Certificates of Insurance, Railroad Professional Liability, and other contract review inquiries. * Claims /Data Analysis: Partner with Operations Excellence, ... wastewater services to our communities. Effective, efficient, and intelligent insurance claims management, oversight, and forecasting are essential to this mission.… more