• Complex Claim Specialist (Workers'…

    NJM Insurance (Trenton, NJ)
    …+ Prepare, attend, and participate in Claim Reviews as needed with the Claims Supervisor + Participate in training programs to keep current on relevant ... Claims Team is seeking an experienced Complex Claim Specialist. This is a full-time position and offers...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role… more
    NJM Insurance (07/31/24)
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  • Claim Resolution Rep III, Hosp

    University of Rochester (Rochester, NY)
    …to insurance companies to determine reason for claim denial, or reason for unpaid claim . Address unpaid claims , and solicit a payment date from the payer. + ... Research and calculate under or overpaid claims ; determine final resolution + Re-calculate claim ...supervisor or manager on trends of incorrectly paid claims from specific payers + Work with supervisor more
    University of Rochester (08/24/24)
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  • Construction Liability Claim Representative

    Travelers Insurance Company (Las Vegas, NV)
    …negotiating and resolving assigned Specialty 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...staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
    Travelers Insurance Company (09/13/24)
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  • Senior Commercial General Liability Claim

    Travelers Insurance Company (Irvine, CA)
    …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
    Travelers Insurance Company (08/10/24)
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  • Supervisor , Property Damage Claims

    City of New York (New York, NY)
    …include, but are not limited to, the following: - Supervise the daily work of claim specialists, coordinate their work, and review claims submitted by staff to ... in a permanent (not provisional) civil service title of Claim Specialist. Please clearly state your permanent civil service...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
    City of New York (07/12/24)
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  • Workers. Compensation Claim Examiner |

    Sedgwick (Concord, CA)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
    Sedgwick (07/23/24)
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  • Claims Supervisor - Technical…

    AIG (Dallas, TX)
    Claims Supervisor - Technical Third-Party Oversight (TTPO) Join us as a Claims Supervisor to play a highly influential role in protecting our clients and ... growing our business. Make your mark in Claims . Our Claims teams are the proven...assigned TTPO WC staff. Provides leadership and guidance on claim technical, customer and organizational issues. + Conducts regular… more
    AIG (08/09/24)
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  • Claim Support Representative

    Boston Mutual Life Insurance (Canton, MA)
    …of Position** The Claim Support Representative reports directly to the Supervisor Claim Support. The Claim Support Representative is responsible ... is expected to: + Prepare items for imaging, including new claims , correspondence, closed claim files, and notification of claims . + Provide back… more
    Boston Mutual Life Insurance (09/19/24)
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  • Claim Specialist, Level II - Property…

    City of New York (New York, NY)
    …York employees serving in a permanent (not provisional) civil service title of Claim Specialist. Please clearly state your permanent civil service title on your ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...variety of matters. Under the direction of the division supervisor , with latitude for independent judgment and initiative, the… more
    City of New York (09/26/24)
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  • Claims Supervisor - Liability…

    Raphael and Associates (Rutherford, NJ)
    Claims Supervisor - Liability Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company ... our services to our client's specific needs. As a claims organization, what we do is complex. Our mission...environment. This is the perfect opportunity for a self-motivated supervisor to apply their knowledge of coverages and negligence… more
    Raphael and Associates (08/22/24)
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  • Senior Claim Examiner - Workers…

    Crawford & Company (Brea, CA)
    …OPPORTUNITY! + Seeking candidates with experience managing California Workers Compensation claims ! Bi-lingual preferred. + SIP is a requirement! + Bonus ... Multiple Employee Discounts! Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established… more
    Crawford & Company (09/23/24)
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  • Supervisor Claims - Claims

    Providence (Mission Hills, CA)
    …medical claims related field. + 5 years experience in medical/institutional claims examining within a medical group/IPA setting claim processing experience. ... **Description** Working under the direction of the Manager, Claims , this position has direct responsible for the...staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities… more
    Providence (09/25/24)
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  • Claim Representative - Bodily Injury

    Donegal Insurance Group (PA)
    Job Summary Donegal Insurance Group has an opening for a Bodily Injury Claim Representative. As a member of our Claims team, this position is responsible for the ... claim handling procedures. Responsibilities and Duties + Investigate, evaluate, and settle claims as assigned by the Supervisor + Monitor and direct file… more
    Donegal Insurance Group (09/04/24)
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  • Supervisor - Claims Specialist Team

    University of Washington (Seattle, WA)
    …Practice Plan Services (FPPS)** has an outstanding opportunity for a **full-time, day shift, CLAIMS SUPERVISOR .** **WORK SCHEDULE** + 40 hours per week + Day ... Shift + This position is Remote **POSITION HIGHLIGHTS** The Claims Supervisor is responsible for the coordination...is responsible for the coordination and control of the Claim Specialist Team, ensuring that effective operations run smoothly… more
    University of Washington (08/16/24)
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  • Assistant Supervisor of Claims

    Monroe County, NY (Rochester, NY)
    Full Jobs List Full Exams List Assistant Supervisor of Claims and Accounts, prov. Location: Rochester, NY Title: Assistant Supervisor of Claims and ... to and works under the general supervision of a Senior Assistant Supervisor of Claims and Accounts or other higher-level staff member. General supervision is… more
    Monroe County, NY (09/11/24)
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  • Claims Advisor, Professional Liability

    Sedgwick (Columbus, OH)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors others.… more
    Sedgwick (09/25/24)
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  • Workers Comp- Regional Claims Specialist…

    NJM Insurance (Trenton, NJ)
    …+ Promptly manage and resolve issues on litigated cases, inclusive of evaluating claim exposure, negotiating, and resolving claims + Build rapport with the ... be responsible for contacting all parties involved in the claim , gathering, and securing all necessary information to effectively... Reviews; attend and participate as needed with the Claims Team and Supervisor + Participate in… more
    NJM Insurance (09/24/24)
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  • Managed Care Claims Validator / Biller

    CommuniCare Health Services Corporate (Akron, OH)
    …to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing Office team. PURPOSE/BELIEF ... STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and...others for all aspects of the UB04 and 1500 claim forms. WHAT WE OFFER As a CommuniCare employee… more
    CommuniCare Health Services Corporate (09/22/24)
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  • Supervisor of Claims and Accounts,…

    Monroe County, NY (Rochester, NY)
    Full Jobs List Full Exams List Supervisor of Claims and Accounts, prov. Location: Rochester, NY Title: Supervisor of Claims and Accounts, prov. Deadline: ... the Department of Public Health. This position differs from Senior Assistant Supervisor of Claims and Accounts by virtue of planning the fiscal functions of the… more
    Monroe County, NY (08/16/24)
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  • Claims Adjuster (SCA) HHG/Military Move

    HomeSafe Alliance (Columbus, OH)
    …to ensure prompt recovery of claim expenses. + Work with the Director of Claims and Claims Managers to ensure any concerns or issues are addressed. + Perform ... **Title:** Claims Adjuster (SCA) HHG/Military Move **_HomeSafe Alliance_** is...role is a remote opportunity responsible for ensuring the claim settlements meet or exceed customer expectations and comply… more
    HomeSafe Alliance (08/07/24)
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