- Lundbeck (Dallas, TX)
- Do you want to join a team where the mission is meaningful, the challenges are complex , and you can directly see the results of your hard work? Lundbeck is a global ... boundaries include: Texas (subject to change) SUMMARY: The Lundbeck Field Access Specialist is a field-based role focused on supporting providers as they navigate… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …and other regulatory entities. Collaborates with Senior Medical Director to resolve complex medical review issues and utilization cases requiring elevation to the ... with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on routine basis....about QI efforts. Working with the Appeals and Grievances Specialist , maintains oversight of the Grievances and Appeals process,… more
- University Health (San Antonio, TX)
- …the annual Compliance Work Plan. This position is responsible for conducting complex audits of medical coding, billing, and documentation practices to ensure ... and Certified Professional Medical Record Auditor (CMPA), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or a Registered… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DESpecialist Claims...This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty ... (HGS) Claims Division. As a Claims Specialist , you will be responsible for...or commensurate experience + Minimum of seven years handling complex litigated bodily injury claims + Familiarity… more
- ICW Group (TX)
- …more about why you want to be here! **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with a focus on providing ... to an equitable resolution within Company standards. The Claims Specialist works with a sense of...**ESSENTIAL DUTIES AND RESPONSIBILITIES** Manages all aspects of a complex claims inventory. + Effectively communicates with… more
- Falvey Insurance Group (Phoenix, AZ)
- …best-in-class claims operations. Position Functions The Senior Claims Specialist duties will include: + Manage complex transportation and logistics ... Summary of Position At Falvey Insurance Group, the Senior Claims Specialist plays a critical part in...their clients. This position is responsible for independently managing complex , high-severity, and hybrid claims across both… more
- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DE We're determined to... is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and is ... claims involving bodily injury and property damage. Claims in CCU are often associated with complex...manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to independently and timely… more
- Zurich NA (Sacramento, CA)
- Sr. Claims Specialist (Workman's Compensation) 128616 Zurich is seeking an experienced Senior Workers Compensation Claims Specialist to join our team. We ... arrangement, depending on your location. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line...applies the component parts of an insurance policy for complex claims + Ability to follow reserving… more
- City of New York (New York, NY)
- …and investigate reports of damage to City vehicles/property caused by other parties on complex and high value claims ; - Analyze liability, identify the party ... a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title...calculate the amount of loss to the City on complex and high value claims ; - Communicate… more
- Zurich NA (St. Paul, MN)
- RCIS Crop Claims Specialist (West or Central MN) 127970 Zurich is currently looking for a or an experienced Crop Claims Specialist to join our Rural ... Area Claims Managers either as a local claims specialist in the facilitation of general...staff by completing and/or providing training and assistance with complex claims . If you are ready for… more
- Zurich NA (Overland Park, KS)
- Auto Claims Specialist II 128801 Zurich North...+ Ability to assess scope and exposure for moderately complex claims + Understanding of the reserving ... America is currently hiring a Litigation Claims Specialist to join our Auto Bodily Injury Team. At Zurich North America Claims , we prioritize work-life… more
- Zurich NA (Maitland, FL)
- Sr. Claims Specialist (Workers Compensation) 128797 Zurich North America is looking for an exceptional Senior Workers' Compensation Claims Specialist to ... understanding of insurance policies and ability to apply this knowledge to complex claims . + Expertise in managing complex litigation and settlement… more
- Zurich NA (Springfield, IL)
- RCIS Crop Claims Specialist 129020 Zurich is currently looking for a to join our Rural Community Insurance Services (RCIS) team. RCIS is one of the leading crop ... and ranchers. Zurich is looking for an RCIS Crop Claims Specialist to work out of Illinois...your primary accountabilities will include: + Work the most complex claims , involving multiple causes of loss,… more
- Zurich NA (Omaha, NE)
- Litigated Claims Specialist General Liabiity 129547 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... attendance should be expected. Zurich is seeking a Litigated Claims Specialist to join our team. In...Ability to assess the scope and exposure of moderately complex claims + Expertise in the reserving… more
- Axis (Princeton, NJ)
- …upon request for candidates taking part in the selection process. **Senior Claims Specialist - Management Liability - Financial Institutions** **Job Code** ... Do In This Role?** + Serving as a Senior Claims Specialist focused on management liability ...and strategic plans. + Determining the appropriate valuation of complex claims , recommending settlement strategies, adhering to… more
- Zurich NA (Schaumburg, IL)
- Workers' Compensation Litigated Claims Specialist (IN/IL) 129136 Zurich North America is seeking a sharp, solutions-driven Workers' Compensation Litigated ... Claims Specialist II to join our high-performing...perspectives to improve claim outcomes. + Experienced in guiding complex litigated claims , including directing counsel, managing… more
- BrightView (Blue Bell, PA)
- …team where you can grow to be your brightest. We're looking for a Senior Claims Specialist . Can you picture yourself here? **Hybrid Schedule:** 4 Days Onsite in ... At This Time **Here's what you'd do:** The Senior Claims Specialist is a key member of...strategy, and settlement recommendations. + Provide expert-level oversight on complex and high-exposure claims , ensuring coverage positions… more
- ENFRA (Metairie, LA)
- …than just values-they are the pillars of our continued success. **Overview** The Claims Specialist II is responsible for the overall administration of property ... + Performs work under minimal supervision. + Handles moderately complex issues and problems, and refers more complex...and Qualifications** + Bachelor's degree. + 3-5 years of claims experience. + Construction, Risk, and Insurance Specialist… more
- The Hartford (Lake Mary, FL)
- Specialist Claims - CH07DE We're determined...Claim Specialist will handle a caseload of complex , high-exposure claims on Excess General Liability ... as we help shape the future. This dynamic Claim Specialist role will be part of a team of...of professionals who support the Harford Global Specialty (HGS) Claims Division. Our ideal candidate will have expertise in:… more
- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California **PRIMARY ... PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury … more
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