- EV Realty (Los Angeles, CA)
- …processes, coordinating cross functionally, to oversee all operations partners and third- party vendors. You will be responsible for the upkeep, repair, and ... and customer vehicle interoperability testing Lead customer onboarding: ensure customers' first weeks on-site are smooth and operationally successful for each new… more
- Travelers Insurance Company (Walnut Creek, CA)
- …time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical ... is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical...issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical… more
- Travelers Insurance Company (Walnut Creek, CA)
- …for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim ... if a claim is compensable under Workers Compensation including evaluating claims for potential fraud. + Achieve a positive result by returning an injured… more
- Axis (Chicago, IL)
- …the investigation, analysis and evaluation of coverage liability within best practices for first - party and third- party claims for environmental cleanups, ... part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Environmental Claims_** to join our North America Claims .… more
- American Water (Camden, NJ)
- … claims professionals, ensuring appropriate redundancy, and backup. o Ensure that all first - party claims , including property claims are adjudicated ... Reviewing claim reserves to ensure adequacy and accuracy o Oversee all third- party claims administrators, as well as third- party service providers,… more
- Raphael and Associates (Rutherford, NJ)
- …and time management skills. Company Overview: Raphael & Associates is a third- party claims administrator and independent claims adjusting company ... at our Rutherford, NJ, headquarters. Key Responsibilities: + Initial Claims Setup: + Review FNOL ( First Notice...adjuster and supervisor. + Set adjuster diaries with new claim notifications and necessary actions. + Claims … more
- AssistRx (Phoenix, AZ)
- …other sources. Required engagement is with pharmacy claim adjudicators, third party medical claim administrators, merchant vendors, finance for manual ... Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim ...+ Subject Matter Expert on reviewing and processing of medical claims submitted for copay programs where… more
- Philadelphia Insurance Companies (Plano, TX)
- …insurance policy language. + Interact and support all lines of business, addressing both first party and liability claims . + Working with outside local ... Claim Division staff on best practices, good faith claims handling, and relevant developments in the law to...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Senior Property Claims Supervisor? At HCA Healthcare, you come first . HCA Healthcare has committed up ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...difference. We are looking for a dedicated Senior Property Claims Supervisor like you to be a part of… more
- HUB International (Denver, CO)
- …with incoming and outgoing claims documentation and ad hoc projects. + Assisting Claims Team members in preparation of Claim Kits. + Generate Loss Runs from ... portals as requested. + Accurate data entry in EPIC claims management system (New claim input, Activity...personal performance. + Respond to messages left by 3rd party callers. Confer with assigned consultant to determine next… more
- Select Medical (Camp Hill, PA)
- …**Required:** + High School Diploma or Equivalent + One year of experience within a medical billing, medical collecting or claims processing role. + Private ... **Overview** **Senior Claims Resolution Specialist** **Starting at $18.50.00/hr but flexible...may be a phenomenal career for you within Select Medical ! Our dynamic team has the responsibility of resolving… more
- Robert Half Office Team (Lombard, IL)
- …management of claims . * Collaborate with external partners, including Third- Party Administrators, to guide claim decisions and resolutions within established ... with little guidance and direction. + Demonstrated knowledge and experience in claim adjudication, medical management, and litigation management. + Ability to… more
- Sedgwick (Madison, WI)
- …assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total ... + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- St. Luke's University Health Network (Allentown, PA)
- …for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of ... Utilizes provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review process. JOB… more
- USAA (Tampa, FL)
- …champions claims servicing solutions across process, technology, workforce, third party , analytics in support of P&C product competitiveness + Builds and leads ... and impactful. **The Opportunity** Accountable for the auto, property or other claims operation to deliver business results at scale. Responsible and accountable for… more
- Marriott (Bethesda, MD)
- …requirements and the complexity of workers' compensation and general liability claims , ensuring high-quality, timely, and cost-effective claim outcomes. ... and support for discovery, trial preparation, and legal strategy. + Evaluation of claims for potential third- party liability or subrogation recovery. + Partner… more
- Kemper (Henderson, NV)
- …Qualifications** : + High School Diploma or GED required + 3 plus years of claims adjusting experience handling first party and bodily injury claims ... advanced negotiation skills? Kemper is looking for experienced Represented Bodily Injury Claims Adjusters for our growing teams! This position will be reporting to… more
- Philadelphia Insurance Companies (Melville, NY)
- …Summary: Analyze insurance claims to determine extent of Insurer's obligations. Settle claims with first and third party claimants in accordance with ... service calls, mediations, and other legal proceedings. Evaluates each claim in light of facts; Affirm or deny coverage;...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company… more
- Kemper (Dallas, TX)
- …Commercial Auto insurance professional with the ability to investigate and adjust first - party and third- party automobile claims . We are offering the ... and witnesses + Obtain and review evidence, reports, and medical records + Investigate losses and identify coverage issues...for non-standard claims preferred + Commercial auto claims handling experience a plus + Claim -related… more
- The Hertz Corporation (Oklahoma City, OK)
- …Day in the Life:** The primary purpose of the FNOL Examiner is to be the first point of contact for both the Hertz field locations as well as customers to establish ... the initial claim file. The Examiner will be responsible for the...You Do:** + Initially review and set up damage claims for billing or liability referral + Validate proper… more
