- Axis (Los Angeles, CA)
- … Claims and Underwriting. * Makes effective recommendations for settlement/disposition of claims ; works successfully with senior Claims and Underwriting ... contributor directly reviewing primary and excess Financial Institutions and Management Liability claims to determine nature of loss, coverage provided, and scope of… more
- Axis (Red Bank, NJ)
- …Heights, NJ, Princeton, NJ * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim ... for the timely evaluation, reserving and disposition of assigned claims * Documents coverage, investigation, damages, reserve rationale, negotiations, etc.… more
- MetLife (Tampa, FL)
- …meaningful impact in the lives of our customers and our communities. The IDI Senior Claims Specialist evaluates individual disability income insurance ... and within prescribed time service standards. In this role, the IDI Senior Claims Specialist is required to exercise discretion and independent judgment… more
- CRC Insurance Services, Inc. (Norfolk, VA)
- …of America) **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… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …of Ward's Top 50 and rated A++ by AM Best. Duties We are looking for a Senior Claims Specialist - Professional Liability to join our team. Summary - ... and settle more complex first and third party insurance claims . A typical day will include the following: Evaluates...appropriate. Investigates circumstances of routine as well as complex claims to determine if and to what extent coverage… more
- Lincoln Financial Group (Columbus, OH)
- …73193 **The Role at a Glance** We are excited to bring on a highly motivated Life Claims Specialist to staff our ever-growing claims organization. As a Life ... completeness of submitted claims . * You will escalate claims issues/concerns to senior team members and/or management. **What we're looking for** Must-haves:… more
- Axis (Princeton, NJ)
- …upon request for candidates taking part in the selection process. AXIS is seeking a ** Claims Specialist ** to join our North America Claims team reporting to ... the Manager of Casualty Claims . This position requires senior claims management and handling expertise for both the oversight and management of TPA handled … more
- NJM Insurance (Trenton, NJ)
- …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 all parties involved...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
- Lincoln Financial Group (Columbus, OH)
- …at a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. As an LTD Claims ... Specialist , you will manage a workload of Long-Term Disability claims independently in accordance with established procedures and guidelines. You will be… more
- HCA Healthcare (Asheville, NC)
- …where diversity and inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for the Elderly) Program ... may vary by location._** We are seeking Insurance and Claims Specialist PACE Program, for our team...a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you… more
- CenterWell (Topeka, KS)
- …of our caring community and help us put health first** As an **Accounts Receivable Specialist /Healthcare Claims Denial Specialist ** , you will: + Ensure the ... timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily....at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- Axis (New York, NY)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim reserves and make referrals ... to senior members of the team where necessary * Obtain...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement ... based on Zelis data points. During this call, the Claims Settlement Specialist must understand: (1) the...people who could be pretending to be recruiters or senior professionals at Zelis. As the leading healthcare payments… more
- BrightSpring Health Services (Taunton, MA)
- …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a...+ Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... team as we help shape the future. As a Claims Specialist , you will be responsible for...initiatives; + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Support Specialist position provides comprehensive administrative support as a part of the Client Experience. The Claims ... healthcare compliance, medical billing, negotiations, or state and federal regulated claims . Education: + Bachelor's degree or equivalent experience in a healthcare… more
- National General Insurance Company (LA)
- National General is seeking a Casualty Claims Adjuster who has experience handling both Bodily Injury and Material Damage insurance claims for the state of ... 140 - 150 pending coverages, and ~ 2-5 new claims a week (this is subject to change). A...or a rotation into a specialty position (Coverage, Investigation Specialist , Total Loss, Initial Handler, Extended Handler, Litigation, etc.)… more
- Ramsey County (St. Paul, MN)
- …quarterly claims review meeting, as well as reports for senior management and relevant stakeholders, highlighting key findings, trends, and recommendations for ... Claims Analyst Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/4536137) Apply Claims Analyst Salary $63,652.00 - $94,277.52 Annually… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4534112) Apply Property Claims Manager ... information about this posting, please contact: Erica R. Gay HR Specialist Division of Administration/Office of Human Resources email: ###@la.gov Minimum… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This ... will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim...Total Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; +… more