- Providence (Anaheim, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, ... case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate… more
- Axis (Red Bank, NJ)
- …request for candidates taking part in the selection process. Job Description: AXIS is seeking a Senior Claims Specialist - Excess Claims to join our ... as well as reporting and presenting about same to senior management * In-depth knowledge of claims ,...to senior management * In-depth knowledge of claims , litigation, arbitration, and trial processes as well as… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …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 -Investigate, ... evaluate and settle more complex first and third party insurance claims .A typical day will include the following:Evaluates each claim in light of facts, policy… more
- Zurich NA (Dallas, TX)
- …North American Claims offices: Addison and Dallas. Zurich is currently seeking a Senior Claims Specialist to join our team in Addison, Texas (Dallas). ... Senior DBA Claims Specialist 112870 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to… more
- Banner Health (AZ)
- …making in service to all Banner Health entities, costumers and communities. As a Senior Claims Litigation Management Specialist you will have the opportunity ... leverages knowledge and experience for customer enrichment and strong team performance. The Claims & Litigation Management team prides itself on the ability to value… more
- Axis (New York, NY)
- …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
- 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
- Axis (Alpharetta, GA)
- …and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the ... damages issues in connection with complex primary and excess claims and maintaining appropriate documentation * Analyzes insurance coverage...letters * Collaborates in the defense and resolution of claims * Evaluates full pending of claims … more
- CVS Health (San Antonio, TX)
- …containment measures to assist in the claim adjudication process. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or ... correspondence related to claim processing issues. - Routes and triages complex claims to Senior Claim Benefits Specialist . - Proofs claim or referral… more
- CVS Health (Pittsburgh, PA)
- …and written correspondence related to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or ... convenient and affordable. Position Summary * Reviews and adjudicates routine claims in accordance with claim processing guidelines. * Analyzes and approves… 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
- NJM Insurance (Hammonton, NJ)
- Job Description The Claim Resolution Specialist 1 will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary ... action plan to manage the claim. The Claim Resolution Specialist 1 will work with and communicate to NJM...seek authority as needed. This role will manage litigated claims of low complexity for further development within this… 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
- Zurich NA (Columbus, OH)
- RCIS CROP Claims Employee Development Specialist 112483 We are excited to announce an opening in our Rural Community Insurance Services (RCIS) Crop organization. ... for this exciting opportunity will engage leaders and executive stakeholders in Crop Claims and the RCIS organization to lead the planning, execution and measurement… more
- BrightSpring Health Services (Honolulu, HI)
- …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
- 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
- Randstad US (San Antonio, TX)
- senior claims specialists. + san antonio...send your resume to ###@randstadusa.com with the subject "Sr Claims Specialist - San Antonio, TX" for ... support occupations + referenceAB_4525872 job details Randstad is looking to hire Senior Claims Specialists for a large financial institution in San Antonio! If… more
- Medical Mutual of Ohio (Brooklyn, OH)
- **_The Claims /Customer Care Specialist - TPA position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, ... in accordance with established performance expectations and service philosophy. **Responsibilities** ** Claims /Customer Care Specialist I - TPA** . Processes… more
- Tucson Electric Power (Tucson, AZ)
- **Services Procurement--Associate, Specialist , or Senior ** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **5551** **About Us** UNS ... (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Services Procurement--Associate, Specialist , or Senior ** Check us out. We… more
- EMCOR Group (El Cajon, CA)
- **Description** **Job Title:** **Sr. Insurance and Contracts Specialist ** **Reports to:** **CFO** **FLSA Status:** **Exempt** **Department:** **Corporate** ... Inc. (UMEC) is currently seeking an experienced Sr. Insurance and Contracts Specialist for our southern California operations, based out of our San Diego… more