- Liberty Mutual Insurance (Butte, MT)
- …our office in Plano, TX. This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I or a ... manage an assigned caseload of routine to moderately complex claims from the investigation of the claim ...complex claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability,… more
- Insmed Incorporated (Bridgewater, NJ)
- …Best Workplaces in New York™, and Best Workplaces for Millennials™ lists.OverviewThe Associate Director, HEOR is a significant contributor to the development and ... communication of HEOR evidence to demonstrate the value of Insmed's product(s). The Associate Director will work closely with HEOR team members and others across the… more
- Spectraforce Technologies (Columbia, SC)
- …medical claims review and utilization review practices: Performs medical claim reviews and makes a reasonable charge payment determination. Monitors process's ... protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. Responsibilities: 80% May provide any of the following… more
- ChristianaCare (Wilmington, DE)
- …is required: Associates or Bachelor's degree in Nursing (active/unrestricted license) Associate or Bachelor's degree in Health Information Management (RHIA or RHIT) ... Equivalent experience of 5+ years' experience in provider auditing, claims auditing, compliance auditing, quality assurance, and/or recovery auditing Coding… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist. This is a full-time position and offers a hybrid schedule after ... policyholder's reporting practices + Prepare, attend, and participate in Claim Reviews as needed with the Claims ...(including NJ, MD, CT, DE, PA and/or NY) + Associate 's or Bachelor's degree + AIC/CPCU Designations Salary: +… more
- Travelers Insurance Company (Houston, TX)
- … Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and ... you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range...Follow operational policies to analyze, investigate, and resolve BSI claims of varying levels of severity with active supervision… more
- 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 ...Planning PFS events or addressing employee issues **Qualifications:** Requires: Associate 's degree in Business Administration and 2 years of… more
- CVS Health (Hartford, CT)
- …of service. Shift and Training Hours: + Training 8:00am-4:30pm + Shift: 8am-4:30pm Claim Benefit Specialist Reviews and adjudicates claims in accordance with ... use multiple systems and screens to obtain and record claim information + Review claims information to...overtime may be required based on business needs. Education Associate 's degree preferred; High School diploma required Pay Range… more
- University of Rochester (Rochester, NY)
- …York State. **Position Summary:** With considerable latitude for independent judgment, the Claim Resolution Rep IV is responsible for the follow up and collection ... point person for complex accounts. Serves as main point of contact in claim resolution process for Strong Memorial Hospital (SMH) clinical staff and outside agencies… more
- 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...and damages, and preparing an objective evaluation of the claim ; - Preparing a claim abstract detailing… more
- 2-10 Home Buyers Warranty (Denver, CO)
- Associate Manager, New Home Claims Targeted compensation: $75,000 - $90,000 base + bonusCompensation commensurate with experience and skill set Who we are: ... Associate Manager to join our team. As an Associate Manager, New Home Claims you will...Loss Reports, URNs and other reports. + Perform detailed claim investigations, evaluate and settle new home workmanship, systems… more
- Axis (Princeton, NJ)
- …is available upon request for candidates taking part in the selection process. Claims Associate -Primary Casualty Triage * **Please note this is a hybrid ... * KEY DUTIES & RESPONSIBILITIES: o Handle General Liability claims for a wide variety of AXIS policyholders written...an established network of service providers; o Set accurate claim reserves and make referrals to senior members of… more
- Travelers Insurance Company (Hartford, CT)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... is responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement and payment… more
- Sedgwick (Newark, NJ)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Recovery ** Claims Associate ** Are you ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...on the claim . + Negotiating settlement of claims within designated authority. + Communicating claim … more
- Concord Group Insurance (Bedford, NH)
- Claims Adjuster Trainees handle entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: ... investigation, evaluation and claim resolution. The purpose of this position is to...provide service to agents, insureds and others to ensure claims resolve accurately and timely. Claims Adjuster… more
- Sedgwick (Lake Mary, FL)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Workers Compensation **PRIMARY PURPOSE** : To analyze ... with claimant, client and appropriate medical contact. + Ensures claim files are properly documented and claims ...Ensures claim files are properly documented and claims coding is correct. + May process routine payments… more
- Travelers Insurance Company (Melville, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... Opportunity?** This position handles First Party Medical Litigation or Arbitration claims from the first notice of suit/arbitration to resolution/settlement and… more
- CVS Health (Columbus, OH)
- …affordable. Position SummaryReviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. - Reviews ... pre-specified claims or claims that exceed specialist adjudication...applies all cost containment. measures to assist in the claim adjudication process.- Insures all compliance requirements are satisfied… more
- Travelers Insurance Company (Naperville, IL)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... where you can be the best you. As an Associate Counsel with Travelers you'll be responsible for high...the supervision of experienced counsel. + Learn and understand Claim customer's expectations and key department business goals and… more
- Principal Financial Group (Des Moines, IA)
- **What You'll Do** As a **Short Term Disability Claims Analyst 2,** your day will be anything but routine. In this fast-paced environment, every single day offers ... interpersonal skills to assist with our clients' short-term disability claims - all during a time in which they...financial and contractual information to make effective and timely claim decisions. + Connect with employers, employees and medical… more
