- 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 training. The Complex Claim Specialist will be...may manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Workers ' Compensation Claims Management Specialist Intermediate/Senior** **Job Class: Workers ' Compensation Claims Management ... + **Travel Required** : No + **Salary Range - Workers ' Compensation Claims Management Specialist ...claims management for a self-insured employer, third party claim administrator, or an insurance carrier; working with legal… more
- Travelers Insurance Company (Irvine, CA)
- …Compensation claims including catastrophic loss, specified serious injury and other complex claims . Attempt to resolve through innovative and expert claim ... or multiple back, shoulder or knee surgeries, knee replacements, claims involving complex offsets, permanent restrictions and/or...to inquiries - verbal and written. + Keeping injured worker apprised of claim status. + Engage… more
- Crawford & Company (Brea, CA)
- Excellence In Everything We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our awesome team! The purpose ... not a job post. Position Summary Administers and resolves non- complex short term claims of low monetary...adjusting reserves, as necessary, during the processing of the claim . + Identifies wage loss expenses and wage exposures… more
- Zurich NA (Woodland Hills, CA)
- Sr. Claims Specialist , Workers Compensation...applies the component parts of an insurance policy for complex claims + Ability to follow reserving ... 117126 Zurich North America is seeking an experienced Senior Claims Specialist in Workers ' Compensation...indemnity and expense in analyzing the potential exposure of complex claims + Ability to determine the… more
- Limitless Male (Omaha, NE)
- JOB TITLE: Insurance Claims Specialist EMPLOYER: Limitless Male Medical DEPARTMENT: Revenue Cycle REPORTS TO: Revenue Cycle Manager EFFECTIVE DATE: 7 /1/24 WHY ... to help men feel their best! SUMMARY: The Insurance Claims Specialist is responsible for successfully submitting...system and the clearing house + Identifies and researches complex claim issues bringing opportunities for improvement… more
- MetLife (Bloomfield, CT)
- …lives of our customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims in ... and within prescribed time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent judgment, critical thinking… more
- MetLife (Cary, NC)
- …Key Responsibilities: * Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. ... Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time...regulations. Provides timely and detailed written communication during the claim evaluation process which outlines the status of the… more
- M&T Bank (Buffalo, NY)
- …businesses/functions. **Primary Responsibilities:** + Assist manager with Property and Casualty Claims including Workers Compensation lost time and files in ... various elements of said framework with focus on less complex areas such as external loss and internal event...degree and two years' experience in Property Casualty insurance claims , including insurance carrier claim adjuster, broker… more
- Aston Carter (West Des Moines, IA)
- Workers Compensation Specialist Job Description Review First Report of Injury forms and medical records to determine proper actions under Workers ' ... containment techniques, including strategic vendor partnerships to reduce the overall cost of claims . Manage claim recoveries of all types, including but not… more
- Allied Universal (Billings, MT)
- …(4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with a minimum of six (6) ... experience conducting complex insurance investigations or adjusting complex claims + Ability to be properly...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
- Allied Universal (Durango, CO)
- … claims with red flags that suggest fraudulent behavior In relation to an Insurance claim . The Claims / SIU Specialist must use their extensive knowledge ... claims for a variety of coverage to include workers ' compensation, general liability, property and casualty and disability...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
- Commonwealth of Pennsylvania (PA)
- …as a lead worker , which includes providing guidance to staff on complex issues, monitoring work progress, and recommending or providing training. I was NOT ... Water Quality Specialist Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4669271) Apply Water Quality Specialist Supervisor… more
- Veterans Affairs, Veterans Health Administration (Tuskegee, AL)
- Summary The Local Recovery Coordinator (LRC) is a Social Worker assigned within the Mental Health- Recovery Programs Service Line, located at Central Alabama ... Careers - Social Work: https://youtube.com/embed/enRhz\_ua\_UU The Local Recovery Coordinator Social Worker will function to do the following: Implement policies &… more
- Johns Hopkins University (Baltimore, MD)
- … Specialist Job Posting Title (Working Title): Community Health Worker Role/Level/Range: ACRO37.5/02/CC Starting Salary Range: $15.70 - $26.25 HRLY ($43,680 ... Health Worker_** (CHW), under limited supervision, will address the complex social and health problems of Medicaid patients. The...The CHW will work in partnership with a Social Worker at the Johns Hopkins Bayview Medical Center, Department… more
- Southern Company (Atlanta, GA)
- …environment. + Goal oriented. + Accountable for work product. + Able to handle complex claims from inception through to a hearing or settlement when necessary. ... variety of professional duties in support of the Southern Company Gas Workers ' Compensation program including; reviewing claims documentation for compensability… more
- UPMC (Pittsburgh, PA)
- …+ Works with Clinical Case Mangers and Physician Consultants to review complex /questionable claims + Participates in a multidisciplinary team to Identify ... UPMC Health Plan and Workpartners is hiring a full-time Behavioral Health Absence Specialist . This role may work remotely. This position will focus on behavioral… more
- MarketSource (Alpharetta, GA)
- …The HR Specialist will oversee the daily activities of the Worker 's Compensation, Americans with Disabilities Act, and Personal Unpaid Leaves of Absence for ... leaves of absence Triage all incoming calls and emails from employees regarding worker 's compensation claims and administer intake paperwork for reporting a… more
- Finger Lakes Community Health (Geneva, NY)
- …in 1989 with an original mission of serving the region's agricultural workers by linking individuals to area resources and providing essential health services. ... to the Finger Lakes Region. Job Summary: The Billing Specialist is responsible for accurate and timely processing of...resolve billing questions every day. Medical billing can be complex and often raises many questions for patients. You… more
- Team Car Care/Jiffy Lube (Irving, TX)
- …providing direction on ER related business matters as pertains to EEO claims , unemployment programs, background checks, safety and worker 's compensation, design ... the first choice of every consumer. POSITION SUMMARY: The Senior Employee Relations Specialist will partner with the HR Manager in leading the development and… more