- CVS Health (Jacksonville, FL)
- …measures to assist in the claim adjudication process. Routes and triages complex claims to Senior Claim Benefits Specialist . Proofs claim or ... **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Demonstrated… more
- MAPFRE Insurance (Webster, MA)
- Claim Specialist , Casualty (Hybrid) Date: Oct 17, 2024 Location: Webster, MA, US Company: MAPFRE Bring your passion and enthusiasm for Claims to our TEAM! At ... new losses to determine coverage exposures, thoroughly investigating liability, evaluate claim values, negotiate final disposition of claims with appropriate… more
- CRC Insurance Services, Inc. (MN)
- …correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with insurance carriers to ensure claims are paid ... drawing conclusions. Acts as a liaison between insured and insurance carrier to report, track and manage claims...additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim… more
- CVS Health (St. Paul, MN)
- …personal, convenient and affordable. **Position Summary:** In this position the Senior Claim Benefit Specialist will reviews and adjudicates complex, sensitive, ... and/or specialized claims in accordance with claim processing guidelines....May handle customer service inquiries and problems. Reviews pre-specified claims or claims that exceed specialist… more
- CVS Health (Jacksonville, FL)
- …written correspondence related to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim ... personal, convenient and affordable. **Position Summary** * Reviews and adjudicates routine claims in accordance with claim processing guidelines. * Analyzes and… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Regional Claims Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Regional Claims Specialist will be responsible for contacting...Medical Insurance (Blue Cross Blue Shield) + Dental Insurance (Delta Dental ) +… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans... and legal actions. + Analyzes applicable complex liability insurance coverage and policies + Negotiates claim … more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As an Electronic Claim /Remit Specialist at LogixHealth, you will work with internal teams to provide services that ... will bring your expertise to ensure timely filing of insurance carrier claims , bank file retrieval, statement...LogixHealth: We offer a comprehensive benefits package including health, dental and vision, 401(k), PTO, paid holidays, life and… more
- HUB International (Frisco, TX)
- …real-time solutions that help mitigate exposures and contain costs. **Job Summary** The Sr. Claims Specialist is responsible for helping to oversee the claim ... with the organization's carrier partners and third party administrators. The Sr. Claims Specialist is involved in the overall design, implementation and… more
- Publix (Lakeland, FL)
- **30338BR** **Position Title:** General Liability Attorney Rep Claims Specialist , Risk Mgmt - Lakeland **Department:** Risk Management **Location:** Lakeland, FL ... as a leader in the supermarket industry. In Risk Management, the General Liability Claims Specialist is responsible for a variety of areas, including analyzing… more
- ManpowerGroup (Livingston, NJ)
- …NJ **Pay : $** 75,000 - $80,000 **What's the Job?** The Claim Specialist will be responsible for managing the claims process for clients from start ... Our client is seeking a Claims Specialist to join their team....the AMS, Epic is a plus. **Benefits:** + Health, Dental , Vision and Life Insurance Benefits +… more
- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000292 Date: Oct...+ 100% of the premium for individual or family dental insurance + 100% of the premium for ... Requisition No: 840194 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000292 Pay Plan:...basic life insurance + Employer contributions to the Pension Plan or… more
- Sedgwick (Moline, IL)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Complex General Liability Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or ... assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim settlement + Calculates,… more
- Elderwood (Buffalo, NY)
- …package, Life Insurance , Medical, Dental , and Vision insurance Responsibilities Medical Billing Specialist (Medicare/Managed Care): + Review remittances ... location with free parking; hybrid work environment + Medical, Dental , Vision Insurance + Life insurance...30 days. Contact Managed Care/ Insurance companies for claim status and timely payment of claims .… more
- TEKsystems (Earth City, MO)
- …Claims Specialists to join their growing customer contact team. As a Mechanical Claims Specialist , you will play a critical role in maintaining our reputation ... a team that reviews, investigates, and authorizes minor mechanical claims based on a wide range of established contract...Car owners will be calling to understand why a claim is either approved or denied. - Car owners… more
- WTW (New York, NY)
- **Description** The Senior Claims Consultant provides claim strategy, consulting, and advocacy services to dedicated client. The Consultant will be responsible ... internal & external contacts while providing high level, strategic claim consulting. They also help support growth, innovation, and...+ Advocate for client for prompt, optimal recovery on claims + Ensure quality and consistency in executing high… more
- Vail Resorts (Broomfield, CO)
- …agile team that provides claims support across the enterprise. The Guest Claim Specialist 's primary responsibilities will be to assist the Litigation and ... Claims team is looking for a Sr. Guest Claims Specialist to join our talented group....the above, plus: + Health Insurance ; Medical Insurance , Dental Insurance , and Vision… more
- CVS Health (St. Paul, MN)
- …of master or detail test plans and strategies + Analyze and resolve complex claims scenarios within established time frames + Resolves problems in a timely and ... the competencies noted. + 1-2 years of experience with claims testing, and a working knowledge of PPO's. **Preferred...communities. The Company offers a full range of medical, dental , and vision benefits. Eligible employees may enroll in… more