- 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 ... manage the technical aspects of complex and high severity medical and CAT claims for quality outcomes...quality care for the injured worker + Evaluate the claim for potential fraud and escalate the file… more
- Travelers Insurance Company (Irvine, CA)
- …Utilizes evaluation documentation tools in accordance with department guidelines. + Proactively review Claim File Analysis (CFA) for adherence to quality ... claims . + Provides quality customer service and ensures file quality and timely coverage analysis and...and reviewing appropriate records and damages documentation. + Maintains claim files and documents claim file… more
- Travelers Insurance Company (Las Vegas, NV)
- …Utilizes evaluation documentation tools in accordance with department guidelines. + Proactively creates Claim File Analysis (CFA) by adhering to quality ... claims . + Provides quality customer service and ensures file quality and timely coverage analysis and...and reviewing appropriate records and damages documentation. + Maintains claim files and documents claim file… more
- Travelers Insurance Company (Wyomissing, PA)
- …+ Maintains claim files, have an effective diary system, and document claim file activities in accordance with established procedures. + May attend ... negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim … more
- Travelers Insurance Company (Overland Park, KS)
- … file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner. + ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...process and ensures appropriate expense handling. + On specified claims , evaluates medical treatment based on the… more
- Travelers Insurance Company (Tampa, FL)
- … inventory and expense reserves by utilizing an effective diary system, documenting claim file activities in accordance with established procedures to resolve ... include interpreting and applying laws and statutes for multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims . Provides… more
- Travelers Insurance Company (Melville, NY)
- …This position is responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement ... as outlined in Special Account Communication (SAC). + Coverage Analysis : + Reviews and analyzes coverage and applies policy...expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim… more
- Travelers Insurance Company (West Bridgewater, MA)
- …This position is responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement ... and meeting commitments to achieve optimal outcome on every file . + Coverage Analysis : + Reviews and...expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim… more
- Travelers Insurance Company (Melville, NY)
- …relevant facts necessary to determine defensibility and potential exposure. Prompt review of claim file and handling procedures to determine validity of the ... conjunction with Claim counsel and First Party Medical claim professional, if necessary. Proactively manage...expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim… more
- The Hartford (Hartford, CT)
- …Employment Liability exposures and others. Additional key responsibilities are as follows: Claim File Management + Plan, recommend, reserve and execute ... and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and… more
- Travelers Insurance Company (St. Paul, MN)
- …+ Maintains claim files, have an effective diary system, and document claim file activities in accordance with established procedures. + May attend ... claims of moderate severity, or complexity. Provides quality claim handling throughout the claim life cycle...specific regulations. **What Will You Do?** + Timely coverage analysis and communications with insured based on application of… more
- Travelers Insurance Company (Missoula, MT)
- …required to effectively resolve claims . + Maintain and document claim file activities in accordance with established procedures and customer/fronting ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...to discuss strategies. + Provide quality customer service, ensure file quality, timely coverage analysis , and communication… more
- Travelers Insurance Company (Downers Grove, IL)
- … inventory and expense reserves by utilizing an effective diary system, documenting claim file activities in accordance with established procedures to resolve ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...and meeting commitments to achieve optimal outcome on every file . + Coverage Analysis : + Reviews… more
- Travelers Insurance Company (Richardson, TX)
- …1 **What Is the Opportunity?** This position is responsible for providing quality claim handling of low complexity General Liability claims from the first ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...and meeting commitments to achieve optimal outcome on every file + Involves significant customer interactions and resolving issues… more
- Spokane County (Spokane, WA)
- …of ensuring that appropriate services are provided, monitoring claim costs and resolving claims in a timely manner. + Determines medical aid benefits, sets ... Industries for early claim resolution. Must be familiar with Washington State Medical Aid Rules. + Investigates claims , interprets facts, and applies RCW's… more
- AIG (Lenexa, KS)
- …and management of indemnity, medical and legal aspects of highest valued, complex claims . + Reviews and analyzes TPA claim financials to ensure payments are ... are processed timely and accurately. + Completes an independent analysis and evaluates claim exposure on assigned...on complex technical issues and participates in external customer claim file reviews and audits as required.… more
- Robert Half Accountemps (Hampton, VA)
- … Claim Administration, Collection Processes, and Microsoft Excel. Responsibilities: * File medical claims with insurance companies post-patient treatment ... the Healthcare/NHS industry and will involve the handling of medical claims , patient insurance processes, and related... * Regularly follow up with patients on any claim denials and ensure resubmission * Maintain comprehensive and… more
- Robert Half Accountemps (Los Angeles, CA)
- …loss analysis . * Maintain a proactive diary to ensure timely development of the file and resolution of the claim . * Adhere to all statutory regulations and ... Description We are seeking a Claims Adjuster specializing in Workers Compensation. This role...determining the extent of our responsibility for lost wages, medical benefits, and permanent impairment in relation to workers'… more
- Providence (ID)
- … medical experts for case review + Develop a plan of action for assigned claims and update the claims file following all material changes in status ... the best people, we must empower them.** **Providence is calling a Sr. Medical Malpractice Claims Manager - Professional Liability who will:** **Investigate,… more
- State of Indiana (Indianapolis, IN)
- …all questions and concerns in a professional, friendly, and timely manner. + Prepare a claims file for each application that is submitted and enter into the ... database all application information. Request additional information from medical providers as needed. + Review each claim... approved, determine whether all or part of the claim is to be approved. Process claims … more