- Travelers Insurance Company (Diamond Bar, 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 (St. Louis, MO)
- …+ Maintain claim files, have an effective diary system, and document claim file activities in accordance with established procedures. + Attend depositions, ... claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned ...analysis , evaluation of bodily injury and property damage claims , and negotiation and resolution of PL and CL… 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 (Richmond, VA)
- …+ 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 (Lake Oswego, OR)
- …This position is responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement ... file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner.… more
- The Hartford (San Antonio, TX)
- …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 (Alpharetta, GA)
- …+ 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...11th, 2024. **What Will You Do?** + Timely coverage analysis and communications with insured based on application of… more
- Travelers Insurance Company (Anchorage, AK)
- …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 (Hunt Valley, MD)
- …+ Maintains claim files, have an effective diary system, and document claim file activities in accordance with established procedures. + May attend ... 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… more
- Flynn Restaurant Group (Independence, OH)
- …statements, interviewing witnesses, determining liability, evaluating injuries and damages, strategy development, analysis of risk and plans to move claims to ... and next steps. + Assists group with the day-to-day claims handling, forecasting and analysis for ...+ Keeping file tasks and meeting all file requirements & metrics for best claim … more
- AIG (Dallas, TX)
- …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
- MetLife (Cary, NC)
- …calls are completed, you will be required to document the conversation within the claim file in a timely manner utilizing the appropriate level of detail ... lives of our customers and our communities. The LTD Claims Specialist II evaluates long term disability insurance ...with claimants, customers, attorneys, brokers, and family members during claim evaluations * Compiles file documentation and… more
- Providence (NM)
- …we must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, Evaluate, and Manage Professional, ... review + Develop a plan of action for assigned claims and update the claims file...+ Work with defense attorneys specializing in defense of medical negligence claims + Have direct responsibility… more
- MetLife (Cary, NC)
- …completed, you will be required to document the facts of the conversation within the claim file in a timely manner utilizing appropriate level of detail and ... communicates effectively with Insureds, attorneys, brokers, and family members during claim evaluation . Compiles file documentation and correspondence requiring… more
- The Cigna Group (Bloomfield, CT)
- …Define business, technical and claim data exchange requirements, instruct on data file mapping (such as provider, member, auths, claims , etc.) + Design ... Matter Expert (SME) for the Configuration of the eviCore Claims Systems and the suite of eviCore Claim...healthcare claims life cycle experience, emphasis in claims system requirements analysis and billing rule,… more
- Robert Half Legal (Media, PA)
- …* Execute file set-up, maintenance, and documentation in the designated claims management system. * Respond to inquiries from clients, broking department, and ... attend claim review meetings on selected accounts. * Monitor claims professionals, Third Party Administrators, and defense counsel, addressing service issues and… more
- Sedgwick (Roseville, CA)
- …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Auto - Commercial Trucking I Remote...auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …Responsibilities** + Work with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure ... Medicaid Claims Analyst Date: Nov 19, 2024 Location: Parsippany,...Conduct initial quality check on summary data on all claim submissions to ensure rebate eligibility and data consistency.… more