- 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 responsible for contacting...policyholder's reporting practices + Prepare, attend, and participate in Claim Reviews as needed with the Claims … more
- CVS Health (St. Paul, MN)
- …care more 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....customer service inquiries and problems. Reviews pre-specified claims or claims that exceed specialist… more
- MetLife (Aurora, IL)
- …NY * Cary, NC * Tampa, FL * Aurora, IL Role Overview: Claim owner and decision-maker. Responsible for administering claims within contractual provisions ... makes claim decisions. * Manages overall block of assigned claims , including prioritizing actions, appropriately utilizing resources, and timely and accurate… more
- Axis (Red Bank, NJ)
- …upon request for candidates taking part in the selection process. **Job Title: Senior Claims Specialist ** **BRIEF DESCRIPTION:** AXIS Insurance is a ... & Environmental (DP&E) claims team as a Senior Claims Specialist . This DP&E...claim , and to make recommendation regarding settlement/disposition of claims primarily arising from Casualty, Environmental, Contractor, Surety, and… more
- Axis (New York, NY)
- …available upon request for candidates taking part in the selection process. AXIS is seeking a Senior Claims Specialist - Excess Claims to join our North ... claim and to make recommendation regarding settlement/disposition of claims . The candidate's key duties and responsibilities include, but...as well as reporting and presenting about same to senior management * In-depth knowledge of claims ,… more
- Axis (New York, NY)
- …coverage, investigation, damages, reserve rationale, negotiations, etc. associated with claim Investigates potentially fraudulent claims and takes appropriate ... coverage, investigation, damages, reserve rationale, negotiations, etc. associated with claim Investigates potentially fraudulent claims and takes appropriate… more
- Axis (Alpharetta, GA)
- … claim and to guide strategic direction regardingsettlement/disposition of claims + Developing and maintaining relationships with internal and external partners ... and reinsurance. We stand apart for our outstanding client service , intelligent risk taking and superior risk adjusted returns...as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,… more
- Axis (Chicago, IL)
- …upon request for candidates taking part in the selection process. AXIS is seeking a Senior Property Claims Specialist to join our North America Claims ... of claim and to make recommendation regarding settlement/disposition of claims . This role acts as the highest-level individual contributor handling a pending… more
- Illumination Foundation (Santa Ana, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping...provider portals or authorization letters on Kipu prior to claim submission. + Reviewing claims prior to… more
- Axis (Red Bank, NJ)
- …upon request for candidates taking part in the selection process. AXIS is seeking a Senior Renewable Energy Claims Specialist to join our North America ... of claim and to make recommendation regarding settlement/disposition of claims . This role acts as the highest-level individual contributor handling a pending… more
- MetLife (Bloomfield, CT)
- …provisions and within prescribed time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent judgment, ... communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance...critical thinking skills, exemplary customer service skills as well as effective inventory management skills.… more
- Axis (Red Bank, NJ)
- …course of action, and pursue claims to conclusion * Set accurate and timely claim reserves and make referrals to senior members of the team where necessary * ... relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage...attorneys and brokers ensuring a premier and best practices claim service is maintained, escalating issues as… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... team as we help shape the future. As a Claims Specialist , you will be responsible for...initiatives; + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy… more
- Swedish Health Services (Tukwila, WA)
- …they have been paid or denied appropriately in a timely manner. Re-submit claims to government agencies, medical service bureaus, and insurance companies. Submit ... **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers,...**About the Team** Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... team as we help shape the future. As a Claims Specialist , you will be responsible for...initiatives; + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy… more
- Zurich NA (Woodland Hills, CA)
- … Specialist , Workers Compensation 117126 Zurich North America is seeking an experienced Senior Claims Specialist in Workers' Compensation to join our ... provided they hold a current California state license. The Senior Workers Compensation Claims Specialist ...the most efficient, effective way while delivering a customer-centric claims service . In this role you will… more
- AIG (Atlanta, GA)
- …to make more of your specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice for clients, ... delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global ...adjuster licensing process and leading efforts on various Global Claim initiatives. You will have oversight of Claims… more
- BrightSpring Health Services (Taunton, MA)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...team that's dedicated to enhancing patient care through meticulous claims management and customer service . What We… more
- BrightSpring Health Services (Uniondale, NY)
- …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... retail to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of… more
- Allied Solutions (Plano, TX)
- …adjusting tools; + Meet and exceed all established recovery and claim service standards and benchmarks for a Claims Investigator. + Promptly and effectively ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...+ Internal insurance/recovery claim experience as a Claim Processor or Claim Specialist … more