- 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...a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need.… 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...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- Zurich NA (Columbus, OH)
- Sr . Claims Specialist - Complex...Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our ... outcomes. + Ensure regular communication with clients, brokers, business units, and senior claims management. + Proactively manage and resolve high-severity… 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 ... with the organization's carrier partners and third party administrators. The Sr . Claims Specialist is involved in the overall design, implementation… more
- Axis (Chicago, IL)
- …available upon request for candidates taking part in the selection process. **Job Title: Senior Claims Specialist ** **BRIEF DESCRIPTION:** AXIS is seeking a ... **_Senior Claims Specialist - Management Liability - Claims_** to join our North...as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,… more
- Providence (Mission Hills, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, ... case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate… more
- Vail Resorts (Broomfield, CO)
- …is filled (whichever is first). **Job Summary:** The Claims team is looking for a Sr . Guest Claims Specialist to join our talented group. The Claims ... team that provides claims support across the enterprise. The Guest Claim Specialist 's primary responsibilities will be to assist the Litigation and Claims … more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr . Claims Specialist , Professional Liability (Medical Malpractice) ... **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury … more
- BrightSpring Health Services (Uniondale, NY)
- Our Company PharMerica Overview Make the Move to PharMerica- Claims Specialist Opportunity! Ready to take your pharmacy experience to the next level? PharMerica ... looking for enthusiastic individuals to join our team as Claims Specialists in a closed-door, non-retail setting. This is...for a minimum of 7 business days. Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a… more
- MetLife (Bloomfield, CT)
- …our customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims in accordance ... and within prescribed time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent judgment, critical… more
- Pacific Seafood (Clackamas, OR)
- …a safe working environment for all team members. As the Workers' Compensation (WC) Claims Specialist , you will be the subject matter expert on the management, ... Responsibilities: + Develop, implement, facilitate, and evaluate workers' compensation claims management programs. + Facilitate all required data collection,… 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 issues, industry… more
- Insight Global (Downers Grove, IL)
- Job Description Insight Global is seeking 3 Senior Liability Claims Specialist . The Specialists will need about 3-5 years of experience. They must be ... fully remote. They will need experience with bodily injury claims . They will deal with litigation and must be...and Requirements 3-5 years of experience handling bodily injury claims high exposure and litigated claims demonstrated… more
- Philadelphia Insurance Companies (Naperville, IL)
- …Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr . Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex ... first and third party insurance claims . A typical day will include the following: Communicates...investigation. Investigates circumstances of routine as well as complex claims to determine if and to what extent coverage… more
- NJM Insurance (Hammonton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The ... Claims Account Specialist will be responsible for...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- CenterWell (Topeka, KS)
- …of our caring community and help us put health first** As an **Accounts Receivable Specialist /Healthcare Claims Denials Specialist ** , you will: + Ensure the ... agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. + Determine and initiate… more
- CVS Health (St. Paul, MN)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... affordable. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Axis (Chicago, IL)
- …variety of loss scenarios as well as reporting and presenting about same to senior management + In-depth knowledge of claims , litigation, arbitration, and trial ... the selection process. AXIS is seeking a _Senior Claim Specialist -_ _Construction_ _Claims_ to join our North America... -_ _Construction_ _Claims_ to join our North America Claims team and will report to the Head of… more
- ICW Group (Sacramento, CA)
- …members with opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a ... equitable conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands insurance… more
- Axis (Red Bank, NJ)
- …analyze the claim exposure, determine the proper 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 Obtain relevant...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising Prepare coverage positions… more