- City of New York (New York, NY)
- …and settle claims within delegated monetary authority level; 8) Review medical providers and law firms to ensure all entities are in Financial Management ... available sources to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims , utilize statistical… more
- Crawford & Company (Boise, ID)
- …have been settled and the claim is only open for payment of medical benefits (ie maintenance claims not requiring actuarial reserves). + Contacts, by ... Everything We Touch Position Summary Under direct supervision, processes medical only claims within authority, processes other... claims , other than "M" cases, where all medical issues have been settled and the claim… more
- Travelers Insurance Company (Overland Park, KS)
- …time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical ... is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical...possible outcome. Work in collaboration with specialty resources (ie medical and legal) to proactively pursue claim … more
- Travelers Insurance Company (Alpharetta, GA)
- …time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical ... in the current position. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical...appropriate. + Work in collaboration with specialty resources (ie medical and legal) to proactively pursue claim … more
- MTA (New York, NY)
- …MTA Station and Force Account Liability Insurance Program. As an integral member of the claims unit this role will supervise Claim Agents and Senior Claim ... and hire specialists to assist in the defense of claims (ie: Engineering firms, medical experts, special...claim /lawsuit. + Prepare correspondence and memoranda relating to claims , such as case summaries, Requests for Authority, letters,… more
- Travelers Insurance Company (Charlotte, NC)
- …oversight of the repair process and ensures appropriate expense handling. + On specified claims , evaluates medical treatment based on the nature and extent of ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...moderate to complex Personal and Business Insurance Auto Damage claims as well as low complexity Bodily Injury Liability… more
- Travelers Insurance Company (Las Vegas, NV)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
- Travelers Insurance Company (Alpharetta, GA)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim ... 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
- MetLife (Oriskany, NY)
- …based computer system (BIOS). Interpret policy provisions and manually adjudicate Group Life claims to make claim determinations. * Work with our customer ... to ensure department turnaround and customer satisfaction are met. Evaluate life claims to identify claim situations requiring referral to Senior Examiner.… more
- MetLife (Oriskany, NY)
- …system computer system * Interpret policy provisions and manually adjudicate FEGLI Life claims to make claim determinations. * Work with our customer ... to ensure department turnaround and customer satisfaction are met. * Evaluate life claims to identify claim situations requiring referral to Complex Case Manager… more
- Travelers Insurance Company (Pittsburgh, PA)
- …include interpreting and applying laws and statutes for multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims . Provides ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement… more
- Travelers Insurance Company (Independence, OH)
- …This position is responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement ... 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
- Travelers Insurance Company (Hunt Valley, MD)
- …intended to develop skills for investigating, evaluating, negotiating and resolving First Party Medical claims on losses of lesser value and complexity. Provides ... completion of a formal training program to advance to Claim Representative - Auto First Party Medical ...also include investigation of wage loss and essential services claims . Takes recorded statements as necessary. + Reserving: +… more
- Sedgwick (Bartlesville, OK)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
- The Hartford (San Antonio, TX)
- …and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and ... execute file strategies including investigation, valuation, disposition and settlement of assigned claims , in a manner consistent with corporate claim settlement… more
- Travelers Insurance Company (Anchorage, AK)
- …internal and/or external resources for specific activities required to effectively resolve claims . + Maintain and document claim file activities in accordance ... 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
- Fairview Health Services (Minneapolis, MN)
- **Overview** Lost Time and Medical Only Claim Adjuster for Work Comp Claims . Investigation and determination of liability for Fairview employee lost time and ... medical only workers' compensation claims , to promptly...they are related and payable under the worker's compensation claim . This position works closely with the Employee Occupational… more
- Sedgwick (Columbus, OH)
- …analyses for insurance company + Calculate and assign timely and appropriate reserves to claims ; monitor reserve adequacy throughout claim life. + Refer cases as ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claim Advisor, Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To analyze… more
- Travelers Insurance Company (Irvine, CA)
- …and other complex claims . Attempt to resolve through innovative and expert claim management. This work may include: Remains out of work and unlikely to return ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical… more
- CVS Health (Columbus, OH)
- …improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims . You will be a key link in providing our ... good standing will move to $18.50. Reviews and adjudicates claims in accordance with claim processing guidelines....willingly to change, and a positive, willing attitude. Prior medical claim processing experience is a plus.… more
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