- 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 (Alpharetta, GA)
- …+ 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 (Houston, TX)
- … 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 (Pittsburgh, PA)
- … 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 (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 ... 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 (Orlando, FL)
- …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 ...expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim… more
- MTA (New York, NY)
- …Authorities Law. + Proficiency to generate accurate, detailed reports based upon claim analysis and evaluation of compiled investigative data. + Familiarity ... Liability Insurance Program. As an integral member of the claims unit this role will supervise Claim ...and hire specialists to assist in the defense of claims (ie: Engineering firms, medical experts, special… 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 (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
- The Hartford (Lake Mary, FL)
- …protection) and medical payments coverage for personal and commercial auto claims with a focus on financial accuracy, appropriate file disposition, and ... Core Business Hours, no weekends. Key Responsibilities: + Timely investigating claims to determine first party medical coverage. applicability, verification… 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
- 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: Jan 6, 2025 Location: Parsippany,...assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter… more
- Nuvance Health (Danbury, CT)
- …occurrence/potential claims reporting program, closely reviewing and monitoring occurrences/ claims and trending issues. 2.Assess and analyze claim ... internal teams and external stake holders to ensure effective claim resolution. 5.Investigate claims and coordinate with...items needed for discovery for outside counsel. 7.Updates electronic claims systems with file notes on key… more
- MetLife (Tampa, FL)
- …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
- GAP Solutions Inc (Arlington, VA)
- …and Accounting Service (DFAS)). The Claims Division contractors provide a detailed analysis of each and every claim case or waiver request presented for ... the appellate nature of the DOHA Claims Division's mission, individuals with claims or waiver applications must file them through the responsible paying… more
- Sedgwick (Columbus, OH)
- …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... and commercial line auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge… 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: Dec 18, 2024 Location: Parsippany,...Conduct initial quality check on summary data on all claim submissions to ensure rebate eligibility and data consistency.… more
- Sedgwick (Columbus, OH)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... Maintains professional client relations. + Performs coverage, liability, and damage analysis on all claims assignments. **ADDITIONAL FUNCTIONS and… more