- Travelers Insurance Company (Irvine, 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 (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 (Centennial, CO)
- …+ 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 (West Bridgewater, MA)
- … 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 (West Bridgewater, MA)
- …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
- The Hartford (Naperville, IL)
- …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 (Melville, NY)
- …+ 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...specific regulations. **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
- Spokane County (Spokane, WA)
- …of ensuring that appropriate services are provided, monitoring claim costs and resolving claims in a timely manner. + Determines medical aid benefits, sets ... Industries for early claim resolution. Must be familiar with Washington State Medical Aid Rules. + Investigates claims , interprets facts, and applies RCW's… more
- AIG (Lenexa, KS)
- …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
- Providence (WA)
- …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
- 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
- Providence (NM)
- … medical experts for case review + Develop a plan of action for assigned claims and update the claims file following all material changes in status ... resolution by settlement, trial or other means + Maintain the electronic file including all material communication, correspondence, analysis , expert opinions,… more
- Sedgwick (Columbus, OH)
- … handling, including three (3) years at an advanced technical level as a file reviewer of personal and commercial claims , or equivalent combination of education ... product is delivered to our clients; confirm our adjuster's claim files comply with specific client handling guidelines and...experience required. **Skills & Knowledge** + Strong knowledge of claims handling and file review practices and… 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: Oct 21, 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)
- …not required. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage 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
- MetLife (Bloomfield, CT)
- …of our customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims in accordance with ... within prescribed time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent judgment, critical thinking skills,… more
- Northside Auto Group (San Antonio, TX)
- …+ Updates data bases with employee information. + Files within appropriate file system all forms, records, reports, correspondence, or other important material. + ... 1095-Cs, 401(k) discrimination testing and benefit audits. + Responds to unemployment claims and requests for verification of employment. + Gathers Incident … more
- Travelers Insurance Company (Hartford, CT)
- …claim team, field claim offices, and vendors handling serious and complex claims to include excellent claim file quality, reserve adequacy, and ... through a continuous process of management involvement and frequent claim file review. Leads, develops, and participates...experience preferred. + Skilled in coverage, compensability and exposure analysis with strong medical and claim… more