• Complex Claim Specialist (Workers'…

    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
    NJM Insurance (05/01/24)
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  • Claim Benefit Specialist

    CVS Health (San Antonio, TX)
    …measures to assist in the claim adjudication process. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or ... related to claim processing issues. - Routes and triages complex claims to Senior Claim Benefits Specialist . - Proofs claim or referral submission… more
    CVS Health (03/29/24)
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  • IDI Senior Claim Specialist

    MetLife (Tampa, FL)
    …demands, financial information, and any other information that may be pertinent to the Claims Specialist 's evaluation of the claim . Once telephone calls are ... of our customers and our communities. The IDI Senior Claims Specialist evaluates individual disability income insurance...care providers, attorneys, brokers, and family members during the Claim Specialist 's claim evaluation. *… more
    MetLife (06/01/24)
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  • Life Claim Specialist

    MassMutual (Springfield, MA)
    **The Opportunity** As a **Life Claims Specialist ** you will work with beneficiaries, attorneys, trustees, executors, financial advisors, etc. through email, ... experience when it matters most. **The Impact** The **Life Claims Specialist ** role requires a willingness to...set expectations, review claim requirements, and answer claim related questions. + Adjudicate complex claims more
    MassMutual (06/14/24)
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  • Technical Specialist , Construction…

    Travelers Insurance Company (Pittsburgh, PA)
    …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...partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
    Travelers Insurance Company (05/31/24)
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  • Claim Benefit Specialist

    CVS Health (Hartford, CT)
    …and Training Hours: + Training 8:00am-4:30pm + Shift: 8am-4:30pm Claim Benefit Specialist Reviews and adjudicates claims in accordance with claim ... Efficiently use multiple systems and screens to obtain and record claim information + Review claims information to determine the nature of a member's illness or… more
    CVS Health (06/05/24)
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  • Claim Specialist , Level II…

    City of New York (New York, NY)
    …New York employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent… more
    City of New York (05/24/24)
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  • Sr. Mass Litigation Claim Specialist

    Zurich NA (Schaumburg, IL)
    Sr. Mass Litigation Claim Specialist 114101 Zurich is currently seeking a Sr. Claims Professional to join our Latent & Environmental team in Schaumburg. This ... all communications and reporting associated with the life of a claim . At Zurich North America Claims we acknowledge that work life-balance and flexibility are a… more
    Zurich NA (06/11/24)
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  • Claim Benefit Specialist Operations

    CVS Health (Moon Township, PA)
    …written correspondence related to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim ... and affordable. Position Summary * Reviews and adjudicates routine claims in accordance with claim processing guidelines....and adjudicates routine claims in accordance with claim processing guidelines. * Analyzes and approves routine … more
    CVS Health (06/05/24)
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  • Payments Claim Specialist

    City National Bank (Los Angeles, CA)
    **PAYMENTS CLAIM SPECIALIST ** **WHAT IS THE OPPORTUNITY?** The Payment Claims Specialist is responsible for the investigation and processing of payment ... identification of miss/near miss opportunities etc. A successful Payment Claim Specialist will be able to navigate...of actions as needed. + Perform quality checks of claims for accuracy and feedback for the claim more
    City National Bank (06/12/24)
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  • Senior Claim Benefit Specialist

    CVS Health (Columbus, OH)
    claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process.- Insures all compliance requirements are satisfied and all… more
    CVS Health (06/09/24)
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  • Claim Operations Specialist

    Travelers Insurance Company (Houston, TX)
    … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
    Travelers Insurance Company (06/08/24)
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  • Senior Claim Specialist - Prime NCS

    CRC Insurance Services, Inc. (Brewster, NY)
    …and makes recommendation for additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim documentation. 5. Use ... information and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with insurance carriers to ensure claims more
    CRC Insurance Services, Inc. (05/08/24)
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  • Claim Benefit Specialist

    CVS Health (Bismarck, ND)
    …Training is 12 weeks 9am-5:30pmEST + Shift: flex schedule Reviews and adjudicates routine claims on HRP system in accordance with claim processing guidelines. ... CMS and Aetna compliance and business requirements.Analyzes and approves routine claims that cannot be auto adjudicated.- Applies medical necessity guidelines,… more
    CVS Health (04/02/24)
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  • Short Term Disability Claim

    MetLife (West Hartford, CT)
    …FL or Bloomfield, CT TRAINING WILL BE IN PERSON. Role Value Proposition: Claim owner and decision-maker. Responsible for administering claims within contractual ... appropriate. Key Responsibilities: * Manages overall STD block of claims and possible companion claims to include...Federal, State, Local laws * Creates and executes individual claim action plans, serves as point of contact for… more
    MetLife (06/09/24)
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  • Claim Specialist

    City of New York (New York, NY)
    …York City Comptroller's Office. BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This position, with ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....well as other DEP personnel, to provide litigation and claim support. The candidate will perform various types of… more
    City of New York (04/30/24)
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  • Claim Specialist

    City of New York (New York, NY)
    Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....BLA is seeking qualified candidates for the position of Claim Specialist in the Litigation Support Unit.… more
    City of New York (04/30/24)
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  • Claim Benefit Specialist

    CVS Health (Hartford, CT)
    …can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department. They will work closely with other ... Operations team providing root cause analysis and precise resolution of affected claims . The candidate is responsible for ensuring the rework project claims more
    CVS Health (06/16/24)
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  • Construction Defect Claims

    The Hartford (Hartford, CT)
    Specialist Claims - CH07DE We're determined to... Claim Specialist is the highest claim handling designation within the Complex Claims Unit ... to manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to...timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim more
    The Hartford (05/17/24)
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  • Sexual Assault Exam Payment Claim

    State of Minnesota (St. Paul, MN)
    **Working Title: Sexual Assault Exam Payment Claim Specialist - State Prog Admin Sr** **Job Class: State Program Administrator Senior** **Agency: Public Safety ... and training and development opportunities. This position serves as a Claims Specialist for the Minnesota Sexual Assault Exam Payment Program. This position… more
    State of Minnesota (06/06/24)
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