- Citizens (Pittsburgh, PA)
- Description As a Fraud Claims Sr . Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical ... + Review Claims - Responsible for reviewing claims filed by customers for fraud and risk activity and analyzing information across multiple applications… more
- Citizens (Pittsburgh, PA)
- …and seek opportunities to continuously learn, consider a career at Citizens as a Fraud Customer Support Sr . Specialist . In this role, you'll play ... service experience in one of our most critical departments at Citizens. Our Fraud Customer Support colleagues acquire the training, and assistance needed to grow… more
- NJM Insurance (Parsippany, 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
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr . Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ;… more
- Sedgwick (San Diego, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr . Claims Specialist , Professional Liability (Medical Malpractice) ... To analyze complex or technically difficult long term care and medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury … more
- Travelers Insurance Company (Morristown, NJ)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality...as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. + Verifies the nature… more
- Zurich NA (Addison, TX)
- Senior Claims Specialist Construction Professional Liability Claims 118830 Zurich North America is seeking a ** Senior Construction Professional ... Liability** ** Claims Specialist - Hybrid** to support Claims organization, with moderate direction, handles single and multi-party litigated and non-litigated… more
- MetLife (Tampa, FL)
- …our customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims in accordance ... within prescribed time service standards. In this role, the Senior LTD Claims Specialist is...when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed and proficiently… more
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. AXIS Capital Claims Compliance Specialist , Claims Shared Services- Job Description AXIS ... is seeking a Claims Quality Assurance and Compliance Specialist , ...Medicare reporting program. * Assisting with maintenance of SIU, Fraud reporting and other Compliance reporting and procedures as… more
- Lifetime Assistance, Inc. (NY)
- …with workers' compensation laws and regulations. + Maintain accurate, confidential records of claims . + Monitor claims for fraud and policy alignment. ... | Hourly | Part Time Job Title: Workers' Compensation Specialist Location: 425 Paul Road, 14624 Position Type: Part-Time...8am-1pm. This is a fully in-office position. Reports To: Sr . Benefits Manager Why Join Lifetime Assistance, Inc.? At… more
- Kemper (Lake Mary, FL)
- …information to insured's, claimants, attorneys, medical providers and other parties. + Claims Fraud Identification and Prevention: Partners with SIU to identify ... + Advanced Claims Handling: Work closely with the Team Manager, Sr . Manager and/or Director and defense attorney, when applicable, to respond timely, accurately… more
- Woodforest National Bank (The Woodlands, TX)
- … Specialist II or similar role. . 2 years' experience in dispute claims , fraud , payments, or related processing and/or investigations experience required. . ... Card Dispute is responsible for investigating and processing debit card dispute claims initiated by customers regarding the authorization of a merchant to debit… more