- Axis (New York, NY)
- …coverage, investigation, damages, reserve rationale, negotiations, etc. associated with claim *Investigates potentially fraudulent claims and takes appropriate ... claims *Identifies opportunities for contribution, subrogation and contribution to the claim *Prepares required reports to senior management *Travels to… more
- Axis (New York, NY)
- …selection process. 'Key Duties and Responsibilities: * Excels in best practices claim environment, thoroughly documenting the claim process * Conducts ... and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the… more
- CRC Insurance Services, Inc. (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
- Sedgwick (Albany, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
- Axis (New York, NY)
- …for candidates taking part in the selection process. AXIS is seeking a **_Senior Claims Specialist - Financial Institutions - Claims_** to join our North America ... determine nature of loss, coverage provided, and scope of claim and to guide strategic direction regarding settlement/disposition of...as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,… more
- CVS Health (Albany, NY)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (Amherst, NY)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... and external stakeholders and the stop loss administrators. Managing stop loss claim filings, you will reconcile and resolve discrepancies between the amount… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14032/ senior -benefit-operations- specialist ... act as a lead role within the Benefit Operations Specialist team and be a liaison to management and...**Experience:** + Required: 1 year experience using the RxIQ claims adjudication platform + Preferred: 2 Years experience with… more
- Axis (New York, NY)
- …course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals to senior members of the team where necessary ... proper judgment and decision making in a best practices claim environment to promptly analyze the claim ...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising Prepare coverage positions… more
- Axis (New York, NY)
- …presenting to senior management and outside partners + Knowledge of claims and litigation management, dispute resolution processes, and trials and appeals as ... selection process. **Job Description** AXIS is seeking a **_Claims Specialist - Management Liability_** to join our North America... - Management Liability_** to join our North America Claims team. The selected candidate will work closely with… more
Recent Jobs
-
CNA - Certified Nursing Assistant
- Virginia Mason Franciscan Health (Seattle, WA)
-
Shift Lead
- Banfield Pet Hospital (Pittsburgh, PA)
-
Retail Community Mortgage Specialist
- Truist (Goldsboro, NC)