- Zurich NA (Harrisburg, PA)
- …the loss falls within the coverage. + Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues ... Marine Claims Specialist II 126114 Zurich North America is...assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the… more
- Travelers Insurance Company (Wyomissing, PA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... and implements alternate means of resolution. + Manages litigated claims . Develops litigation plan with staff or...analysis and has a thorough + understanding of the litigation process, relevant case and statutory law… more
- Travelers Insurance Company (Reading, PA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... and implements alternate means of resolution. + Manages litigated claims . Develops litigation plan with staff or...damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law… more
- Travelers Insurance Company (Blue Bell, PA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... and implements alternate means of resolution. + Manages litigated claims . Develops litigation plan with staff or...damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law… more
- AmeriHealth Caritas (Newtown Square, PA)
- **ROLE OVERVIEW** Under direct supervision of the Director, SIU the Pharmacy Manager in the Special Investigations Unit (SIU) will lead efforts to detect, ... standards while minimizing risks to the organization. ; The manager must have the ability to determine correct coding,...must have the ability to determine correct coding, review claims , medical records and billing data from all types… more
- Travelers Insurance Company (Pittsburgh, PA)
- …with insured based on application of policy information, facts or allegations of each case . Consults with Unit Manager on use of Claim Coverage Counsel. + ... fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and...implements alternate means of resolution. + May manage litigated claims . Develops litigation plan with staff or… more
- CDM Smith (Harrisburg, PA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...applicant's assets, inventory, and operations. * Expert Testimony and Litigation Support: In cases of disputes or litigation… more