- Travelers Insurance Company (Reading, PA)
- …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 (Pittsburgh, PA)
- …+ 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
- Sedgwick (Philadelphia, PA)
- …FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional ... Workplaces in Financial Services & Insurance General Product and Liability Complex Claim Advisor - Multi-State Licensing Preferred - Hybrid - Sedgwick Offices **ARE… more
- Sedgwick (Harrisburg, PA)
- …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... and commercial line auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge… more
- Sedgwick (Harrisburg, PA)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury 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
- Travelers Insurance Company (Blue Bell, PA)
- …Utilizes evaluation documentation tools in accordance with department guidelines. + Proactively creates Claim File Analysis (CFA) for adherence to quality ... and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the...and reviewing appropriate records and damage documentation. + Maintains claim files and documents claim file… more
- Commonwealth of Pennsylvania (PA)
- …and unemployment compensation. Prepare, complete, and submit required forms, filings, claims , documents, and reports and resolves problems as needed with regards ... for benefits, wellness program, workers compensation, unemployment compensation, FMLA, medical , pension and other pertinent records for agency employees. Maintain… more
- Sedgwick (Harrisburg, PA)
- …client files and collaborates with team to prepare information which includes thorough analysis of file strategies, claims status and emerging trends. ... Opportunity- Flood Experience Required **PRIMARY PURPOSE** **:** To manage claim caseload of basic to highly complex claims... reports and state law or jurisdictional law in claim handling. + Applies jurisdictional and medical … 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...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- AmeriHealth Caritas (Philadelphia, PA)
- …tasks for coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of medical management authorizations.; + ... file (original denial, all information received on appeal, medical records, etc.) + Schedule participant/member for committee panel...ensure proper handling of the appeal eg UM team, medical directors, claims , contact center, vendors as… more