- Axis (Short Hills, NJ)
- …is hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role involves managing primary claims for AXIS US Primary Casualty ... area to determine coverage, liability, and settlement value. Evaluating coverage and claim exposure, determining appropriate actions, and pursuing claims until… more
- Highmark Health (Topeka, KS)
- …and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Sedgwick (Miami, FL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...events, claims and legal actions. + Negotiates claim settlement up to designated authority level. + Calculates… more
- AIG (Atlanta, GA)
- …Claim Supplier Management, the role will be responsible for the management of the Claims Law Firm and Claim Vendor function for AIG North America business. ... with the team's standard operating process. + Lead discussions with Claim leadership to develop Claims Law Firm / Vendor strategies to maintain panels and the… more
- NJM Insurance (NJ)
- …to providing transparent, empathetic support and collaborative engagement during the life of a claim . The WC Claims Department takes pride in being a key ... NJM's WC Claims Department is seeking an experienced Claims...practices and company guidelines, and timely, accurate documentation of claim activity + Provide a high level of customer… more
- WTW (Houston, TX)
- **Description** As a Medical Claim Lead Auditor, you will apply your audit, project management and client management skills to lead client audits. You will serve as ... administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report. You will… more
- Caterpillar, Inc. (Peoria, IL)
- …a **Warranty Analyst ( Claim Review & Validation)** , you'll facilitate the claim review and validation process ensuring that claims adhere to policies. This ... is accomplished through detailed claim review and identification of improvement opportunities. This role...**What You Will Do:** * Perform detailed review of claims and identify errors and corrections * Review data,… more
- Principal Financial Group (Des Moines, IA)
- **What You'll Do** As a **Paid Family Medical Leave Claim Analyst 2** , your day will be anything but routine. In this fast-paced environment, every single day ... to assist with our clients' Paid Family Medical Leave claims - all during a time in which they...financial and contractual information to make effective and timely claim decisions. + Communicate with employers, employees and medical… more
- Sedgwick (Rancho Cordova, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claim Assistant | Rancho Cordova (Entry Level) **ARE YOU AN IDEAL CANDIDATE?** ... CA **PRIMARY PURPOSE** **:** To provide support to the claims staff and to perform other office tasks depending...FUNCTIONS and RESPONSIBILITIES** + Sets up and enters new claims into claims management system. + Inputs… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. ... claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage...claim types prior to the assignment to a Claims Adjuster or Analyst. The key responsibilities of this… more