- Sedgwick (Dublin, OH)
- …making timely payments/approvals and adjustments, medically managing disability claims ; coordinating investigative efforts, thoroughly reviewing contested claims ... without job accommodations, and evaluating and arranging appropriate referral of claims to outside vendors. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes,… more
- USAA (San Antonio, TX)
- …investigate, evaluate, negotiate and settle the highest complexity property insurance claims presented by or against our members. You will confirm/analyze coverage, ... travel outside of their local territory to respond to claims in other regions when needed. This is an...encouraged to apply. **What you'll do:** + Manages assigned claims caseload comprised of claims with highest… more
- University of Rochester (Rochester, NY)
- …open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits ... claims , submits appeals and takes timely and routine action to resolve unpaid claims . Resolves complex claims . Acts as a resource for lower level staff.… more
- Travelers Insurance Company (San Diego, CA)
- …beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to ... you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this...role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level… more
- Sedgwick (Dublin, OH)
- …operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor ... activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ...claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex… more
- USAA (Tampa, FL)
- …involved soft tissue bodily injury or auto **PIP/MP medical claims ** to include confirming coverage, determining liability, investigating, evaluating, negotiating, ... and adjudicating claims in compliance with state laws and regulations. Responsible...tissue, moderately complex and complex 1st party PIP/MP medical claims . + Identifies, confirms, and makes coverage decisions on… more
- Travelers Insurance Company (Charlotte, NC)
- …**Target Openings** 2 **What Is the Opportunity?** Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where Wage loss… more
- Sacramento County (Sacramento, CA)
- …1/29/26 (Final) Under direction, the Workers' Compensation Examiner performs specialized claims service in the administration of the County's self-insured Workers' ... relating to workers' compensation matters + Methods of evaluating workers' compensation claims and computing benefits Ability to + Read, interpret, and apply… more
- Sedgwick (Juneau, AK)
- …Lead **PRIMARY PURPOSE** **:** To manage complex high-exposure general liability claims ; to review medical treatment records associated with general liability, ... bodily injury auto and personal injury claims analyzing for damages and causation and to ensure...unrelated medical specials; provides analysis and recommendations for further claims handling. + Creates a working chronology that, as… more
- USAA (San Diego, CA)
- …responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate ... use of digital tools, evaluates and appraises highly complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate… more