- Travelers Insurance Company (New York, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value.… more
- Travelers Insurance Company (Salem, OR)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- CRC Insurance Services, Inc. (TX)
- …America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Manages and evaluates ... General Liability claims affecting primary and excess policies in a fast-paced...financial partners. 2. Countrywide Litigation Management providing world class claims service to our clients, developing and executing litigation… more
- Boston Mutual Life Insurance (Canton, MA)
- …within Boston Mutual, responsible for managing and overseeing of all aspects of the Claims Service team for Life and Accident Claims . This includes setting ... Customer Experience. This role will also manage our external claims partners. **Claim Processing** : + Directs and oversees...+ Directs and oversees the handling of all insurance claims . + Ensure timely and accurate claim processing. +… more
- Family Dollar (Chesapeake, VA)
- Responsible for optimizing the end-to-end workers' compensation claims process, leveraging our Third-Party Administrator (TPA) partnership to accelerate resolution ... external clients, vendors, and industry peers, ultimately establishing Family Dollar's claims program as "Best in Class" through continuous cost reduction, enhanced… more
- Travelers Insurance Company (Irvine, CA)
- …Bar or Irvine, CA locations. Under general supervision, 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
- OhioHealth (Columbus, OH)
- …Description Summary:** Given that the organization self-insures for professional liability claims , it is essential that the Sr Consultant Risk Management effectively ... patient outcomes that have the potential to progress to professional liability claims against the hospital; analyze, interpret, and generate reports regarding the… more
- Sedgwick (Eden Prairie, MN)
- …Drive Eden Prairie, MN 55344 **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and procedures pursuant ... absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs claimants of documentation… more
- Sedgwick (Raleigh, NC)
- …Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client ... and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in ... Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules,… more