- APTIM (Santa Fe, NM)
- **Summary:** The Senior-Level Claims Reviewer is responsible for independently reviewing, analyzing, and processing complex claims related to disaster losses in ... program guidelines. This position serves as a technical authority on claims interpretation, policy compliance, and documentation quality. The Senior Reviewer also… more
- APTIM (Santa Fe, NM)
- **Summary:** The Mid-Level Claims Reviewer supports the claims process by reviewing, evaluating, and documenting claims for disaster-related losses. This ... navigating documentation requirements, and contributes to a customer-focused, efficient claims lifecycle. Mid-level reviewers also identify when site inspections or… more
- Port Authority of New York and New Jersey (New York, NY)
- …including coverage, investigation, compensability, medical management, disability management, evaluation/reserving, recovery, and resolution. Responsibilities ... the Workers' Compensation Principal Program Coordinator, oversee Third-party Administrator (TPA) claim adjusters in accordance with best practices on all major… more
- State of Montana (Helena, MT)
- …the phone in the claim process, utilizing the external customer oriented online claims system to file the claim . * Explain the rights and responsibilities of ... Voluntary Employee Beneficiary Association (VEBA) *JOB DUTIES:* As a Claims Examiner 2 in the call center you will:...deadlines. Ability to: * Identify complexity level of a claim according to established facts. * Establish and maintain… more
- The Hartford (Charlotte, NC)
- …the Claims customer journey by aligning AI capabilities with the Claims strategy, enabling enhanced claim outcomes, process and experience. This leader ... team as we help shape the future. Vice President, Claims Data Science & AI The Hartford is hiring...develop, test, and maintain robust AI capabilities across the claim lifecycle, including routing work to the appropriate resources,… more
- GuideOne Insurance (Denver, CO)
- As a Commercial Casualty Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...coverage and reservation of rights letters. + Maintains effective claim file documentation and diary system. Monitor diary to… more
- Northwell Health (New York, NY)
- **Req Number** 166205 Flexstaff is hiring a CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/ Claims experience needed, Data Analysis a plus) The ... will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight activities to ensure compliance… more
- TEKsystems (Fresno, CA)
- …or nearby; Merced, Chowchilla, Madera, Fresno, Visalia, Hanford, or Bakersfield. Description The Claims Examiner I reports to the Supervisor of Claims . Claims ... is responsible for reviewing and processing medical, dental, vision and electronic claims in accordance with state, federal and health plan regulatory requirements,… more
- USAA (Tampa, FL)
- …and impactful. **The Opportunity** Accountable for the auto, property or other claims operation to deliver business results at scale. Responsible and accountable for ... the operational execution of the member experience in claims . Creates and delivers a strategic focus on world class member experience and operational results.… more
- Unilever (El Segundo, CA)
- …religion, sex including sexual orientation and gender identity, national origin, disability , protected veteran status, or any other characteristic protected by ... out-of-the-box thinker to join our R&D Scientific Affairs team as the Claims Substantiation Lead (Associate Principal Scientist) Reporting to the Sr. Director,… more