- MetLife (Holly Springs, NC)
- …in Healthcare field * Proficient with Microsoft office software * Prior STD and Family Medical Leave Act claims knowledge * Ability to work independently * A ... training. Key Responsibilities: * Manages overall STD block of claims and possible companion claims to include...Federal, State, Local laws * Creates and executes individual claim action plans, serves as point of contact for… more
- AON (Fort Wayne, IN)
- Aon Is Looking For A Claims Professional I We currently have an exciting hybrid career opportunity for a Claims Professional I in our Ft. Wayne, IN office. This ... + Handles litigated and non-litigated commercial property, crime, and inland marine claims . + Interact with internal and external parties and with our insuring… more
- Stanford Health Care (Palo Alto, CA)
- …procedures and the applicable service agreement. Review reserves, settlement activity, and claims costs. Participate in periodic claim reviews and provide ... Health Care job.** **A Brief Overview** Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager oversees the workers' compensation… more
- Osmose Utilities Services (Atlanta, GA)
- …work-related injury and illness claims . + Assess the classification of each claim (first aid, medical only, lost time, or controverted) and manage ... Summary of position: The Claims Analyst will play a key role in...supervisors, third-party administrators (TPAs), and insurance carriers. + Monitor claim status and ensure timely and accurate claim… more
- BrightView (Blue Bell, PA)
- …+ Support reporting and coordination with excess insurers on significant or catastrophic claims . + Analyze claim trends and loss drivers using data from ... team where you can grow to be your brightest. We're looking for a Senior Claims Specialist. Can you picture yourself here? **Hybrid Schedule:** 4 Days Onsite in Blue… more
- Dignity Health (Bakersfield, CA)
- …for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), and manual ... **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research...adjudication to identify the cause of the erroneous claim payment - Responsible to ask clarifying questions from… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager is primarily responsible for ... handling Employment Practices Liability (EPL) claims for Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Children's Health. Claims include… more
- WTW (Miami, FL)
- …We are seeking a highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have multiple claims responsibilities ... such as supporting the effective management, analysis, and resolution of claims , ensuring accurate processing and timely communication between clients, reinsurers,… more
- NextEra Energy (North Palm Beach, FL)
- …submission, tracking, and resolution of reinsurance recoveries, including facultative and treaty claims . + Analyze claim data and documentation to confirm ... to support claims activities and works with claims adjusters to assign claim value +...requirements, consistent with federal, state, and local laws. Supporting medical or religious documentation will be required where applicable… more
- Sedgwick (Denver, CO)
- …requests; implements final disposition of the appeal. + Reviews reserve amounts on high-cost claims and claim over the authority of the individual examiner. + ... claim status; and provides written resumes of specific claims as requested by client. + Assures that direct...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more