- Travelers Insurance Company (Reading, PA)
- …Utilizes evaluation documentation tools in accordance with department guidelines. + Proactively creates Claim File Analysis (CFA) by adhering to quality ... claims . + Provides quality customer service and ensures file quality and timely coverage analysis and...and reviewing appropriate records and damages documentation. + Maintains claim files and documents claim file… more
- Travelers Insurance Company (Morristown, NJ)
- …+ Maintains claim files, have an effective diary system, and document claim file activities in accordance with established procedures. + May attend ... negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim … more
- Sedgwick (Springfield, MA)
- …FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional ... Workplaces in Financial Services & Insurance General Product and Liability Complex Claim Advisor - Multi-State Licensing Preferred - Hybrid - Sedgwick Offices **ARE… more
- MetLife (Aurora, IL)
- …CMG guidelines to the extent supported by documented rationale and the facts of the claim file . . Utilize tools independently and accurately to identify work to ... office for meetings Key Responsibilities: . Independently assess, analyze and render appropriate claim decisions on STD, PML and state claims . Clarify… more
- The Hartford (Hartford, CT)
- …draw appropriate conclusions, and make sound decisions based on a mixture of analysis , experience, and judgment Claim File Management and Technical ... Unit will manage the investigation, litigation, disposition, and settlement of specialized claims , in compliance with corporate claim standards and procedures,… more
- HUB International (Brentwood, TN)
- …leader is responsible for our team investigating and adjusting employee injury claims , benefit determination, wage replacement, and medical management for Texas ... coverage, assessing benefit compensability, communicating with Insureds, Attorneys and medical professionals. It also includes file documentation, policy… more
- AIG (Dallas, TX)
- …and management of indemnity, medical and legal aspects of highest valued, complex claims . + Reviews and analyzes TPA claim financials to ensure payments are ... are processed timely and accurately. + Completes an independent analysis and evaluates claim exposure on assigned...on complex technical issues and participates in external customer claim file reviews and audits as required.… more
- Teva Pharmaceuticals (North Wales, PA)
- …Responsibilities** + Work with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure ... Medicaid Claims Analyst Date: Aug 7, 2025 Location: North...assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter… more
- The Hartford (CA)
- …disposition and settlement of claims + Achieve fair, equitable and timely claim dispositions + Properly assess the indemnity, medical and expense exposure of ... guidelines. + Plan, recommend, and execute the investigation and disposition of claims consistent with corporate claim standards policies and procedures, and… more
- Public Storage (Plano, TX)
- …workers' compensation matters + Interface with employees, managers, insurance carriers, medical personnel and attorneys regarding workers' compensation claims , ... and compliance with state filing requirements + Oversee medical utilization + Review and analyze all claims...practices by the TPA + Participate in negotiations for claim settlements + Schedule and coordinate periodic file… more