- CRC Insurance Services, Inc. (FL)
- …job description:** This role is focused on technical claim handling of complex general liability claims , both litigated and non-litigated. This role requires ... affecting primary and excess policies in a fast-paced E&S Claim remote environment 2. Independently evaluating information...and underwriters in the handling and adjudication of all claims 10. Handling complex claims … more
- Molina Healthcare (Everett, WA)
- …processing. + Identifies and reports quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review, Appropriate ... for 2 weeks. **Job Duties** + Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an… more
- Providence (CA)
- …take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for media exposure + Report ... must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional,… more
- Travelers Insurance Company (Diamond Bar, CA)
- … claim and/or legal experience and technical expertise to evaluate severe and complex claims . + Able to make independent decisions on most assigned cases ... assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel… more
- American Family Insurance - Corporate (Madison, WI)
- The Claim Manager is the first line management... Claim Team will handle moderate to highly complex claims . Direct conformity with the terms of ... responsible for providing the leadership direction of a catastrophe Claim Team and achieving desired company results. The catastrophe...week) working from home and/or in the field overseeing claims adjusters. On occasion you may be asked to… more
- FM (Waltham, MA)
- …of auditors, consultants, and attorneys; works with them to develop solutions to complex claim disputes. + Leads or participates in special projects as ... Runoff Operations in supervising and directing the Runoff Operations claims function and to assist the manager ...workflow to ensure that all deadlines are met; assigns claim loads to claims examiners. Assists in… more
- Subaru of America (Camden, NJ)
- …classes relating to the product and leadership skills development. + Monitors call and claim volume through claims system and call system. Assists with calls and ... team. + Strong written and verbal skills. + Extensive background in claim processing and/or claims operations. + Strong training and facilitation… more
- University of Michigan (Ann Arbor, MI)
- Claims Administration Manager Apply Now **Job Summary** The Claims Administration Manager plays a critical leadership role in overseeing the Insurance ... employment opportunity employer. **Job Detail** **Job Opening ID** 261827 **Working Title** Claims Administration Manager **Job Title** Risk Manager **Work… more
- ALDI (Naperville, IL)
- …other ancillary insurance claims management vendors. * Intervenes in and supports complex claims . * Ensures the company's insurance claims reserves are ... to participate in ALDI's Hybrid Work Program, which allows remote work up to 3 days per week (ie,...claims management programs, including but not limited to claim intake, medical management, litigation management, and return-to-work. *… more
- Axis (New York, NY)
- … any insurance and reinsurance coverage issues * Communicates with manager and claims team about developing claim issues, large claims , emerging trends, ... Job Family Grouping: Reinsurance Claims Job Family: Claims Location: New York Hiring Manager : Marina...an account and/or line of business they handle, confirms complex claim calculations regarding AADs, Basket retentions… more