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Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Designations and/or licensing including but not limi

Aon's Strategy and Technology Group (STG) Specialist Claims Solutions team advances claims performance through analytics, operations expertise, and structured delivery. Coordinate with Client Leaders to accelerate progress on claims initiatives. Experience in claims operations, analytics, or process

Experience working with key bankruptcy stakeholders in the noticing and soliciting of bankruptcy claims, particularly in instances involving numerous unrelated legal claims against the estate of the debtor. We are seeking a Senior Manager, Bankruptcy Claims and Noticing for our Legal Sector Services

Extensive experience with P&C business operations and financial systems, with at least 5 years of conducting quantitative analysis. Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits desig

Oversee a unit of claims experts to review, reconcile and resolve claims inquiries, handling all claims inventory, appeals and special handling: hire, develop, mentor, train staff; clearly communicate expectations; monitor and provide feedback; ensure appropriate levels of staffing; complete perform

This is an exciting opportunity to lead a talented group of Claim Professionals while contributing to strategic initiatives that shape the future of our claims operations. Maintain proactive oversight of claims to ensure that appropriate strategies are in place and reserves accurately reflect the mo

Work with Data Exchange partners and internal teams to develop and maintain Data Exchange data feeds (ex. Identify and triage Data Exchange issues and support the resolution of all errors related to transferring, loading, and management of integrated Data Exchange data. Proactively monitoring system

Strong understanding of data structures, relational databases, and query logic required. Proficiency in SQL for data querying/analysis; data visualization tools such as Power BI/Tableau Reporting or similar preferred. Proven ability to apply quantitative and/or qualitative research and data analysis

At this level, you will handle multi-party commercial line claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service. Designed with our employees' need

Support contract performance management of a large health system.

Jurisdictional Experience: New York workers compensation Active Adjusters' licenses: Must have an active New York adjusters license As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skill

Collaborate with Home Office Line of Business/Industry Practice Managers, Analytics, Actuaries, Claims and Corporate Catastrophe teams. AVP, Home Office Property Portfolio Manager. Chubb is currently seeking an AVP, Home Office Property Portfolio Manager to play a key role in driving performance and

The Claims Division is seeking a Director to join the Workers' Compensation Team. In this role, the responsibilities include but not limited to TPA oversight of complex and severe Workers' Compensation claims across all business units. Total individual compensation (base salary, short & long-term in

This position also works closely with internal Advantage Solutions associates such as Customer Managers and order entry, claims, category management, schematics and retail associates to increase sales volume within a market. Our clients are defined as the manufacturers, vendors, or brands who have c

The Claims Recovery practice is part of the Forensics Risk division specializing in quantifying, compiling, and preparing property damage, extra expense, and business interruption insurance claims for various insured perils. The Director, Claims Recovery (Building) will be responsible for developin

At this level, you will handle multi-party commercial line claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service. Completion of Zurich Claims Train

Construction Forensic Accounting, Claims, Or Dispute Advisory.At DLA, our FVLS team supports clients in high-stakes situations, providing forensic accounting, fraud investigations, damages analyses, valuations, and.

Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. The opportunity: We currently have an opportunity for a Forensic Accountant Consultant to join our Claims team based in our Canton, MA, Denver

The Cyber Media and Technology E&O claims team provides comprehensive claims service for insureds of all sizes and industry segments in connection with Cyber, Media Liability and Technology E&O Liability claims. As a Complex Claims Director, you will be responsible for handling all aspects of comple

The position assumes responsibility for handling property claims including high severity and complex losses within a specified territory. Completes the risk evaluation for underwriting and claims purposes. Maintains contact with claimants, agents, and attorneys, regarding the ongoing status of claim

In this role, you will be responsible for managing and resolving the interaction with the pharmacies related to pricing appeals and claims review requests submitted by the pharmacies or internal teams. Lead the review and improvement of the pharmacy pricing appeal process in coordination with the An

An Insurance Claims Court Representative role involves overseeing litigated claims, analyzing legal/medical data, collaborating with claims and trial lawyers, requiring strong analytical, negotiation, and communication skills to resolve high-stakes cases efficiently for optimal outcomes and cost con

Evaluate disputed claims for system configuration, claims processing, and/or contractual issues to facilitate claims review. Maintain and organize detailed information on claims dispute files to ensure appropriate and comprehensive data is returned to the provider timely. Identify potential/actual c

Senior Business Intelligence Analyst. BA/BS required, MS preferred in Data Science, Business Analysis, Information Technology or equivalent combination of education and employment. Experience in providing data driven consultation and business communication to executive leadership.

Financial Lines Claims Manager. We are currently looking to add a Claims Manager to join our Management Solutions Group and work out of our 4 World Trade Center, NY or Parsippany, NJ office. The Claims Manager is expected to coordinate the work activities of the team, and has responsibility for perf

Independently represents the Employer/Carrier before the assigned Judge of Compensation Claims and present witnesses and evidence at administrative hearings on litigated workers' compensation claims. Workers' Compensation Staff Counsel. The position of CA Workers' Compensation Staff Counsel will be

Workers Compensation Claims Examiner | Dedicated Client | NY Licensing Required | Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Apply your knowledge and experience to adjudicat

Workers Compensation Claims Examiner | Ny Jurisdiction | Dedicated Client. We are seeking a highly motivated and experienced Workers' Compensation Claims Examiners to join our team. Experience with Public Entity claims management.

Excess Construction Claims Consultant. Investigate and manage Excess Construction claims from initiation to resolution. Assess the validity of claims and determine appropriate reserves.

Auto P&C Claims Subject Matter Expert (SME Consultant) - AI SaaS. We are seeking highly experienced, Subject Matter Experts (SMEs) to partner with our Product and Engineering teams in the development of that product. The primary role of the SME will be to provide expert validation, feedback, and rea

This position will support PSP's Practice Group Counsel and work collaboratively with other claims' colleagues, and, depending on experience, may include supervisory or managerial responsibilities within the team. Claims Manager Professional Services Practice. Are you innovative, diligent, data-dri

As a Claims Advocate, you will be responsible for handling a wide range of tasks in a professional, well organized, and flexible manner.

As the Forensic Accounting Middle Market Client Engagement Leader, you will serve as a senior advisor on complex Forensic Accounting and Claims Services (FACS) projects. Forensic Accounting Middle Market Client Engagement Leader. Degree in Accounting, Economics, or Finance.

Ensure all claims and change management activities comply with owner standards, procurement guidelines, and audit requirements, and assist with internal and external audits related to contract compliance and change control. The position works closely with construction management, project controls, a

Operations/h2pEmblemHealth/ppSummary of Position/ppTo oversee the performance of vendors who are delegated for the claims processing function to ensure delegates meet and are aligned with EH standards.

The National Account Executive will lead a consultative sales process to drive new business for the VISC suite of insurance products, including Claims Analytics and Claim.

Come join our team! There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Understand and proactively deploy Risk Consulting Services (Claims, Loss Control & Analytics) and other EPIC resources. EPIC has over 60 offices

As part of Munich Re Group, we are a unique organization providing expertise in specialty and marine lines of insurance as well as surety risks and customs bonds with in-house claims solutions. We are seeking a Temporary Employee - Client Support, Surety Bonds to join the Roanoke Insurance Group div

Required to pass The Institutes Associate in Claims (AIC) 300; Claims in the Evolving World course/examination within 120 days from their date of hire as a requirement of and to continue in the Liability Claims Trainee Program. Successful candidates will handle incoming claims with the guidance of

Lead cross-functional teams (Payment Integrity, Provider Claims Resolution, Grievance and Appeals, Provider Network Management, Customer Service) to track/monitor the resolution of Claims Issue (medical, hospital and dental) for HMO/PPO claims (Facets). Serve as technical and business content expert

To examine, adjust, defend, claims and lawsuits against our insureds. CPCU, AIC, SCLA and other insurance professional designations preferred.

Bachelor's degree in accounting, finance, or economics. Professional accounting designation (CPA, CFE, CFF, etc. This position is an Analyst role in our Claim Solutions - Forensic Accounting Claim Services "FACS" business.

Complex Claim Specialist, New York Labor Law. Strong experience in handling New York Labor Law claims highly preferred.

Epic Resolute), including charge capture, claims processing, and reimbursement logic. Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act.

To handle claims associated with GNY Custom book and other select accounts from inception to closure. Inception to closure claim handling of claims on assigned special accounts, including multi-state claim handling. CPCU, AIC, SCLA and other insurance professional designations preferred.

CPCU, AIC, SCLA and other insurance professional designations preferred. NY Labor Law (if handling NY claims) required. Minimum 2 years experience in handling other complex claims such as wrongful death, mold, drownings, negligent security, etc.

Auto Insurance Claims Representative. To evaluate auto claims involving injured parties and manage first party medical treatment to determine eligibility under a personal injury protection and/or medical payment benefits.

Manage litigated claims and maintain accurate reserves aligned with Argo policy. Practical knowledge of workers' compensation claims, as well as exceptional customer service focus, typically obtained through:. Demonstrates an understanding of mechanisms available for resolving claims settlement disp