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What will your essential responsibilities include? Managing assigned complex Cyber and Technology claims across multiple jurisdictions, setting the case strategy for these claims in partnership with the Cyber Practice Leader and Claims Management, and taking all available steps to achieve the optima

The Senior Logistics Liability Claims Analyst is responsible for professionally managing logistics liability claims across the U.

The Co-Op Analyst will manage Co-Op claim reporting and reconciliation for assigned TDA regions, ensuring compliance with TMNA requirements and timely submission of all required documentation.Each Team member manages the reporting and reconciliation of all Co-Op claims submitted to Toyota Motors of

Medicaid Health Plan Claims Business Process Consultant. The Medicaid Health Plan Claims Business Process Consultant is responsible for reviewing, and analyzing claims submitted under the Medicaid program. The Claims Business Process Consultant collaborates closely with internal partners across the

Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world class service both pre- and post-claims. Prior experience with Financial Lines products required.

As the Coordinator of eCommerce Client Relations, you will support the team in ensuring that all operational tasks including order review, returns and exchanges, FedEx claims, Web to Shop and eCommerce After Sales are functioning properly and that we are meeting all deadlines in these areas. Coordin

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.

Join us as a Complex Claims Director Management Liability to play your part in that transformation. An employee in this role will be responsible for handling all aspects of complex directors & officers claims, including securities class actions, with opportunity to handle high exposure employment p

Join us as a Complex Claims Director to play your part in that transformation. Are you interested in handling some of the largest and most complex Casualty claims in the industry? Your deep technical claims expertise will be put to the test in the investigation, evaluation and disposition of new and

SageSure, a leader in catastrophe-exposed property insurance, is seeking a Claims Operations Intern who will support the Director of Claims Initiatives in driving strategic projects that improve efficiency, service quality, and scalability in home insurance claims. Conduct data analysis on claims tr

We're hiring a Payment Policy Associate to join our Payment Integrity Team. You will report into the Manager, Payment Integrity. Provide subject matter expertise and in-depth understanding of Payment Integrity internal claims processing edits, external vendor edits and Oscar reimbursement policies.

This position performs financial and operational audits of Managing General Agents (MGAs) and Third Party Administrators (TPAs), who underwrite and administer policies, collect premiums and adjudicate claims on behalf of Starr Companies.

We are seeking a Workers' Compensation Claims Adjuster to join our Claims team and work from either our Rockwood, PA or Omaha, NE offices. Adjudicate workers' compensation claims of higher technical complexity within established authority. Investigate claims promptly and thoroughly, including interv

Collaborate with EmblemHealth business partners as needed via email or virtual meetings to validate accuracy ofNetworX rate sheets, provider participation status, and provider file impacting the claim(s) adjudication outcome. Experience within a health care and/or claims environment required. Prior

This position manages Anthos|Home's Medicaid billing and reimbursement operations within the Social Care Network (SCN) program funded through the New York State 1115 Medicaid Waiver. Submit, track, and reconcile Medicaid claims under the 1115 Medicaid Waiver Social Care Network program, ensuring com

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. In this role, you will be focused on the development and execution of bankruptcy noticing and

Forensic Accounting & Claims Services Consultant. We are seeking a talented individual to join our Forensic Accounting & Claims Services team at Marsh. As an Engagement Lead Forensic Accounting & Claims Services Consultant, you will act as a recognized subject matter expert, leading large-scale str

Demonstrates aptitude in evaluating, analyzing and interpreting information; demonstrates expertise in particular line of business; excellent analytical skills; excellent written and verbal communication skills; the ability to multi-task; excellent time management and organizational skills; ability

The team serves as a claims technical resource, as well as provides assistance and expertise across Hiscox by identifying and promoting claims best practices and facilitating required improvements. You'll work closely with internal claims teams, legal, and third-party administrators to ensure we mai

Under the supervision of the Manager of Health Fund Operations, the Claims Dispute Resolution Analyst will be responsible for reviewing healthcare claims flagged under the "lesser of terms" payment principle and managing cases within the Independent Dispute Resolution (IDR) process. Claims Dispute R

Senior Technical New York Labor Law Claims Specialist. Due to continued growth, we are looking for a highly capable Senior Technical New York Labor Law Claims Specialist to join our team and work from our New York City office. Working under limited oversight under broad management direction, adjudic

As an Engagement Lead Forensic Accounting & Claims Services Consultant, you will act as a recognized subject matter expert, leading large-scale strategic projects, coaching team members, and solving complex client problems. Forensic Accounting & Claims Services Consultant. We are seeking a talented

The individual will manage claims by investigating, analyzing, and evaluating coverage and for liability third-party primary casualty claims. Reviewing relevant policies, validating coverage for claims by analyzing policy wordings, and escalating identified issues for further resolution. Be capable

The Senior Claims Manager supports project teams to ensure compliance, financial recovery, and efficient preparation of REAs and Certified Claims. The Senior Claims Manager is a professional with a high level of subject matter expertise in Federal dispute resolutions including REAs and Certified Cla

We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our vision is to be a leading small business insurance provider nationwide. Active NY Adjuster License strongly preferred.

Interest in Cyber liability and Cyber incident management and growing your career in this industry. Marsh's Cyber Claims practice has a Cyber Claims Advocate open on our growing team. Opportunity to learn Cyber coverage claims and Cyber incident management from leaders in the industry.

Continuously evaluate and implement best practices, processes, and technology enhancements to optimize claims operations and improve claims outcomes. Deep technical expertise in claims in workers comp and DBA Claims and litigation management. Oversee all aspects of claim management (including Worker

CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses, which serve a significant role in determinations regarding investigations, prosecutions,

As a Senior Claims Consultant, you'll investigate, evaluate and negotiate claims to a successful resolution. This role supports management liability and specialty lines of business including surety liability, error and omissions, directors and officers and employment practices liability, among other

AOE/COE, Auto, or Homeowners Investigations.

Engagement Lead Forensic Accounting & Claims Services Consultant. We are seeking a talented individual to join our Forensic Accounting & Claims Services team at Marsh. As an Engagement Lead Forensic Accounting & Claims Services Consultant, you will act as a recognized subject matter expert, leadin

As a Financial Lines Claims Intern, you will utilize your legal background to analyze corporate insurance coverage and liability and damages in complex high-profile litigation filed against D&Os (Directors and Officers) of public and private companies and financial institutions. Our interns are imme

The task requires management of a case load of varying size of matters pertaining to specific claims made against the City of New York and specific agencies. The Claims Specialist operates under supervision but exercises independent judgment in managing assigned tasks. The Claim Specialist is requir

Review and validate our claims processor's weekly reports to ensure claims are adjudicated according to guidelines and plan requirements. This position supports efficient claims operations by ensuring accuracy in data review, identifying root causes of claim issues, and collaborating cross-functiona

We are looking for a Senior Claims Specialist to join our Environmental Claims Team. The Senior Claims Specialist will have direct experience in handling first- and third-party environmental liability claims, professional liability claims arising out of the construction industry, as well as general

Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. As a Claims Analyst IV, you will be responsible for handling Employment Practices

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. Director, Claims Recovery (Building). The Director, Claims Recovery (Build

Reviews hospital claims data to identify underpayments and pursue resolutions with third party payors. Review hospital-managed care contracts: To determine expected reimbursements and identify potential underpayments. Two or more years of experience: In managed care reimbursement, hospital billing,

Enters SIU claim data information into multiple SIU systems. This job is responsible for investigating and analyzing complex, multi-discipline coverage and claims that have been referred to the special investigation unit (SIU) for potential fraud. Utilizes analytic tools or SIU field intelligence to

Bachelor's degree and 2 or more years of experience in the Claims and Litigation area OR High School Diploma or Equivalent and 4 or more years of experience in the Claims and Litigation area OR Zurich Certified Insurance Apprentice including an Associate Degree and 2 or more years of experience in t

Build a Brilliant Future with Hiscox.This position is hybrid and requires work in office a minimum of two (2) days per week.Position can be based at our following hub office locations:.The US Claims Compliance and Quality Assurance team at Hiscox is a growing group of professionals with operational

Support contract performance management of a large health system.

The Accountant will prepare assigned billings and have knowledge of all billing policies and systems ensuring consistency and accuracy of all agency claims. Advises the Supervisor and Senior Accountant of any billing concerns impacting cash flow. Accountant Principal Responsibilities:.

Evaluate, negotiate, and settle assigned property damage or severe GL and/or complex bodily injury claims within authority granted, or seek authority for those claims in excess of authority. This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and th

The ability to influence claims and non-claims stakeholders by effectively directing claims strategy. Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Experience handling third-party claims, litigation or other related experience.

Extensive experience litigating or handling issues pertaining to complex Professional & Management Liability issues, with a focus on Directors and Officers coverage. As a member of FAIRCO, the Complex Claims Examiner will be responsible for adjusting Professional & Management Liability claims, with

At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. Zurich strives to provide ongoing career development opportunities so you can reach your full potential and foster an environment where voices are diverse, behaviors

The Medicaid Health Plan Claims Business Process Consultant is responsible for reviewing, and analyzing claims submitted under the Medicaid program. The Claims Business Process Consultant collaborates closely with internal partners across the Health Plan and National support team to resolve discrepa