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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

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

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

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

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

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

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

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

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

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

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,

Under the supervision of the Division Chief for Affirmative Claims, collaborate with the New York City Law Department Affirmative Litigation Division on insurance takeover investigations to identify the appropriate City agency and third party contractor on insurance takeover claims;. The Affirmative

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

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

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.

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

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.

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.

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

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

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.Familiarize yourself with the rates.Assist with ensuring software is accurately esti

Advocate for clients to maximize results.

Greenlife Healthcare Staffing is currently seeking a. Liaise with healthcare plans, providers, patients, and clients to coordinate requests, correspondence, and submission of case documentation, as necessary. Monitor and measure key performance indicators, including, but not limited to, timeliness,

BRG experts within our Business Insurance Claims practice are often retained after a catastrophe to provide advice and guidance to the policyholder in the recovery process and to prepare claims. Our experts analyze detailed financial and accounting records and operations data; develop financial mode

Westfield Specialty Claims is a group of claims professionals with diverse backgrounds and experiences. Global Insurance portfolios of more than $6B in premium across the various executive leadership roles he's held within the insurance industry. Talented Claims Investigator Wanted.

Provides superior customer service to, and proactively builds strong relationships with, all appropriate representatives of assigned accounts, including their internal leadership, brokers, and agents to maximize the competitive advantage derived from the Vantage Claims value proposition. Additionall

The Senior Claims Partnership Manager will play an essential part in moving this vision forward by developing and implementing a long-term, forward-thinking roadmap, focused on identifying key strategic partnerships and future trends, to solve our customers' most pressing problems. Identify and coll

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

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

The Full-Time HealthCare Claims Analyst position at VillageCare requires a seasoned professional with a minimum of five years of experience in healthcare claims reporting and processing, alongside in-depth knowledge of Medicaid and Medicare guidelines. This position involves identifying gaps in vari

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.

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

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

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

Support contract performance management of a large health system.

Participate in Structured Learning: Actively engage in the first phase of the INVEST Program, which includes instructor-led sessions, online modules, job shadowing, and mentorship focused on foundational insurance knowledge, claims operations, and state-specific workers' compensation regulations. Sh

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. Interest in Cyber liability and Cyber incident management and growing your career in this industry.

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

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

This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments and other irregularities based upon benefit configuration, compliance with provider contract agreements, and Federal, State and Plans established guidelines and/

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

AOE/COE, Auto, or Homeowners Investigations.

Reporting to the Manager of Financial Planning and Analysis, the Financial Analyst will manage a portfolio of government grants and contracts, including budget and forecast preparation and analysis, ensuring compliance with government contract regulations, invoice and expense review, claims preparat

Reporting to the Manager of Financial Planning and Analysis, the Financial Analyst will manage a portfolio of government grants and contracts, including budget and forecast preparation and analysis, ensuring compliance with government contract regulations, invoice and expense review, claims preparat

Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims. Seven to ten (7-10) years of working experience with a primary and or excess carrier supporting commerci

The Long-Term Disability (LTD) Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. Long-Term Disability Claims Examiner. You will be part of the Long-Term Disability (LTD) Claims team whi

Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collectio

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