The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must understand (1) the procedures bi

The Senior Claims Examiner will manage a caseload of insurance claims pending under a moderate to low level of supervision. Job functions include the following Analyzing insurance claims to determine applicable coverage; Analyzing claims to determine the extent of insured's or insurer's liability; Reviewing and evaluating damages and determining strategies for resolution.

The Senior Claims Examiner will manage a caseload of insurance claims pending under a moderate to low level of supervision. Job functions include the following Analyzing insurance claims to determine applicable coverage; Analyzing claims to determine the extent of insured's or insurer's liability; Reviewing and evaluating damages and determining strategies for resolution.

The Claims Settlement Manager is responsible for the leadership and continuous development of the post payment claim settlement team. As the team leader, the Manager will be accountable for exceeding department business objectives to drive best in class claim settlement while collaborating with cross functional partners to support our Out of network and Reference Based Pr

An independent Claims Handler role focused on low to mid value claims with no significant coverage issues to help achieve the Beazley vision of being the highest performing specialist insurer. To contribute to the overall performance, development, and management of the Beazley claims function. To proactively manage claims, primarily at the individual level while gaining e

The Claims Specialist will manage a caseload of pending insurance claims with minimal supervision. Job functions include the following Analyzing insurance claims to determine applicable coverage; Analyzing claims to determine the extent of the insured's or insurer's liability; Reviewing and evaluating damages and determining strategies for resolution; settling claims in a

The Senior Member Advocate is a vital role in ensuring service excellence to Zelis clients and their members. The Senior Member Advocate is proficient in and supports all Preservice Outreach, Balance Bill Resolution, and No Surprises Act assignment categories. This position requires the ability to act independently within the scope of assigned duties and responsibilities

This is your opportunity to join AXIS Capital a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team

Please note this role requires a hybrid work schedule three days per week in the office. This role can be based in any of these Axis office locations Alpharetta, GA, NYC, Berkeley Heights, NJ, Princeton, NJ Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim Excels in a best practices claim envi

Senior Claims Examiner Workers Compensation Requisition ID 2024 24938 Job Locations US TX Dallas | US Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary GREAT WORK FROM HOME OPPORTUNITY! Offers Monthly Performance Incentive! Generous Employee Referral Bonus Program! Candidates must have experience in

The Opportunity We are seeking talented and enthusiastic individuals to proactively investigate and directly handle lawyers' and accountant's professional liability claims. What you will do Directly handle, manage and/or oversee first party cyber and third party privacy and network security liability claims. This position may also handle/manage tech E&O and media liabilit

AXIS is seeking a Senior Claims Specialist Excess Claims to join our North America Claims team and will report to the Claims Manager. Under limited direction, the candidate should act as highest level individual contributor directly reviewing excess casualty claims to determine nature of loss, coverage provided, and scope of claim and to make recommendation regarding sett

Commerical Property Claim Technical Field Adjuster II Job Locations US CA Oakland | US CA San Jose | US NY New York City | US GA Alpharetta Requisition ID 2024 16740 Category Claims Property Position Type Regular Full Time Overview AmTrust Financial Services, a fast growing commercial insurance company, is seeking a Property Claim Technical Field Adjuster to respond to th