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 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 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

GTS Account Protege Requisition ID 2024 25183 Job Locations US Position Type Regular Full Time Category Claims Business Unit GUS_GTS US Excellence In Everything We Touch Position Summary Under the direct supervision of management, the GTS Account Protege participates in the comprehensive training curriculum of the GTS Protege Program. Duties will include estimating damage

Accident and Health Affinity Benefits Adjuster Requisition ID 2024 25184 Job Locations US GA Peachtree Corners Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary HYBRID POSITION! GENEROUS EMPLOYEE REFERRAL BONUS PROGRAM! GREAT WORK LIFE BALANCE! Licensing is a requirement! Under general supervision,

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

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

Loss Investigation Specialist Seasonal Requisition ID 2023 23760 Job Locations US Position Type Seasonal Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary Under direct supervision, this position will support the loss investigation process and report obtained information in a timely and efficient manner. This role will s

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Support Project Directors/Principal Investigators and other stakeholders to ensure security and accountability of sponsored inventory through transaction documentation process, routine verification, and system review. Tags sponsored property and records assets in sponsored property inventory application. Compile and document all transactions for data entry. Conduct annual