Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compatibility, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdiction

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

California Workers Compensation Claims Specialist Opportunities! Requisition ID 2023 23742 Job Locations US CA Brea Position Type Permanent Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our awesome team! The purpose of this posting is to

Who We Are Join a team that puts its People First! Since 1889, First American (NYSE FAF) has held an unwavering belief in its people. They are passionate about what they do, and we are equally passionate about fostering an environment where all feel welcome, supported, and empowered to be innovative and reach their full potential. Our inclusive, people first culture has e

Investigation and analyze recovery/subrogation and/or liability and property damage claims filed by or against the Company. Adjust and settle claims. Gather evidence for hearings, trials, and other dispositions through visual inspections, photographs, interviewing and questioning witnesses. Examine and analyze records and reports. Prepare and maintain detailed documentati

We are seeking an exceptional Principal Biostatistician with strong statistical and computational skills to participate in the discovery, development, validation, and post marketing support of genomic biomarker assays that help cancer patients and their physicians make better treatment decisions. This role will directly collaborate with internal and external thought leade

Expedite and oversee administrative process of clients' insured claims as assigned within region, including but not limited to general liability, builders' risk, professional liability, pollution, and auto liability claims. Essential Duties & Key Responsibilities As directed by Claims Manager, report claims in timely manner to applicable insurance carriers, and gather per

"I can succeed as a Risk Analyst at Capital Group." As a Risk Analyst, you will play a key role in supporting business areas with the identification and evaluation of key risks and opportunities to strengthen the control environment. You will be responsible for supporting operational event management including Sarbanes Oxley compliance, SOC 1 audit coordination, trend ana

Responsible for auditing and training claims staff on all Managed Care claims received from outside providers to ensure the Claims Examiners processed and adjudicated them accurately and consistently in accordance with outside Provider Contracts, State, Federal, CMS, DMHC and Health Plan contracts, internal departmental policies and procedures. Must maintain a productivit

Load, process, and summarize various data types and files using MATLAB or similar program. Further organize, clean, sort, and analyze data using SPSS, R, SAS, or related data analysis programs and interpret meaningful findings in tables, graphs, and written form. Conduct casualty assessment using currently available high rate blast data and published computational models.

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

Analyzes, configures, develops, tests, implements, supports and maintains Epic revenue cycle applications, solutions and business processes to meet operational and technical requirements. Obtains and maintains in depth knowledge of software functionality and acquires as well as utilizes knowledge of operational workflows to be implemented. Areas of responsibility may be H

Analyzes, configures, develops, tests, implements, supports and maintains Epic revenue cycle applications, solutions and business processes to meet operational and technical requirements. Obtains and maintains in depth knowledge of software functionality and acquires as well as utilizes knowledge of operational workflows to be implemented. Areas of responsibility may be H

Take on a key leadership role within an award winning health system. Help improve patient experiences and operational efficiency with a world class healthcare team. Take your career in an exciting new direction. You can do all this and more at UCLA Health. As an important member of our Medicare Advantage leadership team, you will provide tactical execution and leadership

The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and address non contracted provide