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

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

Positions in this function will be responsible for researching and investigating key business problems through quantitative analyses of utilization and healthcare costs data. Develop and improve quantitative data analytics and set performance targets. The main responsibilities will include Interpret and analyze clinical data from various sources and recommend best approac

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

T his position is for a Property Field Inspection Claim Specialist, handling accidental and weather related homeowners, commercial, and large loss claims. You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims process while providing Remarkable service. Where you'll work This position is locat

Claims Adjuster III, CA Job Locations US CA Irvine Requisition ID 2024 16316 Category Claims Workers Compensation Position Type Regular Full Time Overview The Workers' Compensation Adjuster III is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with ins

At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities that will put customers at the center of what we do best protecting and restoring their dreams when they need us most. We're leveraging our expertise, technology and new ways of working to actively reinvent one of America's largest industries creating

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

Senior Claims Examiner Associate III BPM Who we are UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers and better outcomes for our

Responsible for providing customer service and supporting the insured and broker with commercial property claims. ESSENTIAL DUTIES AND RESPONSIBILITIES Communicates with vendors, producers, policy holders, clients and insurance companies to communicate claim status; Provides initial and on going advocacy on losses including reserve, coverage analysis, and communication; R

include but are not limited to Cultivate and maintain professional and proactive communication level with clients, production staff, Project Managers and other associates Establish and monitor broking strategy and growth goals with key carrier partners Identify opportunities and develop proprietary and/or preferred terms and conditions with key carrier partners Identify o

BioMed Realty is looking for an experienced Senior Risk Analyst who has deep knowledge in wide variety of insurance. The role of a Senior Risk Analyst at BioMed Realty is multifaceted, requiring expertise not only in insurance but also in safety and loss prevention. This position offers a hybrid work model, which includes 4 days in office and 1 day remotely. Hybrid work m

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

Support the development and implementation of the Funds compliance program, collaborating with other departments at AssetMark as well as vendors, outside counsel and sub advisors to the Funds. Assist in the ongoing implementation and execution of the Funds' risk assessment and testing program, including conducting compliance testing; evaluating, documenting and presenting

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