of Position We are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal grievances, complaints, appeals, and disputes submitted by members and providers in accordance with NCQA, CMS, State, and other regulations. They will process appeals and grievances to facilitate the accurate administration of benefits and clinical

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

Commercial Auto Claims Adjuster Bodily Injury Job Locations US United States Requisition ID 2024 16889 Category Claims Auto/Trucking Position Type Regular Full Time Overview The Commercial Auto Claims Adjuster is responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and

Commercial Trucking Claims Adjuster Bodily Injury Job Locations US United States Requisition ID 2024 16905 Category Claims Auto/Trucking Position Type Regular Full Time Overview The Commercial Trucking Claims Adjuster is responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotia

Claims Specialist Liability Requisition ID 2024 25326 Job Locations US NY Hauppauge Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Administers and resolves non complex short term claims of low monetary amounts, including Fast Track and Incident Only claims. Documents and monitors open case invent

This position is for an Auto Estimator, handling claims resulting in property damage to vehicles. You may be the first point of contact to meet with our insureds, explain coverage, estimate vehicle damage, and help them through the claims process while providing Remarkable service. This includes Utilizing automated estimating systems to prepare repair estimates Providing

Senior Premium Auditor Job Locations US United States Requisition ID 2024 16842 Category Operations Premium Audit Position Type Regular Full Time Overview The Senior Premium Auditor performs physical and virtual audits of the highest complexity ensuring the accuracy of earned premium risk calculations. Responsible for handling of audits within AmTrust's Major Accounts Pro

An independent Claims Handler role focused on low to mid value Employment Practices Liability 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 i

Director, Claims Commercial Property Job Locations US United States Requisition ID 2024 16787 Category Claims Property Position Type Regular Full Time Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Claims Director in our Commercial Property group. This position will include aspects of team leadership and direct oversight

Strategic Claim Director Job Locations US United States Requisition ID 2024 16857 Category Claims Property Position Type Regular Full Time Overview We are looking for a Strategic Claims Director to oversee litigation matters related to first party property claims at AmTrust Property Claim. The ideal candidate would be a lawyer with extensive coverage experience in commerc

Medical Claim Analyst Requisition ID 2024 25295 Job Locations US NY Hauppauge Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Under direct supervision, processes medical only claims within authority, processes other claims open only for the administration of medical benefits (i.e. maintenance clai

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

Claims Analyst, GL Full time Remote & Hybrid Opportunities Available It's an exciting time to join RiverStone We handle diverse claims with unique and interesting problems to conquer, providing flexible and creative claims solutions for our insurance/reinsurance clients. What it's like to work here You work hard, and you deserve more than just a paycheck. RiverStone belie

Job Description Serves as a liaison between internal/external stakeholders to facilitate the workers' compensation claim process throughout the continuum of care. Responsible for caseload within assigned region. Provides data and analytics to drive performance improvement. Participates in implementing loss control initiatives and education. Job Responsibility 1.Advocates

Provide organisational and administrative support to Claims Managers, specifically Assist the Claims Managers by preparing documentation to help them evaluate and report on specific claims. Where necessary, produce and maintain spreadsheets, bordereaux and databases to enhance data presentation, analysis, and storage. Liaise with service providers, brokers and other stake