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Complex Claims Adjuster - Lawyers Professional Liability
AmTrust Financial
-
Dallas, TX / Boca Raton, FL / Maitland, FL / 3 more...
Complex Claims Adjuster Lawyers Professional Liability Job Locations US United States Requisition ID 2024 16359 Category Claims Specialty Lines Position Type Regular Full Time Overview Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Complex /Specialty Adjuster. This position can be located in one of our claims offices with the possibi
Email Job
Posted 27 days ago
Claims Adjudication Specialist
MetroPlus Health Plan
-
New York, NY
This position is responsible for the data entry and system adjudication of provider claims including but not limited to professional, ancillary and facility claims. The position is responsible for the end to end processing of claims. Job Description Process claims involving medical and/or surgical services; screens for complete member/provider information Conducts end to
Email Job
Posted 27 days ago
Grievance & Appeals Specialist
EmblemHealth
-
New York, NY
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
Email Job
Posted 30 days ago
Claims User Acceptance Tester
MetroPlus Health Plan
-
New York, NY
The Claims User Acceptance Tester (UAT) will be responsible for validating whether all the business requirements have been fulfilled before releasing the actual product to production. The individual will perform positive and negative testing to identify and ensure any defects found are corrected prior to implementation. The Claims UAT will develop and follow a test plan w
Email Job
Posted 30 days ago
Claims Supervisor
MetroPlus Health Plan
-
New York, NY
The Claims Supervisor is responsible for the daily oversight of claims processes including but not limited to the inquiry and resolution process, adjudication process, user acceptance testing and quality assurance, training, and reporting. In addition, the position assists the claims manager with claims related queue management (i.e. claims, inquiries, refunds, adjudicati
Email Job
Posted 30 days ago
Claims Adjustment Specialist I
MetroPlus Health Plan
-
New York, NY
As a Claims Adjustment Specialist I, this individual will be responsible for analyzing standard to complex post paid healthcare claims that require in depth research to determine accuracy and mitigate payment errors. The Claims Adjustment Specialist I will also be responsible for adjusting medical claims that result in overpayment or underpayment due to claim processing s
Email Job
Posted 30 days ago
Complex/Specialty Claims Adjuster
AmTrust Financial
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Dallas, TX / Boca Raton, FL / Maitland, FL / 3 more...
Complex/Specialty Claims Adjuster Job Locations US United States Requisition ID 2023 16096 Category Claims Specialty Lines Position Type Regular Full Time Overview Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Construction Defect Commercial Claims Adjuster II. This position can be located in one of our claims offices, with the possi
Email Job
Posted 1 month ago
Field Auto Damage Adjuster - Bronx, Yonkers, New Rochelle
Allstate Insurance
-
Yonkers, NY
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
Email Job
Posted 1 month ago
Represented Bodily Injury Adjuster (PST/MST) - Remote
Allstate Insurance
-
New York, NY
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
Email Job
Posted 1 month ago
Field Auto Damage Adjuster - Bronx, Yonkers, New Rochelle
Allstate Insurance
-
Bronx, NY
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
Email Job
Posted 1 month ago
Claims Specialist/Professional Liability Claims Handler
Ohio Farmers Insurance Company
-
Berkeley Heights, NJ
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 Be responsible for lawyers' and accountant's professional liability claims from first notice through resolution, including coverage evaluation and litigation management. This position
Email Job
Posted 1 month ago
Senior Claims Specialist/Cyber and Privacy Claims Handler
Ohio Farmers Insurance Company
-
Berkeley Heights, NJ / Alpharetta, GA
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
Email Job
Posted 1 month ago
Claims Quality Analyst
MetroPlus Health Plan
-
New York, NY
Claims Quality Auditor is responsible for reviewing claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments and other irregularities based upon benefit configuration, compliance with provider contract agreements, and Federal, State a
Email Job
Posted 1 month ago
Senior Claims Specialist, Excess Casualty
Axis Capital
-
Alpharetta, GA / Chicago, IL / New York, NY / 1 more...
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
Email Job
Posted 1 month ago
Associate Claims Adjuster- Crop (Livingston County, New York)
QBE Americas, Inc.
-
New York, NY
Assist with basic field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and assisting with the administration of company Crop insurance policies Support business objectives by assisting with claims auditing Under supervision, provide timely and accurate policy service, answering questions and communicating adjustm
Email Job
Posted 1 month ago
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