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

Senior/Executive Claims Specialist Environmental Job Locations US NJ MORRISTOWN Job ID 2024 3775 Category Claims Type Regular Division Surplus & Specialty Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C

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

Independently manage a diverse portfolio of high severity claims including coordinating an investigation into liability and exposure and review and interpretation of policy language in an effective and efficient manner Evaluation and negotiate the resolution of assigned claims in a timely manner, within appropriate authority and in accordance with laws and best practices

Investigates, negotiates and concludes by settlement or denial small First Party or clear liability Third Party claims through telephone and email contact. The individual in this position will also ensure claims are processed within company policies, procedures, and individual's prescribed authority with exceptional standards of performance. All job duties and responsibil

Conducts investigations to determine liability, damages, and coverage. Makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the company, with or without the help of outside counsel. Excels in best practices claim environment, thoroughly documenting the claim process. Analyzes liability and dama

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

The Audit Coordinator will work collaboratively to coordinate and schedule premium audits directly with Policyholder's for members of the Key Account Team (KAT) and Virtual Audit Team (VAT). The Audit Coordinator will be responsible for contacting clients to schedule audits, answer questions regarding the audit process and timeline, and assist with ensuring appropriate re

Claims Intern Job Locations US NY NEW YORK Job ID 2024 3754 Category INTERN Type Regular Division Seneca Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A" (Exce

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

Case Management Associate (High Risk OB, Social Determinants of Health) Job Ref 102738 Category Professional Department CASE MANAGEMENT PROGRAM Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $50,000.00 Salary Range $50,000.00 $50,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yor

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

Reporting the Unit Manager, this role will be responsible for direct handling of multi line commercial claims including Auto, General Liability and Construction Defect claims. Duties include investigation and evaluation of coverage, liability and damages issues. The role will be responsible for claim evaluation, establishment/recommendation of adequate reserves, litigatio

Manage and oversee clients' disputes and related claims within assigned region, including but not limited to general liability, builders' risk, professional liability, and pollution claims. The ideal candidate has extensive experience with New York Labor Law litigation. Essential Duties & Key Responsibilities Manage and ensure claims within assigned region are reported in

Claims Program Manager, Medical Stop Loss (Remote or Eatontown, NJ) Job Locations US NJ EATONTOWN | US NJ Remote | US FL Remote | US TX Remote Job ID 2023 3471 Category Claims Type Regular Division A&H Crum & Forster Company Overview Crum & Forster (C&F) Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance p