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Manage claims and litigation for hospital members, insured physicians and physician groups Presuit evaluation of claims including investigation, medical record review, liability analysis, expert retention and discussion with insureds and clients Retention and supervision of outside defense counsel for claims in litigation Responsible for case strategy and implementation a
Posted 6 days ago
The Appeals Analyst is responsible for monitoring and tracking the status of appeals as they relate to Allied's Cost Containment program. The position involves reviewing appeals for appropriateness, documenting the claim specifics into the current software and routing documentation to business partners for review/resolution. ESSENTIAL FUNCTIONS Independently review and an
Posted 6 days ago
Beazley Group
- Boston, MA / Chicago, IL / New York, NY / 1 more...
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
Posted 10 days ago
1. Manage a high volume of healthcare claims thoroughly to maximize savings opportunities on each claim within the established department production standards and individual goals by contacting provider on all assigned claims and presenting a proposal while maintaining high quality standards. Perform provider research to provide support for desired savings Address counter
Posted 3 days ago
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
Posted 6 days ago
Workers Compensation Claims Adjuster II Job Locations US IL Chicago Requisition ID 2024 16731 Category Claims Workers Compensation Position Type Regular Full Time Overview AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers Compensation Claims Adjuster II The Workers' Compensation Claims Adjuster II is responsible f
Posted 12 days ago
Team Managers are committed to leading and developing our employees to ensure they provide the best service for our customers. This includes First line management of assigned Claim personnel, which includes hiring, training, coaching, performance management and salary activities Review and control of the operation's claim activities including investigations, claim payment
Posted 5 days ago
The Claims Operations Supervisor will be responsible for various facets of the Refund, Prompt Pay and Disability departments, including inventory management of responsible departments. Provide guidance and direction to team members, as well as implement workflows, as needed. Act as the primary contact for handling and prioritizing any questions and issues from other depar
Posted 11 days ago
Axis Capital
- Alpharetta, GA / Chicago, IL / Red Bank, NJ
Under limited direction, acts as highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim and to make recommendation regarding settlement/disposition of claims. Develop and maintain relationships with internal and external partners. Ideal candidates located near existing AXIS offices for hybrid work
Posted 14 days ago
The Claims Operations Supervisor is responsible for various facets of the Refund, Prompt Pay and Disability departments, including inventory management of responsible departments. Provide guidance and direction to team members, as well as implement workflows, as needed. Act as the primary contact for handling and prioritizing any questions and issues from other department
Posted 14 days ago
Constellation
- Indianapolis, IN / Chicago, IL
About Us Curi is a full service advisory firm that serves physicians and medical practices. Equal parts fierce physician advocates, smart business leaders, and thoughtful partners, Curi's advisory, capital, and insurance offerings deliver valued advice that is grounded in client priorities and elevated by their outcomes. From data driven advisory services to private wealt
Posted 15 days ago
Beazley Group
- West Hartford, CT / Atlanta, GA / Chicago, IL
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
Posted 19 days ago
Will be primary claims department trainer. In this role you will use independent judgment and knowledge to determine training needs and perform all aspects of training for the Claim Department. Training will include policies, procedures, and QicLink system training for new hires as well as experienced staff. ESSENTIAL FUNCTIONS Work closely with the Audit Team and departm
Posted 18 days ago
Claims Adjuster Associate Chicago Office Job Locations US IL Chicago Requisition ID 2024 16567 Category Claims Workers Compensation Position Type Regular Full Time Overview Join AmTrust Insurance for our Workers' Compensation Claims Training Program! In this program, you will learn how to evaluate, negotiate, and resolve a Workers' Compensation Claim. This is a 6 month pr
Posted 22 days ago
Crawford & Company
- Peachtree Corners, GA / Austin, TX / Atlanta, GA / 3 more...
CAT Adjuster Requisition ID 2022 20849 Job Locations US GA Peachtree Corners | US TX AUSTIN | US GA Atlanta | US IL Chicago | US AZ Phoenix | US TX Allen Position Type Commissioned Hourly Category Claims Business Unit CSS_Platform Solutions Position Summary Under minimal to intermediate direction, resolves claims by determining coverage, investigating and evaluating losse
Posted 19 days ago
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