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

At Selective, we don't just insure uniquely, we employ uniqueness. Our Business Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years.Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and ho

As a member of the Customer Service Center Call Center Team, ensure efficient and timely processing of all work assignments into applicable business systems with strict adherence to all established procedures to assist in the attainment of service level goals throughout the CSC. Responsibilities Provide accurate and timely resolution to claims customer service inquiries A

Aon is looking for an Account Advisor II. This is an opportunity to pioneer the Account Advisor II role, which will focus on retaining, renewing, and growing our accounts. This is a hybrid position, located in our Fort Washington, PA office. Aon is in the business of better decisions At Aon, we shape decisions for the better to protect and enrich the lives of people aroun

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

Claims Adjuster Associate Princeton Office Job Locations US NJ Princeton Requisition ID 2024 16829 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 mont

The Data Analyst leads the technology process for the end to end Risk Adjustment Processing System (RAPS) and Encounter Data Processing System (EDPS) data flow and works within key regulator guidelines for acceptable data submission. Using SQL and SAS programs lead the gathering of data for submissions Risk Adjustment. As the senior analyst of data, will be responsible fo

Claims Specialist Auto Material/Property Damage Remote Job Locations US NJ MORRISTOWN Job ID 2024 3726 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 compan

Senior Claims Specialist Auto Material/Property Damage Remote Job Locations US NJ MORRISTOWN Job ID 2024 3735 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

An independent Claims Handler role focused on low to mid value 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 individual level while gaining e

Claims Assistant Remote Job Locations US NJ EATONTOWN Job ID 2024 3740 Category Claims Type Regular Division A&H 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 "

Manage the workers' compensation claims process for the organization, including filing claims and coordinating with insurance carriers. Investigate and evaluate workers' compensation claims, gathering relevant information and working with medical professionals as needed. Communicate with employees and management to provide updates on claims status and answer quest

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 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

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