Claims Specialist III Construction Defect Job Locations US United States Requisition ID 2024 16562 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 III. This position can be located in one of our claims offices, with

Subrogation Adjuster Commercial Property Job Locations US United States Requisition ID 2024 16392 Category Claims General Liability Position Type Regular Full Time Overview The Commercial Property Subrogation Adjuster II is responsible for prompt and independent review of subrogation claims through effective coverage analysis, investigation, evaluation, negotiation and in

Must be located in the Piscataway, NJ area Independently investigates, evaluates, and resolves assigned New Jersey Workers' Compensation lost time claims of a more complex or litigated nature in a timely manner in accordance with legal statutes, policy provisions and company guidelines. Evaluate claimant eligibility; communicate with attending physician, employer and inju

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 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

Overview Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Ensures regulatory compliance, timeliness requirements and accuracy standards are met. Coordinates efficient functioning of day to day operations according to defined processes and proc

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

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

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

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