Senior Business Analyst, Claims and Vendor Data EmblemHealth IncSenior Business Analyst, Claims and Vendor DataNew York, NY$68,040–$118,800 / yearProven ability to apply quantitative and/or qualitative research and data analysis techniques to improve operational processes; and to identify and interpret trends, patterns, and anomalies within complex datasets of trend information required. Analyze and interpret claims, payment, and vendor data to identify, prevent, and recover overpayments, as well as to drive process improvements and cost containment.
Independent Insurance Claims Adjuster in Roselle, New Jersey MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Roselle, New JerseyRoselle, New JerseyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
NewClaims Specialist, Construction Sompo International Holdings LimitedClaims Specialist, ConstructionNew York City, NY$70,000–$125,000 / yearOur in-house insurance claims professionals work with underwriters, risk control specialists, and distribution partners to build collaborative relationships with insureds, understand clients' changing needs, and provide direct access to experienced claims professionals with extensive industry and product knowledge. Sompo is committed to providing outstanding claims service that delivers fair and appropriate outcomes for our insureds, efficient service, timely responses, fast payment of agreed claims, and value-added expertise from product and industry specialists.
Complex Claims Consulting Director - Healthcare Severity & Excess Team CNA Financial Corp.Complex Claims Consulting Director - Healthcare Severity & Excess TeamPrinceton, NJ$97,000–$189,000 / yearCNA is a market leader in insuring Healthcare providers and entities including Allied Healthcare Facilities, Aging Services and Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists, and more than 100 other categories of medical service providers. This role is responsible for analyzing complex coverage matters, driving claim resolution, managing complex litigation including risk transfer opportunities, advising leadership on legal and claim risks, and partnering with Underwriting and other business units on emerging trends and portfolio management.
Complex Claims Consulting Director - Healthcare Severity & Excess team CNA Financial CorpComplex Claims Consulting Director - Healthcare Severity & Excess teamPrinceton, NJ$97,000–$189,000 / yearCNA is a market leader in insuring Healthcare providers and entities including Allied Healthcare Facilities, Aging Services and Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists, and more than 100 other categories of medical service providers. This role is responsible for analyzing complex coverage matters, driving claim resolution, managing complex litigation including risk transfer opportunities, advising leadership on legal and claim risks, and partnering with Underwriting and other business units on emerging trends and portfolio management.
Independent Insurance Claims Adjuster in North Arlington, New Jersey MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in North Arlington, New JerseyNorth Arlington, New JerseyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Claims Specialist, Pollution Environmental Claims BerkleyClaims Specialist, Pollution Environmental ClaimsJersey City, New JerseyWe provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs of our customers. Responsibilities: This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims with the authority level generally up to $150,000.00.
NewClaims Consultant - Advertising / Personal Injury CNA Financial CorpClaims Consultant - Advertising / Personal InjuryPrinceton, NJ$72,000–$141,000 / yearIndividual contributor responsible for the overall strategic management and resolution of highly complex claims that involve personal and advertising injury exposures, including but not limited to intellectual property, class action, and commercial disparagement. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost-effective manner and ensuring timely issuance of disbursements.
General Liability Claims Manager CNA Financial Corp.General Liability Claims ManagerNew York, NY$72,000–$141,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Oversees the work activities of a team of claims professionals and has full management responsibility by setting and communicating expectations, providing direction and coaching, facilitating training and development, managing employee performance, and contributing to employee engagement. Builds and maintains collaborative relationships with internal and external work partners by participating in round table discussions, working with claims operations and coverage resources, providing insights to underwriters, partnering with SIU and Recovery Services and interacting with external customers, brokers and vendors as appropriate.
Senior Quality Analyst (Claims) EmblemHealth IncSenior Quality Analyst (Claims)New York, NY$56,160–$99,360 / yearPerform audits and/or provide oversight and guidance to Claim Auditors in completing comprehensive random audits of claims, membership and service inquiry adjustment transactions. Perform comprehensive audits of service inquiry adjustment transactions to verify that inquiries from groups, providers and subscribers are resolved accurately and timely.
General Liability Claims Consultant CNA Financial Corp.General Liability Claims ConsultantTarrytown, NY$72,000–$141,000 / yearThis individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line(s) of business. Performs a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages.
Managing Director Strategic Claims Oversight - Healthcare Severity CNA Financial Corp.Managing Director Strategic Claims Oversight - Healthcare SeverityTarrytown, NY$97,000–$189,000 / yearDevelops and maintains collaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control and regularly shares claims outcomes, trends, legal developments and other relevant business updates. Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions, and developing capabilities.
Remote Insurance Sales Associate Essex Services LLCRemote Insurance Sales AssociateNewark, NJRemote$75,000–$235,000The ideal candidate is: A goal-oriented self-starter, and highly motivated with excellent time management skills, They should be analytical, an excellent communicator, and passionate about helping others find suitable financial products. You will utilize our cutting-edge CRM and automated systems to connect with interested clients, analyze their financial needs, and match them with top-tier life and health insurance products.
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