Workers Compensation Large Loss Claims Director CNAWorkers Compensation Large Loss Claims DirectorMeridian, PennsylvaniaWorking closely with claims leadership, disposition consultants, legal services, customers, brokers, and business partners, the Large Loss Director drives superior claim outcomes, technical excellence, operational effectiveness, and profitable growth while serving as a mentor and resource to claims professionals across the organization. This individual contributor role provides company-wide influence and leadership in the interpretation of complex policy coverages, litigation management, reserving, claim resolution strategies, regulatory compliance, and large loss methodologies.
Workers Comp Senior Claims Rep Remote-NJ PA MA National Interstate CorporationWorkers Comp Senior Claims Rep Remote-NJ PA MAPittsburgh, PennsylvaniaRemoteOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
Claims Processor Highmark IncClaims ProcessorPAReviews processed claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit and historical claim processing information; may coordinate benefits and interact with customers. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Workers Comp Senior Claims Rep Remote-Nj PA MA Great American Insurance Group (DBA)Workers Comp Senior Claims Rep Remote-Nj PA MAPittsburgh, PARemote$72,000–$82,000 / yearOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
LTD Claims Examiner II Matrix Absence ManagementLTD Claims Examiner IIUnited, PARemote$52,450–$65,570 / yearReviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.) to gather pertinent data to analyze the claim. The successful candidate's starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorWest Mifflin, PA$25–$32 / hourPart timeNotary license strongly (preferred).Bilingual ability and/or degree in Criminal Justice or related field (preferred).Willingness to travel; flexible schedule (varied/irregular hours).Strong computer and internet skills. Accurately photograph evidence (accident scenes, vehicle damage, etc.).Skills & ExperienceExperience handling complex SIU/Claims cases.
Systems Analyst - Team Lead (Epic HB Claims and Remittance University of Pittsburgh Medical CenterSystems Analyst - Team Lead (Epic HB Claims and RemittancePARemoteSeven years of total related experience, including one year experience as a senior or lead, OR equivalent combination of education/experience. Coordinate Claims-owned regulatory updates and edits (CCI, LCD, MUE as well as periodic Epic upgrades (Nova Notes.
Complex Claim Director - Mass Tort Unit CNA Financial Corp.Complex Claim Director - Mass Tort UnitPittsburgh, PA$97,000–$189,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of medium to high severity specialized Claims Professionals, has full management responsibility for setting and communicating expectations, providing direction and situational coaching, and facilitating ongoing training. Leads a team of Claims Consultants and Consulting Directors that are responsible for the handling of complex, high exposure mass tort and environmental claims, including social media addiction, PFAS, talc, sexual molestation, and other long tail general liability and pollution related matters.
NewPharmacy Technician Claim Auditor - Evernorth The Cigna GroupPharmacy Technician Claim Auditor - EvernorthPittsburgh, PA$68,700–$114,500 / yearUtilizing personal knowledge of medications and available tools including the Enterprise Data Warehouse (EDW), Access, Excel, etc., identify pharmacies and claims representing audit risks and develop an audit plan, utilizing appropriate audit techniques, to efficiently and effectively address those risks. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionGreensburg, Pennsylvania$63,089.65–$90,000 / yearFull timeCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 15018 15025 15028 15034 15035 15037 15045 15047 15085 15088 15102 15104 15110 15112 15120 15122 15129 15131 15132 15133 15135 15137 15145 15203 15204 15205 15207 15208 15210 15211 15213 15216 15217 15218 15219 15220 15221 15222 15226 15227 15228 15232 15234 15236 15241 15243 15260 15601 15611 15613 15615 15618 15619 15620 15623 15624 15626 15627 15629 15632 15633 15634 15635 15636 15637 15638 15642 15644 15647 15650 15661 15662 15665 15670 15671 15672 15673 15675 15676 15678 15681 15684 15686 15692 15696 15725 15727 15756 15774 15783. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Sr Counsel, Claim The Travelers CompaniesSr Counsel, ClaimPittsburgh, PA$132,800–$219,100 / yearAs a Senior Counsel with Travelers you will be responsible for high quality, proactive case handling and will have the opportunity to use your legal expertise and litigation skills to independently handle a caseload of higher exposure cases and more complex litigation matters, including Major Case and Complex Claim matters depending on line of business. In the independent handling of a caseload of higher exposure cases and most complex litigation matters, including Major Case and Complex Claim depending on line of business, your responsibilities will include: Leverage trial experience to apply effective use of litigation skills and techniques to try cases to verdict or negotiate resolution.
Claim Rep Outside Liability The Travelers CompaniesClaim Rep Outside LiabilityPittsburgh, PA$67,000–$110,600 / yearDetermines appropriate settlement amount based on independent judgment, appropriate liability determination, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of proper jurisdictional rules, limits, and deductibles. Investigate each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.
NewClaim Representative General Liability The Travelers Companies IncClaim Representative General LiabilityPittsburgh, PA$67,000–$110,600 / yearInvestigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Sr Counsel, Claim TravelersSr Counsel, ClaimPittsburgh, PennsylvaniaAs a Senior Counsel with Travelers you will be responsible for high quality, proactive case handling and will have the opportunity to use your legal expertise and litigation skills to independently handle a caseload of higher exposure cases and more complex litigation matters, including Major Case and Complex Claim matters depending on line of business. In the independent handling of a caseload of higher exposure cases and most complex litigation matters, including Major Case and Complex Claim depending on line of business, your responsibilities will include: Leverage trial experience to apply effective use of litigation skills and techniques to try cases to verdict or negotiate resolution.
NewClaim Representative General Liability TravelersClaim Representative General LiabilityPittsburgh, Pennsylvania$67,000–$110,600 / yearInvestigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Claim Rep Outside Liability TravelersClaim Rep Outside LiabilityPittsburgh, PennsylvaniaDetermines appropriate settlement amount based on independent judgment, appropriate liability determination, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of proper jurisdictional rules, limits, and deductibles. Investigate each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.
Insurance Customer Service John Ryce - State Farm AgencyInsurance Customer ServiceWEXFORD, PAWe are currently seeking a dynamic individual to join our team as a Customer Retention/Billing Specialist - State Farm Agent Team Member. Prepare and process insurance forms, manage client files, and ensure all paperwork is accurately completed and filed.
Remote Medical Billing Specialist TRC Talent SolutionsRemote Medical Billing SpecialistPittsburgh, PENNSYLVANIARemoteIf you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services.
NewInvestigator Ethos Risk Services LLCInvestigatorPittsburgh, PAREQUIREMENTS: Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
Surveillance Investigator Allied UniversalSurveillance InvestigatorPittsburgh, PennsylvaniaThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .