Claim Health jobs

Workers Compensation Sr. Claims Examiner Appleton, WI, US Company Details We're a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers. Responsibilities Responsible for managing a caseload consisting of incoming and more complex workers' compensation cases including extended disability cases, litigation, employer's liability claims, and assigned claims. Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines. Investigate claims and make appropriate decisions regarding claim compensability and general claims management for assigned files. Document claim handling activities; create and document action plans. Establish appropriate case reserves. Actively manage medical treatment and disability while assisting the injured worker to return to work. Comply with all performance guidelines. Identify loss trends and communicate to supervisor and/or clients. Use automated diary system to issue indemnity payments and for claims management Investigate and manage claim subrogation and negotiate settlements. Manage coverage B

Physical Therapist, Home Health Milwaukee, WI posted: Posted 30+ Days Ago

Claims Specialist Posting Country Romania (RO) | Posting State/Province Other/Not Applicable | Work Location Hybrid Requisition ID: 38639 Molson Coors is a leading brewer with 18,000+ employees, 30+ breweries and 130+ beer brands, consumed in more than 50 countries. Our GBS history in Romania started in 2017, when Molson Coors Global Business Services was established in Bucharest, and since then we have become a 650 people strong organization and growing continuously. Claims specialist handles the claims process and monitor records involving these claims. Compiles and analyzes claims-associated data and documentation and perform related duties including tracking trends, noting patterns, and watching to detect any irregularities. They should perform or oversee investigations to validate the legitimacy of claims or verify the accuracy of invoiced amounts. Should serve as a liaison between numerous internal departments, including customer service, accounts receivable, supply chain and others. KEY RESPONSIBILITIES: Manage claims for customers including freight, shortages, overages, damages, chargebacks and any related claims tasks; Documents specific claims by completing and recording forms, reports, logs Resolves claims by approving or denying documentation, calculating benefits due, and determining compensation settlement. Prepares reports by collecting, analyzing, and summarizing information Maintains quality customer service by following customer services practices and responding to inquiries SKILLS & RELEVANT WORK EXPERIENCE: Required: Deep analytical and problem-solving skills Strong neg

RN-Recovery English Mountain Recovery posted: Posted 30+ Days Ago

WC Sr. Claims Examiner Saint Paul, MN, US Company Details We're a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers. Responsibilities Responsible for managing a caseload consisting of incoming and more complex workers' compensation cases including extended disability cases, litigation, employer's liability claims, and assigned claims. Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines. Investigate claims and make appropriate decisions regarding claim compensability and general claims management for assigned files. Document claim handling activities; create and document action plans. Establish appropriate case reserves. Actively manage medical treatment and disability while assisting the injured worker to return to work. Comply with all performance guidelines. Identify loss trends and communicate to supervisor and/or clients. Use automated diary system to issue indemnity payments and for claims management Investigate and manage claim subrogation and negotiate settlements. Manage coverage B

Therapist/FT Miramont Behavioral Health posted: Posted 10 Days Ago

Senior Casualty Claims Specialist - Remote ${34271}-Remote), UNAVAILABLE, Hidden (${12781} Description Advance Your Career with Liberty Mutual's Personal Lines Casualty Team! Our Casualty Attorney Represented team is currently hiring for Senior Claims Specialists to manage attorney represented and litigated auto and homeowner's bodily injury claims. This role will manage, investigate and resolve claims as well as assist in providing prompt and quality service to policyholders for mild to moderate severity and/or complexity claims. Remote: This is a remote position for candidates willing to work a EST time zone schedule. Candidates who livewithin 50 miles of our Marlton, NJ office will be on-site at least two days per month. Responsibilities: Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status. Confers with trial counsel and prepares trial reports. Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports. Ensures adequacy of reserves. Accountable for security of financial processing of claims, as well as security informati

Complex Claim Specialist, Cyber Any location, United States About us Coalition is the world's first Active Insurance provider designed to help prevent digital risk before it strikes. Founded in 2017, Coalition combines comprehensive insurance coverage and innovative cybersecurity tools to help businesses manage and mitigate potential cyberattacks. Opportunities to make an impact with bold thinking are real-and happening daily at Coalition. About the role The Claims team at Coalition stands apart for our outstanding level of client service and intelligent handling of claims for our insured customers. As a team, Claims is about finding ways to help our clients solve cyber risk. As we continue to expand, we are seeking an experienced cyber claims adjuster to join our cyber claims team and to lend a hand in handling complex primary Cyber, Tech, and Media policies. You will also provide support to the underwriting team and manage/collaborate with a variety of vendors namely - breach coaches, defense counsel, and coverage counsel for Coalition and its partner carriers. Responsibilities - Handle the intake of cyber events, including the coordination with breach counsel, forensic investigators and other vendors - Participate in after-hours claim intake and incident response coordination as needed. - Evaluate full pending of claims in connection with the posting and recommending accurate reserves - Maintain accurate file documentation/information in our claims system - Analyze liability and damage data in connection with complex claims, maintain appropriate documentation - Analyze insurance coverage issues - Draft coverage letters - Intelligently manage and track third-party

Behavioral Health Assoc I - Acute Palms Behavioral Health posted: Posted 2 Days Ago

Patient Financial Services Representative Family Medicine Banner Med Grp (702-A W Drake Rd) posted: Posted 22 Days Ago

Claims Operations Manager London | Hybrid | Remote A BIT ABOUT FLOCK At Flock we do insurance very differently. We're nearing 1 billion connected, insured miles. Meaning our real-time, data-driven approach enables us to price connected vehicle insurance and assess risk better than ever before, giving fleet owners the insights they need to improve safety. We don't just pay claims; we help our customers prevent them. We now insure hundreds of fleets in the UK, including the likes of Amazon, DPD, Uber and Bolt. We've now raised over £50M and our goal is to become the leading insurance company for connected and autonomous vehicles, and we're building a world-class team to help us get there. THE ROLE Lead and shape Flock's claims function, ensuring fast, fair resolutions for our fleet customers while building world-class claims processes with our insurer partner Admiral. WHAT WE THINK IS MOST EXCITING ABOUT THE ROLE: This is a unique opportunity to shape the claims function at a fast-growing insurtech. You'll have real ownership over building scalable claims processes, working directly with Admiral, and making a genuine difference to fleet operators when they need it most. A LITTLE MORE ON WHAT YOU'LL BE DOING: - Own the end-to-end claims journey for Flock customers, ensuring rapid and fair resolution. Work closely with Admiral to develop, document, and continuously improve claims handling processes. Be the primary point of contact for escalated claims issues. Analyse claims data to identify trends and opportunities to reduce frequency and severity. Collaborate with

Insurance Claims Advocate BOULDER, Colorado, United States of America Claim Advocates need to handle the claim process from beginning to end, working closely with the client, insurance carrier, adjuster and claimants as well as co-workers in the underwriting department....

RN PRN 2 HM Baytown - Cancer Center posted: Posted Today

AVP, Claims Manager Jersey City, NJ, US Company Details W.R. Berkley Corporation, founded in 1967, is one of the nation's premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers an array of coverages for virtually all classes traditionally known to have environmental liability exposures on both an admitted and non-admitted basis. We 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. www.berkleyenvironmental.com Responsibilities As a Team Leader, the AVP, Claims Manager will be responsible for product quality, and performance of the liability claims professionals on your team and supporting the VP Claims Manager. You may be responsible for maintaining a minor caseload, as determined to be appropriate by the VP Claims Manager. Select, lead, mentor, oversee, plan, and check the daily work of a team of General Liability, Commercial Auto & Commercial Excess Liability claims examiners. Manage a team handling the most complex/severe claims within Berkley Environmental Auto and GL lines of business. Provide guidance and direction to direct reports through a continuous process of management involvement and frequent claim file review. Maintain a diary on direct report files, as well as a diary for your own files. Emplo

NP Primary Care - Geriatrics Northeast Philadelphia, PA posted: Posted Yesterday

Claim Manager - Early Resolution Atlanta, GA, US Company Details Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following market segments: Construction, Specialty Casualty, & Professional Liability. We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve. Responsibilities Join a dynamic, fast‑paced team in the E&S space and lead a team of talented claim professionals handling a broad range of General Liability and Products Liability claims involving property damage and bodily injury. As Claims Manager, you will guide and inspire your team to deliver best‑in‑class claim outcomes, ensuring alignment with company and industry standards. You will play a pivotal role in driving quality, efficiency, and strong financial results across our portfolio-while fostering a positive, collaborative, and growth‑focused team culture. Among your responsibilities will be: Provide clear technical guidance, coaching, and mentorship to claim professionals at varying experience levels. Serve as a key decisionmaker regarding claim valuation, reserves, negotiation approaches, and resolution strategies. Maintain an active diary on all claim files within your direct team, ensuring accuracy, consistency, and timeliness. Conduct comprehensive performance evaluations and support team members with meaningful feedback, development opportunities, and career progression. Partner closely with claim professionals

Claim Resolution Specialist, Personal Property Saint Louis, MO, US Description Are you looking to use your customer service skills in a role where you can see that you are making a difference in people's lives? Are you looking for a position that allows you to do meaningful and innovative work in a culture of continuous improvement? If so, this opportunity could be for you! Liberty Mutual's Large Loss Claims Property team has an immediate opening for a Personal Property Claims Specialist. As a Claims Specialist, you will manage, investigate and resolve assigned Property Contents claims under general supervision. Responsibilities include: capturing and creating an inventory of damaged/lost contents while on site, working with various vendors and ensuring that quality customer service is provided via face to face and phone interaction. Manages, investigates and resolves assigned Property Contents claims for more complex claims under limited supervision. Compiles and values inventory of high-end damaged/lost contents associated with property claims. Provides policyholders with quality customer service. May assist Claims Representatives with in-person inspection/policyholder contact where necessary. Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory. To be successful in this role, the ideal candidate must be comfortable with travelling as he/she would be travelling 75% of the time, visiting homes and doing inspections/investigations. Can

Cash Poster - Payment Posting - Healthcare Claims US - TX, San Antonio posted: Posted 14 Days Ago

Patient Care Coordinator PA - Work from home posted: Posted Yesterday

Claims Analyst II Chesterfield, MO, US Company Details Why MEC? At Midwest Employers Casualty (MEC), we combine the stability of a Fortune 500 company with the agility of an innovative team. We are passionate about improving the quality of life for employees severely injured on the job and helping companies understand and mitigate risk. Our culture values collaboration, curiosity, and continuous learning. If you want to make an impact, work on meaningful projects, and grow your career in a supportive environment, MEC is the place for you. Company URL: https://www.mecasualty.com Responsibilities The Claims Analyst II is responsible for managing high-exposure Workers Compensation claims. The primary job objectives are to proactively mitigate loss costs and settle claims by developing relationships and influencing MEC's customers and claim administrators. The role also leverages Advanced Analytics and Assisted Intelligence (A.I.) tools to enhance claim evaluation, reserve accuracy, and settlement strategies, supporting data-driven decision-making and continuous improvement. Key functions include but are not limited to: Accurately evaluate WC claims for potential exposure and establish appropriate reserves Utilize predictive analytics and A.I. driven tools to provide insight into complex medical issues, evaluate trends and explore potential exposures Lead evaluation, mitigation and resolution of WC claims by collaboration with MEC Medical Management Consultants, Client Consult Managers and Claims Attorneys Achieve set

Safety and Health Specialist - Prepared Foods 1st shift Safety and Health Specialist - Prepared Foods 1st shift

Senior CDR, Accounting Work at Home, Maryland, United States Join our team as a Senior CDR, Accounting and play a key role in ensuring accurate claims funding and financial controls. Collaborate with cross-functional teams, oversee cash activity, and support audits. If you have strong reconciliations skills and a background in finance or accounting, this is your opportunity to make an impact.

Senior Analyst, Claims Research FL, United States Senior Analyst, Claims Research

ESIS Senior Claims Assistant Ledyard, CT, United States ESIS Senior Claims Assistant