Claims Analyst, Med Psych, North American Claims Group
24 hours ago
Job Description - Claims Analyst, Med Psych, North American Claims Group (2400005L)
Job Summary:
Investigate, evaluate, and resolve claims made against the Company’s behavioral health and psychiatry program business including psychiatrists, psychologists and other behavioral health care providers liability. Engage in collaborative projects in support of other areas of the company, including underwriting, finance and accounting, actuarial, operations, and technology. Provide superior service to all customers, whether internal or external.
Job Duties:
- Efficiently manage a vigorous caseload of claims. Promptly investigate matters, analyze coverage, draft accurate and timely coverage correspondence. Manage litigation by effectively interacting with insureds, brokers, defense counsel and other parties as required.
- Instruct and collaborate with counsel regarding litigation strategy and claim resolution; resolve claims; and otherwise act within the scope of delegated authority.
- Approve reserves, payments and other actions consistent with authority.
- Interact with underwriters concerning renewals and prospective accounts as well as individual claims and policy issues.
- Work with other areas of the Company including underwriting, finance and accounting, actuarial, operations and technology on projects as required.
- Prepare claim summaries and other reports as necessary for management.
- Attend and/or present at relevant industry conferences/meetings.
- Assist with claims related queries in internal and external audits.
- Work with reinsurers as needed.
Job Requirements:
- A minimum of two to five years’ experience handling professional liability insurance claims or related relevant experience. Four-year college degree is required. J.D. degree or experience in handling medical malpractice or behavioral health claims is preferred.
- Substantial knowledge of issues underlying claims and coverage issues. Excellent negotiation and communication skills. Technical writing experience. Proficient in Microsoft Office products.
-
Chicago, United States Allied World Full timeJob Description - Claims Analyst, Med Psych, North American Claims Group (2400005L) Job Summary: Investigate, evaluate, and resolve claims made against the Companys behavioral health and psychiatry program business including psychiatrists, psychologists and other behavioral health care providers liability. Engage in collaborative projects in support of other...
-
Senior Claims Analyst, Severity
2 days ago
Chicago, IL, United States American International Group Full timeSenior Claims Analyst, Severity Senior Claims Analyst, Severity Join us as a Senior Claims Analyst to grow your experience in Claims. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims...
-
Bodily Injury Pro Se Claims Adjuster
1 month ago
Roanoke, TX, United States ICM Claims Full timeAt ICM Claims, we look for the best and brightest talent to join our team of professionals. We're united by a common purpose of delivering exceptional claim handling.Reasons you should consider a career with ICM Claims:Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and...
-
Workers Compensation Claims Adjuster
4 weeks ago
Irvine, CA, United States TheBest Claims Solutions Full timeOur client, is in need of a Temporary Workers' Compensation Claims Examiner for their Irvine Office to work on a hybrid basis. The ideal candidate will have 3+ years of California Workers Compensation Experience.Any additional information you require for this job can be found in the below text Make sure to read thoroughly, then apply.Required...
-
Workers Compensation Claims Adjuster
2 weeks ago
Las Vegas, NV, United States TheBest Claims Solutions Full timeOur client, one of the Leading Workers' Compensation Claims Organizations, is seeking to add a remote Senior Workers' Compensation Claims Specialist to their Nevada team. This person would be responsible for handling lost time workers' compensation claims from inception to close. Required Qualifications: 2+ years of Workers' Compensation Claims...
-
Workers Compensation Claims Adjuster
2 weeks ago
Las Vegas, NV, United States TheBest Claims Solutions Full timeOur client, one of the Leading Workers' Compensation Claims Organizations, is seeking to add a remote Senior Workers' Compensation Claims Specialist to their Nevada team. This person would be responsible for handling lost time workers' compensation claims from inception to close. If you are considering sending an application, make sure to hit the apply...
-
Workers Compensation Claims Adjuster
4 weeks ago
Las Vegas, NV, United States TheBest Claims Solutions Full timeOur client, one of the Leading Workers' Compensation Claims Organizations, is seeking to add a remote Senior Workers' Compensation Claims Specialist to their Nevada team. This person would be responsible for handling lost time workers' compensation claims from inception to close.If you are considering sending an application, make sure to hit the apply button...
-
Commercial Liability Claims Adjuster
2 weeks ago
DALLAS COUNTY, TX, United States TheBest Claims Solutions Full timeOur client, an A+ rated insurance carrier, is looking to add a Commercial Liability Claims Adjuster to their staff. This is a remote position that requires 5+ years of commercial claims handling experience. Medical, Dental, and Vision coverage 10% STI Bonus 401(k) and company match Generous paid time off (PTO), paid company holidays, paid maternity/paternity...
-
Head of Claims TPA Governance
24 hours ago
Atlanta, GA, United States American International Group Full timeHead of Claims TPA Governance - North America At AIG, we are reimagining the way we help customers to manage risk. Join us as Head of Claims TPA Governance - North America to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Claims Our Claims teams are the...
-
Claims Analyst
4 weeks ago
New Brunswick, NJ, United States Proficient Auto Logistics Full timeJob descriptionTribeca Automotive is a leader in the auto transportation industry. We are seeking a detail-oriented Claims Analyst to join our dynamic team. This position supports the Claims Department by analyzing, adjusting, and resolving auto damage claims.DutiesReceives, reviews and acknowledges cargo claims damage notifications and FNOL in a timely...
-
Claims Analyst
4 weeks ago
Fort Lauderdale, FL, United States Nova Southeastern University Full timeJoin Our NSU Health Team as a Claims AnalystAre you detail-oriented, analytical, and passionate about ensuring the accuracy and efficiency of healthcare claims processing? At NSU Health, we’re looking for a dedicated Claims Analyst to join our team and play a vital role in optimizing our revenue cycle. This position offers a chance to make a meaningful...
-
(Hybrid) Claims Representative
1 week ago
Chicago, United States Sedgwick Claims Management Services Full timeTo analyze mid-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Workers Compensation, Claims Representative, Claims, Compensation, Worker, Representative, Administrative,...
-
Claims Analyst
2 days ago
Honolulu, HI, United States AlohaCare Full timeAre you ready for new challenges and new opportunities? Join our team! AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers....
-
Complex Claims Director
23 hours ago
Atlanta, GA, United States American International Group Full timeAt AIG, we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in AL/GL Claims Our Claims teams are the proven problem solvers of choice for clients, delivering...
-
Claims Specialist
2 days ago
Chicago, IL, United States Axis Full timeThis 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...
-
Claims Specialist
2 days ago
Chicago, IL, United States Axis Capital Full timeThis 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,...
-
Senior Crop Claims Manager
1 month ago
Lawrence, KS, United States Great American Insurance Group Full timeBe Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group, a Fortune 500 company, combines “small company” culture with “big company” expertise. Here, your ideas will be heard, and you’ll have the support to succeed. With over 35 specialty and property and casualty operations, there...
-
Claim Business Analyst
3 weeks ago
Chicago, United States Resource Logistics Full timeRole: Claim Business Analyst: - Submit BA profile who worked in claims area. Contract Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken, PA; Dallas, TX; Fargo, ND; Garden City, NY; Houston, TX; Jacksonville, IL; Lenexa, KS; Los Angeles, CA; Lubbock, TX; Morristown, NJ; Mt Juliet, TN; New York, NY; Purchase, NY; Topeka, KS Job Summary The Lead...
-
Complex Claims Director
2 days ago
Atlanta, GA, United States American International Group Full timeComplex Claims Director - Retail Complex Claims Director – Retail Join us as a Complex Claims Director to grow your experience in Claims. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global...
-
Complex Claims Director
22 hours ago
Boston, MA, United States American International Group Full timeComplex Claims Director (Lexington) Join us as a Complex Claims Director, Lexington to grow your experience in Claims. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling...