Claims Analyst, Med Psych, North American Claims Group
4 weeks ago
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.
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AVP, Cyber, North American Claims Group
4 weeks ago
Farmington, United States Allied World Full timeJob Summary: Investigate, evaluate, and resolve claims made against the Companys cyber liability insurance policies. 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...
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AVP, Cyber, North American Claims Group
3 weeks ago
Farmington, United States Allied World Full timeJob Summary: Investigate, evaluate, and resolve claims made against the Companys cyber liability insurance policies. 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...
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AVP, Cyber, North American Claims Group
2 months ago
Farmington, United States Allied World Full timeJob Summary: Investigate, evaluate, and resolve claims made against the Company’s cyber liability insurance policies. 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...
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Claims Analyst
1 week ago
Farmington, Connecticut, United States ORTHOPEDIC ASSOCIATES OF HARTFORD Full timeJob OverviewOrthopedic Associates of Hartford, P.C., a leading orthopedic practice in the area, is seeking a skilled Claims Analyst to join its Billing & Collections team. Located in Farmington, this role offers an exciting opportunity for individuals with experience in Epic and insurance payment methodologies.
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Field Roof Inspector
1 month ago
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Medical Claims Specialist
3 weeks ago
Farmington, Michigan, United States BVO Recruiters Full timeJob SummaryBVO Recruiters is seeking an experienced Medical Claims Specialist to join our team. As a key member of our operations, you will play a vital role in reviewing and processing claims, ensuring accurate and timely payment.Key Responsibilities:Coding and processing claim forms with attention to detail and accuracyReviewing claims for complete...
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Dental Insurance Claims Analyst
2 weeks ago
Farmington Hills, Michigan, United States Delta Dental of Michigan Full timePosition DescriptionThis role provides day-to-day support to internal and external customers by resolving difficult claims, inquiries, grievances, and appeals to ensure accurate benefits administration and delegation.The successful candidate will analyze contacts to ensure accuracy, which includes listening to calls, reviewing call logs, working one-on-one...
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Claims Unit Supervisor
3 weeks ago
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Claims Coordinator
5 months ago
Farmington Hills, United States Institute of Inspection , Cleaning and Restoration Certification Full timePosition Overview As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. The Coordinator will be responsible to...
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Farmington, Iowa, United States Advantage Surveillance LLC Full timeJob SummaryWe are seeking a highly skilled Part Time SIU Claims Investigator to join our Operations Team in Thousand Oaks, CA.The ideal candidate will possess strong investigative skills, excellent communication abilities, and the ability to work independently.About the RoleThis is an exciting opportunity to be part of a dynamic team that invests in...
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Claims Resolution Coordinator
6 days ago
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Dedicated Pre-Litigation Specialist
3 weeks ago
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Supply Chain Specialist
3 weeks ago
Farmington, Michigan, United States Jing Jin Electric Full timeJob OverviewJing Jin Electric is a world leader in motor systems and electric drive assembly for new energy vehicles, covering pure electric vehicles, plug-in hybrids, and hybrids. With over 2,000 employees worldwide, we are supporting our North America Operation, an automated production facility in Farmington Hills, Michigan.We are seeking talent to support...
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Refund Analyst
2 weeks ago
Farmington, United States ORTHOPEDIC ASSOCIATES OF HARTFORD Full timeJob Type Full-time Description Established in 1970, Orthopedic Associates of Hartford, P.C., is one of the areas largest orthopedic practices with office locations throughout greater Hartford. Our growing practice is currently seeking a Refund Analyst with Epic experience to join our Billing & Collections team in our Farmington business office. The...
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Debt Recovery Specialist
3 weeks ago
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Benefits Administrator
1 month ago
Farmington, United States Robert Half Full timeJob DescriptionJob DescriptionRobert Half is excited to offer a long-term contract employment opportunity for a dedicated Benefits Administrator in the Manufacturing industry. We are seeking a meticulous professional in the Farmington, Connecticut area to manage the daily operations of group benefits programs and ensure their accurate and efficient...
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Farmington, Michigan, United States Skyline Med Staff Allied Full timeJob Title: Occupational TherapistSkyline Med Staff Allied is seeking a skilled Occupational Therapist for a travel job opportunity. As a traveler with Skyline Med Staff, you'll have a dedicated recruiter supporting you every step of the way and available whenever you need them.Job RequirementsMinimum of 1 year of recent work historyActive License in the...
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farmington hills, United States H.W. Kaufman Group Full timeMultiple openings at different levels. Must have Property & Casualty Insurance experience. Ability to work on-site at our headquarters located in Farmington Hills, MI on a hybrid model.Must possess expert-level traditional business analyst skills but are also expected to have proficiency in technical disciplines within data management and/or application...
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farmington hills, United States H.W. Kaufman Group Full timeMultiple openings at different levels. Must have Property & Casualty Insurance experience. Ability to work on-site at our headquarters located in Farmington Hills, MI on a hybrid model.Must possess expert-level traditional business analyst skills but are also expected to have proficiency in technical disciplines within data management and/or application...
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Business Systems Analyst
3 weeks ago
Farmington, United States Genesis10 Full timeGenesis10 is seeking a Business Systems Analyst for a direct hire position with our client . This is a hybrid position and requires being onsite 3 days per week (days flexible). The location can be in one of the following offices: Farmington, CT | New York, NY | Iselin, NJ (in order of preference).Summary: This candidate will serve as a functional lead on an...