Claims Coverage Counsel

About the RoleBenderson Development Company is seeking a seasoned attorney to serve as Litigation Counsel, responsible for overseeing pre-suit claim investigations and managing litigation from inception to conclusion. The ideal candidate will have a proven track record in handling premises liability claims, lawsuits, contract disputes, and other commercial...

Job SummaryBenderson Development Company is seeking a seasoned attorney to serve as Litigation Counsel. The ideal candidate will have a strong background in handling commercial litigation, premises liability, and contract disputes. As Litigation Counsel, you will oversee pre-suit claim investigations, manage litigation from inception to conclusion, and...

Job Title: Senior PIP Claim AdjusterMerchants Insurance Group is seeking a highly skilled Senior PIP Claim Adjuster to join our Central Claim Operations team in Buffalo, New York.Job Summary:The Senior PIP Claim Adjuster will be responsible for evaluating coverage, conducting and directing timely and quality claim investigation, and negotiating fair and...

Job SummaryWe are seeking a skilled Claims Investigator to join our team at Chubb. As a Claims Investigator, you will be responsible for investigating and settling claims promptly, equitably, and within established best practices guidelines.Key ResponsibilitiesInvestigate claims and gather necessary information to determine the extent of liability and...

{"Job Title": "Claims Service Representative", "Job Category": "Claims", "Supervisor": "Derek Guarino", "Requisition Number": "CLAIM", "Job Details": {"Description": "Merchants Insurance Group, a leading Property and Casualty Insurer in the Northeast, is seeking two Claims Service Representatives for our Central Claims team to join our Corporate Headquarters...

Senior PIP Claim Adjuster OpportunityWe are seeking a highly skilled Senior PIP Claim Adjuster to join our Central Claim Operations team in Buffalo, New York. As a key member of our team, you will be responsible for evaluating coverage, conducting claim investigations, and negotiating settlements.Key Responsibilities:Evaluate coverage by interpreting policy...

Position Overview: As a key member of our team, the Workers Compensation Adjuster will play a vital role in managing and processing claims efficiently. This position is designed for individuals who are experienced in the field and are looking to contribute to a reputable organization. Key Responsibilities: Your responsibilities will include: Thoroughly...

Position Overview: As a Workers Compensation Adjuster, you will play a vital role in managing and resolving claims efficiently. This position requires a thorough understanding of workers' compensation policies and practices. Key Responsibilities: Your primary duties will include: Handling workers' compensation claims with a focus on corporate and industry...

About UsAt Travelers Indemnity Co, we're committed to delivering exceptional service to our customers and communities. Our promise is to take care of our customers, our communities, and each other. We're proud to be one of the best property casualty insurers in the industry, with over 160 years of experience.Job CategoryClaimCompensation OverviewThe annual...

Job Title: Overnight Staff PharmacistEvergreen Health Services is seeking a highly skilled and dedicated Overnight Staff Pharmacist to join our team.Job Summary:The Overnight Staff Pharmacist will be responsible for providing exceptional patient care and services during non-operating hours. This includes filling patient prescriptions, answering provider...

Job Title: Overnight Staff PharmacistEvergreen Health Services is seeking a highly skilled and dedicated Overnight Staff Pharmacist to join our team.Job Summary:The Overnight Staff Pharmacist will be responsible for providing exceptional patient care and services during non-operating hours. This includes filling patient prescriptions, answering provider...

Pharmacist - Overnight ShiftEvergreen Health Services is seeking a highly skilled and dedicated Pharmacist to join our team in an overnight shift position.Job Summary:Fills patient prescriptions and answers provider questionsProvides counseling on prescription medications and over-the-counter medicationsAssists in medication ordering and maintenance of...

Job OpportunityThis position is responsible for conducting in-house utilization review with a focus on determining medical necessity for prospective, concurrent, retrospective, and appeal treatment requests for workers' compensation claims.Key ResponsibilitiesInterpret routine, complex, or unique medical information to evaluate medical treatment and...

Customer Experience SupervisorJob SummaryMerchants Insurance Group is seeking a Customer Experience Supervisor to join our Claims team at our Corporate Headquarters in Buffalo, New York. As a Customer Experience Supervisor, you will be responsible for supervising a team of Claims Service Representatives and Auto Physical Damage Claim Adjusters (APD) to...

About the RoleCentivo is seeking a highly skilled Enrollment & Eligibility Coordinator to join our team. As a key member of our organization, you will play a critical role in ensuring the smooth administration of healthcare enrollment and member eligibility processes.Key ResponsibilitiesAdminister daily files, data, updates, and transmissions related to...

Job Title: Utilization Review NurseAt VetJobs, we are seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that medical treatment is reasonable, necessary, and causally related to the compensable injury.Key Responsibilities:Interpret complex medical information to determine...

Enrollment & Eligibility Coordinator Job DescriptionCentivo is seeking a highly skilled Enrollment & Eligibility Coordinator to join our team in Buffalo, NY. As an Enrollment & Eligibility Coordinator, you will play a critical role in ensuring the accuracy and efficiency of medical plan enrollment and member eligibility processes.Key Responsibilities:Review...

Job Title: Enrollment & Eligibility CoordinatorWe are seeking a highly skilled Enrollment & Eligibility Coordinator to join our team at Centivo. As a key member of our organization, you will play a critical role in ensuring the smooth administration of our medical plans and the accurate determination of member eligibility.Responsibilities:Review and analyze...

Job SummaryThe Licensed Community Therapist provides Other Licensed Practitioner (OLP) services to individuals with behavioral health needs, including counseling, treatment planning, and evaluation. Service is provided to children, foster youth, and families to ensure that they are linked with supports both in the home, and in the community.Key...

IT Quality Assurance Analyst - Claims and BillingThis is a 12-month contract opportunity with Saxon Global, 100% remote. We are seeking a highly skilled IT Quality Assurance Analyst to join our team in managing the Software Quality Assurance for the claims and billing tracks of a revenue cycle replacement.Key Responsibilities:Support the creation and...