Claims Resolution Specialist

Job DescriptionWe are seeking a skilled Complex Claims Specialist to join our team at CNA. As a key member of our Financial Institutions /Public D&O claims group, you will be responsible for handling D&O and E&O claims under policies issued to Public Companies as well as Financial Institutions such as banks, insurance companies, and investment advisors.Your...

Company Overview: At Utica National Insurance Group, our corporate promise is to make people feel secure, appreciated, and respected. With 1,400 employees countrywide, we strive to deliver exceptional service and build strong relationships with our customers.Salary: The salary for this role is estimated to be between $80,000 and $120,000 per year, based on...

Job SummaryWe are seeking a skilled Billing Coordinator to join our team at Mount Sinai Health System. As a Billing Coordinator, you will play a critical role in ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner.Key ResponsibilitiesFollow up on submitted claims and monitor unpaid claims to ensure timely...

Job Summary: We are seeking a highly skilled Claims Specialist to join our Alternative Dispute Resolution Team at Labaton Keller Sucharow LLP.We are looking for a detail-oriented individual with excellent technical skills and strong communication abilities to support our litigation efforts.Main Responsibilities:Format and prepare documents and communications...

Job Title: Claims SpecialistAt CenterLight Health System, we are seeking a skilled Claims Specialist to support our department operations related to provider communication, pended claim review, reporting, auditing, and oversight activities to ensure compliance with all applicable State, Federal, and contractual guidelines.Key Responsibilities: Review claims...

Job Title: Litigation Claims SpecialistPMA Companies is seeking a highly skilled Litigation Claims Specialist to join our team. As a key member of our claims team, you will be responsible for investigating, evaluating, and resolving complex and litigated Automobile, General Liability, and Property claims for large self-insured clients.Key...

Job Title: Medicare Claims Appeals SpecialistJob Summary:The Medicare Claims Appeals Specialist is responsible for reviewing and resolving member and provider complaints, and communicating resolutions to members and providers in accordance with standards and requirements established by the Centers for Medicare and Medicaid Services (CMS).Key...

Job SummaryWe are seeking a highly skilled EDI Billing Specialist to join our team at RC Billing. The successful candidate will be responsible for timely daily claim submissions and file maintenance functions in accordance with our billing standards and reimbursement policy and procedures.Key ResponsibilitiesTimely completion of daily claim submissions and...

Design Professional Claims SpecialistAxalta is seeking a highly skilled and experienced Design Professional Claims Specialist to join our team. As a key member of our claims team, you will play a critical role in managing and resolving professional liability claims for architects and engineers.Key Responsibilities:Proactively manage Design Professional...

Job Summary: We are seeking a highly skilled Claim Specialist III to join our team at the City of New York. As a key member of our team, you will be responsible for adjusting 1st Party No-Fault claims and ensuring that they are resolved in a fair and just manner.Key Responsibilities:Manage individual No-fault files and review investigation reports, medical...

Job SummaryCNA is seeking a skilled Complex Claims Specialist to join our Financial Institutions /Public D&O claims group. As a key member of our team, you will be responsible for handling D&O and E&O claims under policies issued to Public Companies as well as Financial Institutions such as banks, insurance companies, and investment advisors.Key...

About the RoleWe are seeking a highly skilled Senior Construction Defect Claims Specialist to join our team at Argo Group. As a Senior Construction Defect Claims Specialist, you will be responsible for adjudicating construction defect claims and contributing to providing superb results for our clients.Key ResponsibilitiesAdjudicate construction defect claims...

Job OverviewMedReview is a leading authority in payment integrity solutions, and we're seeking a skilled ODAR Resolution Analyst to join our team. As a key member of our team, you will be responsible for monitoring, triaging, and resolving audited claims to ensure accurate and timely resolution.Key ResponsibilitiesMonitor and triage audited claims to...

About the RoleWe are seeking a highly skilled Grievance & Appeals Specialist to join our team at EmblemHealth. As a key member of our organization, you will be responsible for responding to written and verbal grievances, complaints, and appeals submitted by members and providers in accordance with NCQA, CMS, State, and other regulations.Key...

Job SummaryWe are seeking a highly skilled Senior Construction Defect Technical Claims Specialist to join our team at Argo Group. As a key member of our claims team, you will be responsible for adjudicating construction defect claims and providing exceptional results for our clients.Key ResponsibilitiesAdjudicate construction defect claims at the highest...

Job SummaryWe are seeking a skilled Claims Specialist to join our team at CNA. This role involves handling complex professional liability claims, reviewing coverage, and negotiating settlements.Key ResponsibilitiesInvestigate and maintain complex professional liability claimsReview coverage and determine liability and compensabilityNegotiate and settle...

The City of New York is seeking a skilled Claim Specialist to join the Litigation Support Unit in the Bureau of Legal Affairs. This role involves providing critical litigation support to the Law Department attorneys representing the agency and responding to requests for records and information from the New York City Comptroller's Office.The successful...

Job Summary:CNA is seeking a skilled Complex Claims Specialist to join our team. As a key member of our Financial Institutions /Public D&O claims group, you will be responsible for handling D&O and E&O claims under policies issued to Public Companies as well as Financial Institutions such as banks, insurance companies, and investment advisors.Key...

Job Description SummaryIf you have a keen legal mind and are passionate about helping people protect what matters most to them, then this role could be the perfect fit for you. As a Claims Specialist, you will have the opportunity to work on settling litigated and non-litigated claims, analyzing coverage, and providing comprehensive coverage analysis and...

Hospital Claims SpecialistAs a Hospital Claims Specialist at 1199 Seiu National Benefit Fund, you will be responsible for reviewing and processing hospital claims to ensure accurate and timely payment. Your duties will include reviewing claims for completeness and accuracy, determining the necessary action to resolve pended claims, and finalizing claims by...