Claims Policy Specialist

We are seeking a skilled Commercial Claims Specialist to join our team at CNA. In this role, you will be responsible for managing commercial claims with moderate to high complexity and exposure.As a Commercial Claims Specialist, you will investigate and resolve claims according to company protocols, quality and customer service standards. You will work...

Job SummaryCorVel Enterprise Comp, Inc. is seeking a skilled Medical Claims Specialist to manage non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision.Key Responsibilities:Confirm policy coverage and acknowledge claimsDetermine claim validity and compensabilityEstablish reserves and...

Job SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at CorVel Enterprise Comp, Inc. This role will involve managing non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision.The ideal candidate will have excellent customer service skills, strong written and...

Job SummaryAs a Commercial Claims Specialist at CNA, you will play a critical role in managing commercial claims with moderate to high complexity and exposure. Your primary responsibility will be to investigate and resolve claims according to company protocols, quality, and customer service standards. You will work closely with customers, insureds, and...

Job SummaryWe are seeking a highly skilled Liability Claims Specialist to join our team at CorVel Enterprise Comp, Inc. The ideal candidate will have a strong background in liability claims management and be able to effectively manage complex claims within delegated authority limits.Key Responsibilities:Manage liability claims within company standards and...

Job SummaryThe Claims Specialist role at CorVel Enterprise Comp, Inc. involves managing lower-level, non-complex and non-problematic Medical Only workers' compensation claims, as well as Lost Time claims involving greater complexity. This position requires strong communication and problem-solving skills, with the ability to learn rapidly and develop...

Job Title: Senior Claims ExaminerJob Summary:We are seeking a highly motivated and detail-oriented Senior Claims Examiner to join our team in a full-time, permanent, Hybrid position with comprehensive benefits. The ideal candidate will possess exceptional claims handling experience and a proven track record of building rapport with clients to facilitate...

CorVel Corporation is seeking a seasoned Claims Supervisor to lead our team of professionals in handling Auto and General Liability claims. The ideal candidate will have a strong background in claims management, excellent leadership skills, and the ability to motivate and develop a team.Key Responsibilities:Supervise a team of claims professionals in their...

Job Summary:We are seeking a highly skilled Medical Billing Specialist to join our team at Ambercare. As a Medical Billing Specialist, you will be responsible for accurately interpreting patient insurance, prescription, and other health-related documentation. You will conduct medical insurance verifications and investigations for commercial and government...

Job SummaryWe are seeking a highly skilled Forensic Risk Control Specialist to join our team at The Travelers Companies, Inc. As a Forensic Risk Control Specialist, you will play a critical role in providing scientific and engineering expertise to our claims business partners, helping them make informed decisions about complex loss investigations.Key...

Job SummaryWe are seeking a highly skilled Risk Control Forensic Specialist I to join our team at THE TRAVELERS INDEMNITY COMPANY. As a Risk Control Forensic Specialist I, you will be responsible for providing scientific and engineering expertise to our claims team to help resolve complex loss investigations.Key ResponsibilitiesProvide technical expertise in...

Job SummaryThe Travelers Indemnity Company is seeking a highly skilled Risk Control Forensic Specialist I to join our team. As a key member of our risk management team, you will be responsible for providing scientific and engineering expertise to support claims investigations.This is a challenging and rewarding role that requires strong analytical and...

Job SummaryTravelers is seeking a highly skilled Risk Control Forensic Specialist I to join our team. As a key member of our Risk Control department, you will provide scientific and engineering expertise to support claims investigations and litigation. Your technical expertise will help us make informed decisions and drive business results.Key...

Job SummaryWe are seeking a highly skilled Risk Control Forensic Specialist I to join our team. As a key member of our risk control team, you will provide scientific and engineering expertise to support the investigation and resolution of complex claims.Key Responsibilities• Serve as a technical expert in one or more areas of forensic science, including...

Job Overview:The role of a Care Advocate Nurse at CorVel involves overseeing initiatives related to assessing the severity of work-related injuries, reviewing medical data, validating and securing medical information, and determining the need for treatment.About the Position:This position requires strong communication and interpersonal skills to effectively...

Who We AreTaking care of our customers, our communities, and each other is at the heart of our company culture. As a leading property casualty insurer, we have maintained our reputation for excellence for over 160 years.We are committed to innovation and collaboration, and we believe that our employees are the key to our success. If you are passionate about...

Job Title: Nurse Medical Case ManagerAt Travelers, we're committed to delivering exceptional service to our customers and communities. As a Nurse Medical Case Manager, you'll play a critical role in ensuring that injured parties receive appropriate treatment and support to achieve maximum medical improvement.Key Responsibilities:Coordinate medical care and...

Senior Underwriter PositionThe Senior Underwriter role at Trean Corporation is a critical position responsible for managing the underwriting and servicing of large accounts with a focus on profitability. This includes the underwriting of new business opportunities and the management of existing accounts. The successful candidate will report to the...

Job Summary:This position is responsible for providing assistance to pharmacists and pharmacy coordinators in the resolution of claims, pricing, and coding. The role involves working with internal departments and external vendors to evaluate and resolve pharmacy-related issues. Additionally, the Pharmacy Operations Representative will perform special...

Job Summary:The Senior Underwriter position at Trean Corporation is responsible for managing the underwriting and servicing of large accounts with a focus on profitability. This includes the underwriting of new business opportunities and the management of existing accounts. The successful candidate will report to the Underwriting Supervisor or Manager and...