42 senior claim specialist jobs found

JOB DESCRIPTION Senior Claim Specialist We are excited to announce an opportunity for a Senior Claims Specialist to handle property claims in Tampa, Florida. What We Offer: Company vehicle for on-site inspections. A commitment to inclusivity and a diverse workplace. Responsibilities Complete onsite inspection of properties to include investigating facts, evaluating damages and writing estimates Effectively evaluate contract language and identify coverage issues Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis Maintain an active file diary to more file toward resolution Recognize and pursue recovery Adhere to all statutory and regulatory fair claims practices Recognize and identify potential fraudulent claims Effectively control the use, work product, and expenses of outside vendors Effectively evaluate claim facts and negotiate claim settlements Develop and maintain...

JOB DESCRIPTION We are seeking Senior Claim Specialists to join our Property Catastrophe Claims Team. The ideal candidate will have experience in handling personal and commercial property claims, particularly those related to natural disasters and catastrophic events. As part of our team, you will play a crucial role in assessing property damage, investigating claims, and providing excellent customer service to policyholders. This is a work from office position . Preferred locations are Alpharetta GA, O'Fallon MO, or Phoenix AZ. Responsibilities Manage personal and commercial property claims for CAT response and contingency support. Ensure thorough investigations with prompt identification of available coverages, recovery potential, fraudulent claim indicators, and loss exposure amounts. Utilize cost effective tools and resources, including evolving transformative digital technology options, to enhance client experiences and improve accuracy in claim outcomes....

JOB DESCRIPTION We are seeking Senior Claim Specialists to join our Property Catastrophe Claims Team. The ideal candidate will have experience in handling personal and commercial property claims, particularly those related to natural disasters and catastrophic events. As part of our team, you will play a crucial role in assessing property damage, investigating claims, and providing excellent customer service to policyholders. This is a work from office position . Preferred locations are Alpharetta GA, O'Fallon MO, or Phoenix AZ. Responsibilities Manage personal and commercial property claims for CAT response and contingency support. Ensure thorough investigations with prompt identification of available coverages, recovery potential, fraudulent claim indicators, and loss exposure amounts. Utilize cost effective tools and resources, including evolving transformative digital technology options, to enhance client experiences and improve accuracy in claim outcomes....

JOB DESCRIPTION We are seeking Senior Claim Specialists to join our Property Catastrophe Claims Team. The ideal candidate will have experience in handling personal and commercial property claims, particularly those related to natural disasters and catastrophic events. As part of our team, you will play a crucial role in assessing property damage, investigating claims, and providing excellent customer service to policyholders. This is a work from office position . Preferred locations are Alpharetta GA, O'Fallon MO, or Phoenix AZ. Responsibilities Manage personal and commercial property claims for CAT response and contingency support. Ensure thorough investigations with prompt identification of available coverages, recovery potential, fraudulent claim indicators, and loss exposure amounts. Utilize cost effective tools and resources, including evolving transformative digital technology options, to enhance client experiences and improve accuracy in claim outcomes....

JOB DESCRIPTION We are seeking Senior Claim Specialists to join our Property Catastrophe Claims Team. The ideal candidate will have experience in handling personal and commercial property claims, particularly those related to natural disasters and catastrophic events. As part of our team, you will play a crucial role in assessing property damage, investigating claims, and providing excellent customer service to policyholders. This is a work from office position . Preferred locations are Alpharetta GA, O'Fallon MO, or Phoenix AZ. Responsibilities Manage personal and commercial property claims for CAT response and contingency support. Ensure thorough investigations with prompt identification of available coverages, recovery potential, fraudulent claim indicators, and loss exposure amounts. Utilize cost effective tools and resources, including evolving transformative digital technology options, to enhance client experiences and improve accuracy in claim outcomes....

JOB DESCRIPTION We are seeking Senior Claim Specialists to join our Property Catastrophe Claims Team. The ideal candidate will have experience in handling personal and commercial property claims, particularly those related to natural disasters and catastrophic events. As part of our team, you will play a crucial role in assessing property damage, investigating claims, and providing excellent customer service to policyholders. This is a work from office position . Preferred locations are Alpharetta GA, O'Fallon MO, or Phoenix AZ. Responsibilities Manage personal and commercial property claims for CAT response and contingency support. Ensure thorough investigations with prompt identification of available coverages, recovery potential, fraudulent claim indicators, and loss exposure amounts. Utilize cost effective tools and resources, including evolving transformative digital technology options, to enhance client experiences and improve accuracy in claim outcomes....

JOB DESCRIPTION We are seeking Senior Claim Specialists to join our Property Catastrophe Claims Team. The ideal candidate will have experience in handling personal and commercial property claims, particularly those related to natural disasters and catastrophic events. As part of our team, you will play a crucial role in assessing property damage, investigating claims, and providing excellent customer service to policyholders. This is a work from office position . Preferred locations are Alpharetta GA, O'Fallon MO, or Phoenix AZ. Responsibilities Manage personal and commercial property claims for CAT response and contingency support. Ensure thorough investigations with prompt identification of available coverages, recovery potential, fraudulent claim indicators, and loss exposure amounts. Utilize cost effective tools and resources, including evolving transformative digital technology options, to enhance client experiences and improve accuracy in claim outcomes....

JOB DESCRIPTION We are seeking Senior Claim Specialists to join our Property Catastrophe Claims Team. The ideal candidate will have experience in handling personal and commercial property claims, particularly those related to natural disasters and catastrophic events. As part of our team, you will play a crucial role in assessing property damage, investigating claims, and providing excellent customer service to policyholders. This is a work from office position . Preferred locations are Alpharetta GA, O'Fallon MO, or Phoenix AZ. Responsibilities Manage personal and commercial property claims for CAT response and contingency support. Ensure thorough investigations with prompt identification of available coverages, recovery potential, fraudulent claim indicators, and loss exposure amounts. Utilize cost effective tools and resources, including evolving transformative digital technology options, to enhance client experiences and improve accuracy in claim outcomes....

JOB DESCRIPTION The ideal candidate will be located in O'Fallon, MO. The field property role will service claims within O'Fallon and surrounding areas working in a remote environment. Responsibilities Manage claims conducting virtual inspections, along with utilization of approved vendors to fully assess and adjust property losses. Ensure virtual inspections are completed of properties to include investigating facts, evaluating damages, and writing estimates. Investigate and adjust both personal and commercial property claims with exposures up to $500,000 Effectively evaluate contract language and identify coverage issues Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis Maintain an active file diary to more file toward resolution Utilize digital technology to evaluates damage and scope and estimate virtually via PLNAR and compose estimates in CoreLogic Mobile Claims....

JOB DESCRIPTION This is not your average Claims role. When you think of a job handling insurance claims, you may think about storm damage or auto accidents. Or maybe a large stack of paper? A career in Employment Practices Liability exposes you to emerging issues in the workplace that have been and remain at the center of national and global media. Issues such as the Me Too movement, Racial Injustice and COVID. In this paperless environment, you will use your analytical skills to resolve workplace claims. We will teach you about Employment Law, contracts and claims. You will use your influence skills and knowledge to partner with defense counsel and our insureds in resolving discrimination, harassment and other workplace related claims. The work is interesting. The environment is collaborative. Our Claims Professionals in Employment Practices Liability enjoy the work they do and working with their peers that come from a variety of backgrounds (including Law...

JOB DESCRIPTION Chubb is currently seeking a Senior Claim Specialist to join its Fidelity team based in Whitehouse Station, NJ. POSITION RESPONSIBILITIES: Effectively manage an active claim inventory of mid to high complexity commercial crime and financial institution fidelity bond, workplace violence and kidnap, ransom and extortion losses in accordance with Best Practices Handle claims from notification to resolution through timely and accurate investigations, coverage analyses, negotiation and problem solving skills within financial authority Consistently communicate claim developments, exposure analyses and requests for authority to management Deliver superior customer service through effective interaction with internal and external customers Effectively document all relevant events in a timely and efficient manner as cases develop, including evaluation of facts giving rise to the loss, coverage and exposure under various policy forms Create timely and...

JOB DESCRIPTION The Senior Claim Specialist, under an appropriate level of direction from the manager, investigates, evaluates, and resolves Cyber claims while ensuring the highest level of customer service. Responsibilities: Provide outstanding customer service and work with the insured, broker, and counsel in the adjustment of Cyber claims. Identify and evaluate coverage issues, prepare comprehensive coverage letters and analysis. Conduct, coordinate, and direct investigation into loss facts and extent of first and third-party claims expenses and damages. Direct and closely monitor assignments to experts and defense counsel. Evaluate information on coverage, liability, and damages to determine the extent of exposure to the insured and the company. Set reserves within authority or make claim recommendations concerning reserve changes to supervisor. Participate in virtual settlement conferences and mediations, with occasional travel...

Description Summary: HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option. Responsibilities: Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment....

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $123,000.00 -...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Bank Disputes Specialist Senior , you will within defined guidelines and framework, protect the financial interests of USAA and our members by thoroughly investigating and resolving complex and moderately complex fraud and non-fraud transactional disputes filed by members on their credit cards, debit cards and deposit accounts in compliance with federal and state Laws, Rules, and Regulations (LRRs). Attempts to recover funds in accordance with payment association rules (Visa, Amex, NACHA,...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Bank Disputes Specialist Senior , you will within defined guidelines and framework, protect the financial interests of USAA and our members by thoroughly investigating and resolving complex and moderately complex fraud and non-fraud transactional disputes filed by members on their credit cards, debit cards and deposit accounts in compliance with federal and state Laws, Rules, and Regulations (LRRs). Attempts to recover funds in accordance with payment association rules (Visa, Amex, NACHA,...

About the Clinical Validation Analyst: The Clinical Validation Analyst will be responsible for ensuring the accuracy and integrity of process outputs before deployment to production processes. This role requires a strong understanding of clinical conditions, ICD-10 and HCPCS coding, and experience with API testing tools and claim editing systems. This role collaborates closely with cross-functional teams to ensure the delivery of quality solutions. As part of the Policy Operations and Enforcement team, the Clinical Validation Analyst reports to the Senior Manager, Configuration. This position is eligible for remote work, but quarterly travel to the corporate office in Tampa, Florida is required. Clinical Validation Analyst – Essential Functions and Responsibilities: Validate output from operational processes to ensure accuracy before deploying instructions to established software programs. Utilize API testing tools to verify integrations and ensure the functionality of...

Thank you for your interest in working for our Company. Recruiting the right talent is crucial to our goals. On April 1, 2024, 3M Healthcare underwent a corporate spin-off leading to the creation of a new company named Solventum. We are still in the process of updating our Careers Page and applicant documents, which currently have 3M branding. Please bear with us. In the interim, our Privacy Policy here: https://www.solventum.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ continues to apply to any personal information you submit, and the 3M-branded positions listed on our Careers Page are for Solventum positions. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Senior Regulatory Affairs Specialist (Solventum) 3M Health Care is now...

Location: San Francisco, California, United States of America | Austin, Texas, United States of America Requisition ID: R30750 Position_Type: Full time Job Description Senior Product Marketing Specialist – Release Marketing About the Role We’re looking for a highly organized, detail-obsessed marketer to join our team as a Senior Product Marketing Specialist – Release Marketing . This person will help build, scale, and standardize our go-to-market processes for product releases across the year. You’ll work closely with product marketers, enablement, creative teams, and product managers to ensure our launches are cohesive, compelling, and consistently executed. What You’ll Be Doing Helping define and improve release marketing processes across teams and functions. Contributing to product demo videos, ensuring technical accuracy and marketing clarity. Maintaining roadmap presentations and other core product marketing materials....

Title: Clinical Validation Analyst Category: Full Time Position Type: 2D Requsition ID: 1003 Description: About the Clinical Validation Analyst: The Clinical Validation Analyst will be responsible for ensuring the accuracy and integrity of process outputs before deployment to production processes. This role requires a strong understanding of clinical conditions, ICD-10 and HCPCS coding, and experience with API testing tools and claim editing systems. This role collaborates closely with cross-functional teams to ensure the delivery of quality solutions. As part of the Policy Operations and Enforcement team, the Clinical Validation Analyst reports to the Senior Manager, Configuration. This position is eligible for remote work, but quarterly travel to the corporate office in Tampa, Florida is required. Clinical Validation Analyst – Essential Functions and Responsibilities: Validate output from operational processes to ensure accuracy before deploying...