Distribute and direct losses and claim tracking for defined territory or agency base to support delivery of effective customer service and claim resolution and ensure team alignment with business goals Accurately document, process and transmit loss information in order to determine potential damages associated with difficult and complex claims Provide overflow support to

Surety Claims Counsel Job Locations US United States Requisition ID 2024 16620 Category Claims Specialty Lines Position Type Regular Full Time Overview Provides effective claims handling, serving as decision maker on the more complex contract and commercial Surety matters and multi project defaults. Works with head of Surety claim in establishing priorities, driving chang

Identifies potential risk exposures, determines mitigation strategies, and provides options to management as appropriate. Provide support in managing insurance programs by participating in submission preparation and performing policy reviews for all insurance programs, including but not limited to Property, Auto Liability, General Liability, Workers' Compensation, Executi

include Liability Incident Reporting Evaluation Coordinate with operations on accident reporting, video review and follow up investigation Manage escalation of Critical Incident Reports Claim Coordination and Operations Support Review TPA files for proper set up, coding and diary Conference calls with claim adjusters for ongoing strategies Reserve/settlement authority with

include, but are not limited to Opening, stamping, reviewing, and assigning mail to appropriate claim folders Reporting claims to insurers when appropriate Responding to TPA emails regarding intake inquiries Downloading video and putting in corresponding claim folders Fielding phone calls and voicemails and responding to accordingly or directing to the appropriate person t

(includes but is not limited to the following, other duties may be assigned) Responsible for identifying, evaluating, and planning strategies for improving risk management including daily valuation and position reporting of the regional risk portfolio. Researches a variety of risk management topics and develops recommendations for consideration by management to optimize ri

This position is responsible for the analysis, structuring and administration of the various risk management and insurance programs for the company; Coordinate claims management and loss prevention programs to maintain maximum protection of assets at the most economical rates. Responsibilities Analysis, structuring, development and understanding of property and casualty i

Bachelor's or Associate's degree preferred or equivalent business/industry experience Insurance industry designation(s)/certification(s) preferred Demonstrated proficiency with Microsoft Office products and claims related software programs including Xactimate and XactAnalysis. Strong communication skills Experience in conflict resolution and problem solving Working knowle

The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must understand (1) the procedures bi

Claim Examiner Workers Compensation Requisition ID 2024 25201 Job Locations US TX Dallas Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Investigate, evaluate, negotiate, and settle moderate difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitab

Position will be responsible for answering of Health Plan phone lines and response to Provider inquiries relating to claims, benefits, and Health Plan policies. The position is also responsible for developing and maintaining working relationships with CCHP Providers. The position is responsible for meeting department production and quality goals. Dependable attendance is

This position supports the Risk Management Department in directing the worldwide Risk Management Property and Casualty insurance programs for asset protection and strategic advantage. Essential Duties and Responsibilities Manage process and performance to obtain optimal outcomes involving a claims portfolio of approximately 10 million of annual cash outflows, and other as