Must be located in the Piscataway, NJ area Independently investigates, evaluates, and resolves assigned New Jersey Workers' Compensation lost time claims of a more complex or litigated nature in a timely manner in accordance with legal statutes, policy provisions and company guidelines. Evaluate claimant eligibility; communicate with attending physician, employer and inju

Independently manage a diverse portfolio of high severity claims including coordinating an investigation into liability and exposure and review and interpretation of policy language in an effective and efficient manner Evaluation and negotiate the resolution of assigned claims in a timely manner, within appropriate authority and in accordance with laws and best practices

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

Claims Adjuster Associate Princeton Office Job Locations US NJ Princeton Requisition ID 2024 16829 Category Claims Workers Compensation Position Type Regular Full Time Overview Join AmTrust Insurance for our Workers' Compensation Claims Training Program! In this program, you will learn how to evaluate, negotiate, and resolve a Workers' Compensation Claim. This is a 6 mont

Job Description What is the opportunity? RBC Global IT Risk (GITR) team enables the protection of RBC's brand, systems, and operations by equipping business and technology partners with meaningful insights, advice, and information on RBC IT & cyber risks. The Senior Cyber Security and IT Risk Management Analyst will perform risk based testing activities that independently

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

As a member of the Employee Relations & Legal Compliance Center of Excellence, the Compliance Specialist is responsible for ensuring the organization's employees adhere to legal standards and in house policies. The individual will perform regular audits of business procedures, processes and activities to ensure compliance as well as monitoring operations, reporting infrac

The Data Analyst leads the technology process for the end to end Risk Adjustment Processing System (RAPS) and Encounter Data Processing System (EDPS) data flow and works within key regulator guidelines for acceptable data submission. Using SQL and SAS programs lead the gathering of data for submissions Risk Adjustment. As the senior analyst of data, will be responsible fo

Manager, Construction Defect Claims Job Locations US United States Requisition ID 2024 16425 Category Claims Specialty Lines Position Type Regular Full Time Overview AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Construction Defect Claims Manager. This position requires previous supervisory experience. This position w

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

Claims Specialist Auto Material/Property Damage Remote Job Locations US NJ MORRISTOWN Job ID 2024 3726 Category Claims Type Regular Division Surplus & Specialty Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance compan

Claims Specialist III Construction Defect Job Locations US United States Requisition ID 2024 16562 Category Claims Specialty Lines Position Type Regular Full Time Overview Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Construction Defect Commercial Claims Adjuster III. This position can be located in one of our claims offices, with

Conducts investigations to determine liability, damages, and coverage. Makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the company, with or without the help of outside counsel. Excels in best practices claim environment, thoroughly documenting the claim process. Analyzes liability and dama

This is your opportunity to join AXIS Capital a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team

A Brief Overview This position is responsible for being a primary point of contact for Hunt Military Communities within the Risk Management team. This position will assist in the procurement of insurance policies for Hunt as well as manage special project insurance placements and contract reviews. This position will develop performance metrics, KPI's and the means and met