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

Formulate and execute global catastrophe pricing strategies Strategically allocate Cat reinsurance and capital costs, enabling underwriters to effectively differentiate profitable accounts Collaborate with actuarial, reinsurance and underwriting teams to integrate insights into pricing frameworks Proactively identify opportunities for improvement and contribute to the dev

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

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

Reporting the Unit Manager, this role will be responsible for direct handling of multi line commercial claims including Auto, General Liability and Construction Defect claims. Duties include investigation and evaluation of coverage, liability and damages issues. The role will be responsible for claim evaluation, establishment/recommendation of adequate reserves, litigatio

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

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, Commercial Surety Bond Claims Morristown, NJ or Remote Job Locations US NJ MORRISTOWN Job ID 2024 3789 Category Claims Type Regular Division Surety 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 insuranc

Manage and oversee clients' disputes and related claims within assigned region, including but not limited to general liability, builders' risk, professional liability, and pollution claims. The ideal candidate has extensive experience with New York Labor Law litigation. Essential Duties & Key Responsibilities Manage and ensure claims within assigned region are reported in

Please note this role requires a hybrid work schedule three days per week in the office. This role can be based in any of these Axis office locations Alpharetta, GA, NYC, Berkeley Heights, NJ, Princeton, NJ Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim Excels in a best practices claim envi

Come work with us Metropolitan Commercial Bank (the "Bank") is a New York City based full service commercial bank that provides a broad range of business, commercial and personal banking products and services to individuals, small businesses, private and public middle market and corporate enterprises and institutions, municipalities and local government entities. The Bank

Investigates, negotiates and concludes by settlement or denial small First Party or clear liability Third Party claims through telephone and email contact. The individual in this position will also ensure claims are processed within company policies, procedures, and individual's prescribed authority with exceptional standards of performance. All job duties and responsibil

Complex Claims Adjuster Lawyers Professional Liability Job Locations US United States Requisition ID 2024 16359 Category Claims Specialty Lines Position Type Regular Full Time Overview Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Complex /Specialty Adjuster. This position can be located in one of our claims offices with the possibi

Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim Excels in a best practices claim environment, thoroughly documenting the claim process Responsible for the timely evaluation, reserving and disposition of assigned claims Documents coverage, investigation, damages, reserve rationale, negotiatio

The Opportunity We are seeking talented and enthusiastic individuals to proactively investigate and directly handle lawyers' and accountant's professional liability claims. What you will do Be responsible for lawyers' and accountant's professional liability claims from first notice through resolution, including coverage evaluation and litigation management. This position