Work with other team leaders to improve operational efficiencies and resource allocations for improved performance of the EmblemHealth plans. Responsible for running queries and providing required analysis to understand related drivers (such as medical cost and utilization), and to provide insightful commentary and sensitivity modeling analysis. Develop data driven analys

Highest level individual contributor directly responsible for inventory of complex, severity Financial Institutions and Transactional Liability claims. 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, reserv

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

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

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

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

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

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

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

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

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

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

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