UNKNOWN

FEED

JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of low to moderate complexity and exposure commercial claims by following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements within authority limit. Exercises judgement to determine liability and compensability by conducting investigations to gather pertinent information, taking recorded statements from insureds, witnesses and working with experts to verify the facts of the claim.

YEAR

CNA Financial Corp.

Commercial General Liability Claims Representative

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Concentric, LLC is the nation's largest independent industrial power provider, delivering forklift power, critical infrastructure, mechanical/HVAC, and dedicated material handling and automation maintenance solutions. Lead investigations involving serious injuries, vehicle accidents, environmental incidents, near misses, and property damage events, ensuring timely root cause analysis, corrective actions, and organizational learning.

Concentric LLC

Director of Environmental, Health & Safety

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The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets: experience and training: licensure and certifications: and other business and organizational needs. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex.

Starr Companies

Excess Claims Manager

Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. in a positive manner concerning losses. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

<p>Chubb is the world&rsquo;s largest publicly traded property and casualty insurance company and the largest commercial insurer in the U.S.</p>
<p>With operations in 54 countries and territories, we are a major personal lines writer, as well as a leading middle market, small commercial and large industrial commercial insurer, providing a wide range of traditional and specialty coverages.</p>
<p>As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. And we combine the precision of craftsmanship with deep experience to conceive, craft and deliver the very best insurance coverage and service to individuals and families and to businesses of all sizes.</p>
<p>Our products and services are distributed through brokers, independent agents, exclusive agents and various forms of direct marketing.</p>
<p>What we deliver:</p>
<ul>
<li>Extensive product and service offerings</li>
<li>Broad distribution capabilities</li>
<li>Service excellence</li>
<li>Risk expertise</li>
<li>Underwriting discipline</li>
<li>Exceptional financial strength</li>
<li>Local operations globally</li>
</ul>

Chubb Ltd

ESIS Senior Claims Representative, AGL

We leverage our core competencies of understanding and managing interest rate and prepayment risk to invest in our Agency residential mortgage-backed securities (RMBS) and mortgage servicing rights (MSR) portfolio, with the objective of delivering attractive risk-adjusted returns to our stockholders. Remaining in a stationary position for extended periods, frequently sitting but occasionally involving standing or walking short distances; the employee may occasionally climb or balance, and stoop, kneel, crouch, or crawl.

Two Harbors Investment Corp

Vice President of Claims

Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility systems, or by conducting phone conversations with the insurance carrier or healthcare providers. Performs duties as assigned which includes interacting with insurance plans, patients, physicians, attorney's and fellow Team Members as needed.

CorroHealth Inc

PB & HB Coding Denials & Edits Specialist (AAPC or AMHIMA cert required)

This role is responsible for ensuring adherence to state and federal regulations, working directly with regulators on exams and investigations, and partnering across Insurance Operations and cross-functionally to ensure processes and workflows are in place to strengthen claims compliance. Collaborate and communicate with other departments on claims issues, related projects and inter-departmental operations issues while developing effective, actionable solutions.

Oscar Health Inc

Associate Director, Claims Compliance

Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff.

Solera Holdings LLC

Field Claim Representative

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. 2-4 years of casualty claims handling experience;">2-4 years of casualty claims handling experience;">2-4 years of casualty claims handling experience; experience with environmental, products liability, life sciences, professional liability, bodily injury, or property damage claims is preferred.

Markel Group Inc

Claim Examiner

Should a Candidate be submitted to fill a position by a recruiting or staffing services agency ("Agency"), the Company has no obligation to pay the Agency any fee for submission, offer, placement or any service without a fully executed contract of service covering the engagement. Analyze current benefits, evaluating the use, services, coverage, effectiveness, cost, plan experience and competitive trends in benefits programs, and identify the company's stance.

<p>SRS Distribution Inc. has the strongest national network of independent roofing distributors with the most talented team of people working together to deliver the industry's best products and services. We have hundreds of locations in 44 states and continue to grow year-over-year. Our website has the latest list of branches.</p>
<p> In addition to our commitment to customer focus, SRS strives to become the preferred employer in the industry with highly-motivated and engaged employees operating in an entrepreneurial culture. This continual growth has established SRS as one of the fastest growing building products distribution companies in the U.S. SRS is a private company sponsored by Leonard Green & Partners and Berkshire Partners LLC, while being led by a management team of industry veterans. Find out more at <a href="http://www.srsdistribution.com">www.srsdistribution.com</a>. </p>
<p>SRS believes in hiring military veterans at any level for any position. We know your service trained you in many of the areas that we value, such as; leadership, teamwork, performance, integrity, and safety. If your experience matches our requirements, we want you to apply today.</p>
<p>Typical Opportunities:</p>
<h4>Branch Operations</h4>
<ul>
<li>Branch Management</li>
<li>CDL Driver</li>
<li>Inside Sales (Sales Administration)</li>
<li>Warehouse Personnel</li>
<li>Roof Top Loader/Striker</li>
</ul>
<h4>Branch Outside Sales</h4>
<ul>
<li>Territory Management</li>
</ul>
<h4>Corporate</h4>
<ul>
<li>Administration</li>
<li>Accounting and Finance</li>
<li>Fleet</li>
<li>FP&A</li>
<li>Financial Services</li>
<li>Human Resources</li>
<li>Information Technology</li>
<li>Legal</li>
<li>Marketing</li>
<li>Pricing</li>
<li>Procurement</li>
<li>Safety</li>
</ul>
<h4>University Programs</h4>
<ul>
<li>Management Trainee</li>
<li>MBA Leadership Development Program</li>
<li>Summer Internship</li>
</ul>
<h4><strong>Benefits:</strong></h4>
<h4>Health</h4>
<ul>
<li>Choice of medical plans (includes a wellness plan and telemedicine)</li>
<li>Vision Plan</li>
<li>Choice of dental plans</li>
<li>Basic Life Insurance paid by SRS</li>
<li>Employee Assistance Program (EAP)</li>
<li>Additional Life Insurance for employee and members of family available</li>
<li>Short-Term Insurance available</li>
<li>Long-Term Insurance available</li>
</ul>
<h4>Financial</h4>
<ul>
<li>401(k) Retirement plan with an opportunity for company match</li>
<li>Compensation plans that include a competitive wage and bonus opportunities</li>
<li>Paid weekly for all salaried and hourly employees</li>
<li>Flexible Spending Account</li>
<li>Dependent Care FSA</li>
<li>Pre-Paid Legal</li>
<li>Identity Theft</li>
<li>Discounts on our products</li>
<li>Vendor discounts</li>
</ul>
<h4>Paid Days Off</h4>
<ul>
<li>Paid vacation</li>
<li>Paid birthday</li>
<li>Paid holidays</li>
<li>Paid day of giving</li>
<li>Personal time off after 1st year</li>
<li>Jury duty</li>
<li>Bereavement pay</li>
</ul>
<h4>Can’t put a price tag on these benefits</h4>
<ul>
<li>Training and development, because we believe in hiring from within.</li>
</ul>
<p>Fun events at corporate and branches.</p>

SRS Distribution Inc

Retirement Manager

Why we need you: The Risk and Claims Manager oversees and facilitates all property, casualty, general liability, and worker''s compensation claims processing, and proactively identifies risk exposures and initiates/updates company policies and practices to mitigate those risks. Provide quarterly wage reporting to Lockton for estimated variance in Workers'' Comp premium for budgeting purposes.

Milestone Management, one of the largest residential property management firms, announced today the rebranding of the company to Highmark Residential in order to better reflect its commitment to delivering unmatched levels of service across all channels.  The rebranding will take place in stages throughout the course of 2019, with a full transition expected across all systems in early 2020.

Taking a cue from its name, Highmark Residential will continue to build upon the company’s legacy of dedication to providing the highest level of service to residents, associates and investors focusing on hitting the “high mark” with every interaction. The rebranding to Highmark Residential will be accompanied by a redesigned website, logo, graphics, communications and correspondence.

Highmark Residential will continue to be owned by an affiliate of Starwood Capital Group, a leading global private investment firm, which acquired the multi-family management platform in 2017.

Highmark Residential LLC

Risk and Claims Manager

Workers Compensation Claims Specialist, West

The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. Ability to lead change by addressing resistance at the team and individual levels, and to independently evaluate and implement claims management best practices through coaching, training, and mentoring.

ESIS Claims Team Leader, AGL

The Credentialing Manger will work closely with the National Director of Credentialing to define departmental processes, execute strategic departmental initiatives, and have the ability to communicate high-level issues to Leadership when needed to ensure barriers do not hinder progress and implementation. The Credentialing Manager will act as a liaison between internal departments, (operations/onboarding/Conifer/RCM, managed care) and health plan partners to and diagnose/resolve claim issues, educate, and work to ensure credentialing activity across the department was successful through claims payment.

Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans. <br><br>  Since 2003, Tenet's Commitment to Quality  has improved the quality of medical care and patient safety at its hospitals and other businesses by evaluating processes and promoting best practices. As the world in which Tenet operates continues to change, Tenet's Commitment to Quality  will remain focused on quality, the growing quality gap relative to top performers in the industry, and the fact that payers and employees use quality as a distinguishing factor. Visit the Quality Care page for more information. <br><br> Tenet has taken the lead in addressing the needs of the uninsured through its Compact With Uninsured Patients. Established in 2003, the Compact  focuses on treating patients without insurance fairly and with respect during and after their treatment, regardless of their ability to pay. Tenet also is committed to working with its patients through financial counseling and alternative payment options.

Tenet Healthcare Corp

Credentialing Manager

The Customer Service Representative at RW Insurance Services Inc. is responsible for maintaining solid customer relationships by handling customer inquiries and concerns with speed and professionalism through daily interaction with customers, insurance carriers, and fellow employees while conducting specific service and marketing activities. Work with new clients or support a producer in an effort to understand their needs, gather necessary data, research policy options, present options, finalize and bind new coverage, cancel old policies, and negotiate with carriers when necessary.

HOUR

RW Insurance Services

Insurance Account Manager

Keywords: Project Manager, MEP Project Manager, Mechanical Engineering, Electrical Engineering, Architectural Engineering, Revit, AutoCAD, Bluebeam, Construction Administration, Mission Critical, Building Systems, Engineering Project Management, Dallas Engineering Jobs, PE License, Multidisciplinary Coordination, Consulting Engineering. Multidisciplinary Coordination: Integrate complex mechanical, electrical, plumbing, structural, architectural, civil, and technology systems, fostering total alignment between internal engineering teams, sub-consultants, and ownership groups.

Luxus

Project Manager I / II (MEP Engineering)

Crelate

Minimum Requirements: Requires a Bachelor's degree in Business, Healthcare Administration, Finance, or related field and minimum of 5 years of experience in payor contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would provide an equivalent background. Translates contract terms into operational requirements for pharmacy systems, billing platforms, and claim adjudication logic and coordinates with IT and pharmacy operations to ensure accurate setup of pricing and payor-specific rules (including NDC requirements, J-codes, modifiers, and site-of-care billing logic).

Elevance Health Inc

Payor Contract Manager (Specialty Pharmacy)

Strong working knowledge of database structures and SQL, with enough depth to review scripts and guide engineers through complex migration, integration, or transformation work. Clear and effective communication skills, including the ability to explain technical topics, present to peers and stakeholders, and gain cooperation across teams and with customers during escalations.

Applied Systems, Inc.

Manager, Data Services

Whether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. PXPs will work closely with business leadership and our Talent Centers of Excellence to enhance the employee experience and help our talent to do their best work.

Jones Lang LaSalle Inc

People Experience Partner

Monitor and act on exception reporting, tracking core KPIs—including Order-to-Delivery lead times, On-Time Delivery (OTD), first-attempt completion rates, backorders, and return/refusal rates—to hit NPS and operational targets. • Partner with Supply Chain and Demand Planning to reduce backorders, manage EOL & product replacements, prevent aged/obsolete inventory, and ensure accurate delivery promise messaging (EDD) on Client website.

Claims Manager Jobs in Plano, TX

Commercial General Liability Claims Representative CNA Financial Corp.

Director of Environmental, Health & Safety Concentric LLC

Excess Claims Manager Starr Companies

ESIS Senior Claims Representative, AGL Chubb Ltd

Vice President of Claims Two Harbors Investment Corp

PB & HB Coding Denials & Edits Specialist (AAPC or AMHIMA cert required) CorroHealth Inc

Associate Director, Claims Compliance Oscar Health Inc

Field Claim Representative Solera Holdings LLC

Claim Examiner Markel Group Inc

Retirement Manager SRS Distribution Inc

Risk and Claims Manager Highmark Residential LLC

Workers Compensation Claims Specialist, West CNA Financial Corp.

ESIS Claims Team Leader, AGL Chubb Ltd

Credentialing Manager Tenet Healthcare Corp

Insurance Account Manager RW Insurance Services

Project Manager I / II (MEP Engineering) Luxus

Payor Contract Manager (Specialty Pharmacy) Elevance Health Inc

Manager, Data Services Applied Systems, Inc.

People Experience Partner Jones Lang LaSalle Inc

Operations Manager 3 Intelliswift Software Inc

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