20 bill review analyst i jobs found

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Administrative/Clerical, Claim, Legal Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities • Applies increased experience in the Adjuster II level or a rotation into a specialty position (Coverage, Investigation Specialist, Total Loss, Initial Handler, Extended Handler, etc.) • For claims involving injuries (if handled), learns how to review, evaluate, and negotiate basic to moderate injury claims • Handles investigation regarding all aspects of advanced auto...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  JOB DESCRIPTION: The CNA International platform brings together all the assets of CNA – global network, broad product array, underwriting expertise, superior service and technology – and weaves these strengths into innovative solutions to meet middle market customer needs around the world. That’s why a growing number of businesses with international exposures are turning to CNA to help them manage their increasingly complex global property, casualty and professional risks. This hybrid role will work from our offices in either New York City, Philadelphia, Atlanta, Charlotte, Plano, TX or Lake Mary, FL. Essential Duties and Responsibilities: Underwriting Expertise ·...

Position Title Commercial & Private Bank Compliance Risk & Controls Associate Location New York, NY 10018 Job Summary The Commercial & Private Bank Compliance Risk & Controls Associate will play an integral role in the design, buildout, transformation and implementation of a Compliance risk management framework as well as advise and oversee business lines through ongoing identification, assessment, and measurement of material risks and key controls. The Commercial & Private Bank Compliance Risk & Controls Associate, in this 1st Line of Defense (1LOD) role, will bring expertise in regulatory Compliance and risk experience in Commercial & Private Banking businesses. • The Private Bank consists of Private Client Groups (PCGs) who are highly specialized in providing white glove service to High Net Worth and Commercial clients by offering Deposit products, lending, and products and services from Flagstar’s broader offerings. • The Commercial Bank...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description Responsible for investigating and confirming the facts of loss for basic automobile accidents. Applies analytical thinking to determine coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. We’re looking for a motivated Auto Adjuster to join our growing team! This group specializes in nonstandard auto claims and is open to candidates located in the Northeastern states — including NY, PA, NJ, RI, and surrounding areas. Apply today and be a part of our organization! Key Responsibilities • Applies basic understanding of insurance policies written...

Argo Group International Holdings, Inc .  and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. (“BWS”), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions. Job Description PURPOSE OF THE JOB: The role will focus on building and managing a team responsible for the quality, development, management, and compliance of all data within P&C Operations (i.e., Underwriting, Product, Actuarial, Claims, ML Agencies, Marketing, SMG, Competitive Intelligence). This role will work with leadership to establish the data strategy and data policies to ensure the Data Analysts within P&C Operations are providing accurate and high-quality data in a timely manner. The...

Company: Oliver Wyman Description: Oliver Wyman is a global leader in management consulting. With offices in 70 cities across 30 countries, Oliver Wyman combines deep industry knowledge with specialized expertise in strategy, operations, risk management, and organization transformation. Over 7,000 professionals help clients optimize their business, improve their operations and risk profile, and accelerate their organizational performance to seize the most attractive opportunities. Oliver Wyman’s thought leadership is evident in our agenda-setting books, white papers, research reports, and articles in the business press.  Our clients are the CEOs and executive teams of the top Global 1,000 companies. Oliver Wyman is a business of Marsh McLennan [NYSE: MMC]. For more information, visit  www.oliverwyman.com . Job Overview: We are looking for an exceptional individual to join the Americas Talent Management Team as Talent Management Lead (TM...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! The position encompasses Property underwriting on a wholesale only basis for the Markel Wholesale & Specialty Northeast Region. The primary purpose of this position is to underwrite new business and renewals in a profitable manner and according to authority level and established guidelines, and drive projects having an impact on the business. Assigned a varying TIV size range of accounts with a focus on smaller to middle market size risks. Ability to write both primary and excess coverage. Utilize...

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a remote role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned   KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office applications Technical...

We’re thrilled that you are interested in joining us here at the Amynta Group! Senior Vice President Review and underwrite R&W opportunities Conduct due diligence to analyze the risk to be insured, including (i) reviewing asset and merger agreements, disclosure schedules, data room materials and financial and operational records of prospective insureds, (ii) leading conference calls with the proposed insured and their advisors to discuss the risk to be insured; and (iii) preparing conference call agendas Negotiate and draft insurance policies with insurance brokers, the proposed insureds and their advisors.  Ensure underwriting file completion upon binding of R&W opportunities. Manage, train and mentor a team of R&W underwriter, including review submissions and provide mentoring to junior associates to determine whether an insurance proposal can be offered for transactional insurance products including recommendation on pricing and key terms of coverage and...

Overview Provide administrative support to multiple Package Property underwriters, including monitoring email correspondence, and completing administrative tasks to expedite the underwriting process for new and renewal business. Upholds the standards of the AmTrust organization. Responsibilities Triage New Business Submissions for Underwriter review.  Provide a description of the insured’s operations and exposures by reviewing Acord Applications, Statement of Values and putting it in a short narrative form for the Underwriter. Communicate the Underwriting decision to the agent by declining the risk with a specific underwriting reason or requesting additional information to move forward. Update and maintain multiple Excel spreadsheets with accurate information. Run web based reports as requested or needed including but not limited to HPD’s, Corelogic, ISO 360’s and Prometrix.  Review reports and Loss Control to see...

We’re thrilled that you are interested in joining us here at the Amynta Group! Senior Vice President Review and underwrite R&W opportunities Conduct due diligence to analyze the risk to be insured, including (i) reviewing asset and merger agreements, disclosure schedules, data room materials and financial and operational records of prospective insureds, (ii) leading conference calls with the proposed insured and their advisors to discuss the risk to be insured; and (iii) preparing conference call agendas Negotiate and draft insurance policies with insurance brokers, the proposed insureds and their advisors.  Ensure underwriting file completion upon binding of R&W opportunities. Manage, train and mentor a team of R&W underwriter, including review submissions and provide mentoring to junior associates to determine whether an insurance proposal can be offered for transactional insurance products including recommendation on pricing and key terms of coverage and...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a Remote role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Expectation that Senior Claims Specialist maintain independent NY adjuster license as a casualty or general adjuster.  Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the...

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.  This is a remote role.    ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as...

The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care.   This is a remote role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and/or direct reporting manager   Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Utilize clinical and/or technical expertise to address the provision of medical care and identify inappropriate billing practices and errors, such as: duplicate billing, unbundling of charges, services not rendered, mathematical and data entry errors, undocumented services, reusable instrumentation, unused services and supplies, unrelated and/or separated charges, quantity and time...

We’re thrilled that you are interested in joining us here at the Amynta Group! Vice President, US tax Review and underwrite Tax opportunities Conduct due diligence to analyze the risk to be insured, including (i) reviewing relevant material, (ii) leading conference calls with the proposed insured and their advisors to discuss the risk to be insured; and (iii) preparing conference call agendas Negotiate and draft insurance policies with insurance brokers, the proposed insureds and their advisors.  Ensure underwriting file completion upon binding of risks.  Review claims and provide any necessary support related thereto to the claims team. Collaborate with colleagues from Ambridge Europe/Canada to assist in cross-border underwriting  The Amynta Group (the “ Company ”) is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any ground of discrimination protected by applicable human rights...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  As a member of CNA’s Actuarial organization, you will be part of a community that provides deep specialization and discipline as trusted advisors, unlocks data to enable business partners to advance our global market strategy, and drives business solutions through actionable analytics and insights. Due to an internal promotion, CNA Insurance is seeking a Senior Actuarial Consultant who will develop and recommend actuarial pricing and rating plans of a complex nature for CNA's property/marine lines. Key responsibilities include the annual profitability review, trend analyses, CAT management initiatives, reinsurance placement support, rating plan work, and rate change reviews. In this role you...

CorVel is hiring a No-Fault Adjuster (Claims Specialist) for our Client Site in Jamacia Queens, NY. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic no-fault claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is an on-site position for our client site in Jamaica, Queens, NY. Once fully trained, the employee will be able to work from home one day per week. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic no-fault claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and...

CorVel is hiring a No-Fault Adjuster (Claims Specialist) for our Client Site in Brooklyn, NY. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic no-fault claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is an on-site position for our client site in Brooklyn, NY. Once fully trained, the employee will be able to work from home one day per week. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic no-fault claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier...