64 lead resolution specialist jobs found

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas. Generally, incumbent does not work on workers compensation claims. Essential Duties & Responsibilities: Able to manage the full-life cycle of all assigned claims files. Analyzes coverage and determines defense obligations. Independently conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans. Creates reservation of rights and coverage denial letters. Negotiates...

Job Details: Team Member Relations Specialist SUMMARY: This position will partner with the respective business teams to support the Team Member Relations team in the areas of investigations and case review activities for field investigations, primarily around critical Team Member Relations complaints. The Team Member Relations Specialist should be a highly customer centric individual with a bias towards change and the ability to assist in propelling team success. Acting with a high degree of integrity, the Team Member Relations Specialist will ensure that all assigned cases are acted upon in a timely and thorough manner to determine appropriate resolution or if further investigation is needed on any given case. The Team member Relations Specialist will promptly communicate investigation results and recommended corrective actions to the Team Member Relations Lead and collaborate with the Strategic HR Partner when appropriate. The Team Member Relations Specialist will...

Job Details: Team Member Relations Specialist SUMMARY: This position will partner with the respective business teams to support the Team Member Relations team in the areas of investigations and case review activities for field investigations, primarily around critical Team Member Relations complaints. The Team Member Relations Specialist should be a highly customer centric individual with a bias towards change and the ability to assist in propelling team success. Acting with a high degree of integrity, the Team Member Relations Specialist will ensure that all assigned cases are acted upon in a timely and thorough manner to determine appropriate resolution or if further investigation is needed on any given case. The Team member Relations Specialist will promptly communicate investigation results and recommended corrective actions to the Team Member Relations Lead and collaborate with the Strategic HR Partner when appropriate. The Team Member Relations Specialist will...

Job Details: SUMMARY: This position will partner with the respective business teams to support the Team Member Relations team in the areas of investigations and case review activities for field investigations, primarily around critical Team Member Relations complaints. The Team Member Relations Specialist should be a highly customer centric individual with a bias towards change and the ability to assist in propelling team success. Acting with a high degree of integrity, the Team Member Relations Specialist will ensure that all assigned cases are acted upon in a timely and thorough manner to determine appropriate resolution or if further investigation is needed on any given case. The Team member Relations Specialist will promptly communicate investigation results and recommended corrective actions to the Team Member Relations Lead and collaborate with the Strategic HR Partner when appropriate. The Team Member Relations Specialist will interpret and apply company policies,...

Job Details: Team Member Relations Specialist SUMMARY: This position will partner with the respective business teams to support the Team Member Relations team in the areas of investigations and case review activities for field investigations, primarily around critical Team Member Relations complaints. The Team Member Relations Specialist should be a highly customer centric individual with a bias towards change and the ability to assist in propelling team success. Acting with a high degree of integrity, the Team Member Relations Specialist will ensure that all assigned cases are acted upon in a timely and thorough manner to determine appropriate resolution or if further investigation is needed on any given case. The Team member Relations Specialist will promptly communicate investigation results and recommended corrective actions to the Team Member Relations Lead and collaborate with the Strategic HR Partner when appropriate. The Team Member Relations Specialist will...

Job Details: SUMMARY: This position will partner with the respective business teams to support the Team Member Relations team in the areas of investigations and case review activities for field investigations, primarily around critical Team Member Relations complaints. The Team Member Relations Specialist should be a highly customer centric individual with a bias towards change and the ability to assist in propelling team success. Acting with a high degree of integrity, the Team Member Relations Specialist will ensure that all assigned cases are acted upon in a timely and thorough manner to determine appropriate resolution or if further investigation is needed on any given case. The Team member Relations Specialist will promptly communicate investigation results and recommended corrective actions to the Team Member Relations Lead and collaborate with the Strategic HR Partner when appropriate. The Team Member Relations Specialist will interpret and apply company policies,...

NTT DATA's Client is currently seeking an IRIS Cache Database Administration Specialist to join their team. This position will work remotely from candidates home office located within the US. NTT DATA Services is committed to improving patient outcomes by creating efficiencies across the healthcare ecosystem. A recognized leader in the healthcare space, the company delivers targeted segment solutions including patient engagement, predictive analytics, healthcare cloud hosting, integration and interoperability, clinical and claims application implementation, revenue cycle management and policy administration, in addition to core managed infrastructure, application and business process services. Clients include more than 1,800 hospitals, 2,200 long-term care facilities, 225 acute care facilities, 43,000 clinicians, 1,000 physician practices and 50 insurance providers in support of 65 million policy holders. W2 or C2C. 100% REMOTE Job Responsibilities Include: Provides support...

Job Summary: The Lead Consultant is responsible for management and oversight of Home Office Claim Department referrals. The individual grants settlement authority on the most complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, approving requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. Key Responsibilities: Reviews coverage, liability, and/or damages on the most complex cases referred for authorization and collaborates with Field leadership on additional steps to be taken and other feedback and direction Reviews and provides approval on cases which the MCO plans to take to trial Supports the Field with discretionary referrals on the most complex coverage issues and engages Home Office Claim litigation for involvement and direction, as needed Reviews cases to determine if CWP is appropriate given gross tort...

Fully Remote Opportunity - Ideal candidates can be seated in any location in the US Job Summary: The Lead Consultant is responsible for management and oversight of Home Office Claim Department referrals. The individual grants settlement authority on the most complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, approving requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. Key Responsibilities: Reviews coverage, liability, and/or damages on the most complex cases referred for authorization and collaborates with Field leadership on additional steps to be taken and other feedback and direction Reviews and provides approval on cases which the MCO plans to take to trial Supports the Field with discretionary referrals on the most complex coverage issues and engages Home Office Claim litigation for involvement and...

Job Details: Summary: This position is responsible for leading and managing a team of Team Member Relations Specialists in the areas of investigations, case management and case review activities for field and/or corporate investigations, primarily around critical Team Member Relations complaints. The Team Member Relations Lead should be a highly customer centric individual with a bias towards change and the ability to lead their team to success. The Team Member Relations Lead will use data to identify trends in employee relations topics to drive proactive solutions in the business to improve team member engagement, reduce risk and minimize reactive work. The Team Member Relations Lead will facilitate trainings and education to address specific employee relations issues within the business. Responsibilities include: Provide technical assistance, guidance, and direction to their Team Member Relations team in investigative matters Establish and ensure the maintenance of processes...

General Description The Strategic Account Executive Manager leads the overall service, recommendations, and implementation of a book of insurance business. The job requires a high degree of independent discretion, autonomy, and decision-making based on industry knowledge and experience to provide professional guidance, expertise, and service to clients, professional and collaborative relationships with carrier representatives, underwriters, business partners, and HUB colleagues. The primary objective is rate of account retention that meets or exceeds expectations. Responsible for business development and sales with new and existing clients. Location This is a hybrid position and can be located anywhere in the continental U.S. Essential Duties Manages a book of business of key and high revenue-producing accounts Providing professional insurance guidance, expertise, and service to clients Developing and maintaining professional and...

At EY, you’ll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we’re counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. This position could be located in MA, NY, NJ, NC, SC, FL, GA, TN, IL, TX. EY is the only professional services firm with a separate business unit (“FSO”) that is dedicated to the financial services marketplace. Our FSO teams have been at the forefront of every event that has reshaped and redefined the financial services industry. If you have a passion for rallying together to solve the most complex challenges in the financial services industry, come join our dynamic FSO team! Our FSO Tax and EY EDGE practice is made up of a team of professionals providing dedicated tax technical services to both US and global clients. EDGE...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do  your life's best work.(sm) Full time Onsite Clinical Documentation Integrity Specialist - Lawrence MA Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. And that's what fueled these exciting new opportunities....

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do  your life's best work.(sm) Full time Onsite Clinical Documentation Integrity Specialist - Lawrence MA Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. And that's what fueled these exciting new opportunities....

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do  your life's best work.(sm) Full time Onsite Clinical Documentation Integrity Specialist - Lawrence MA Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. And that's what fueled these exciting new opportunities....

Zurich E&S is improving how we serve our customers and brokers by establishing a central underwriting clearance team and is currently looking to hire an Underwriting Clearance Manager to lead this team! Hiring preference in Chicago, IL;   Philadelphia, PA; Houston, TX; Rocky Hill, CT; or  Atlanta, GA with a possibility of Schaumburg. This position is accountable for the people management, process management, and financial management of the Zurich E&S Underwriting Clearance team. This team is responsible for clearing and registering submissions from brokers, basic triage of these submissions, and providing customer service to Underwriting and Brokers. As a leader, you will be expected to assess performance of direct reports, ensuring meaningful on-boarding experiences and provide regular, actionable coaching and feedback to employees to review progress, recognize accomplishments, support development and/or improve performance.   Additional Responsibilities...

Zurich E&S is looking to hire an AVP, Casualty Underwriting Specialist to join the Technical Underwriting team in either Schaumburg or Atlanta. The AVP, Casualty Underwriting Specialist will provide technical underwriting expertise and guidance while acting independently and with minimal direction and as Subject Matter Expert in all aspects of the BU. This position is critical to enable the achievement of business plans and the delivery of excellent customer service. In this role, you will lead key aspects of portfolio management, including analysis to monitor profitability and growth of specialty areas of business.   Responsibilities:   Operationalize an underwriting business strategy through active engagement with internal stakeholders utilizing market and industry data to drive decision making. Implement risk appetite changes based on relevant internal and external data. Contribute to the development of technical standards, controls and practices in...

  Zurich E&S is looking to hire an AVP, Property Underwriting Specialist to join the Technical Underwriting team in either Schaumburg or Atlanta. The AVP, Property Underwriting Specialist will provide technical underwriting expertise and guidance while acting independently and with minimal direction and as Subject Matter Expert in all aspects of the BU. This position is critical to enable the achievement of business plans and the delivery of excellent customer service. In this role, you will lead key aspects of portfolio management, including analysis to monitor profitability and growth of specialty areas of business.   Responsibilities:   Operationalize an underwriting business strategy through active engagement with internal stakeholders utilizing market and industry data to drive decision making. Implement risk appetite changes based on relevant internal and external data. Contribute to the development of technical standards, controls and practices...

Zurich is currently searching for a Business Systems Analyst II to work out of our Zurich North American headquarters in Schaumburg, IL.   Day-to-day responsibilities of this position:   Support ZNA eDiscovery service working with local, global and customer teams to create solutions and solve challenges. Support ZNA mail/messaging & room booking solutions working with local, global and customer teams to create solutions and solve challenges. Work with a team of specialists allocating work, contributing to employee selection, and providing coaching and guidance as necessary throughout business as usual and project work. Provide specialist advice to address specific technical queries from internal clients and design/develop and deliver appropriate solutions, in line with Zurich´s policies and processes and regulatory requirements. Contribute to the delivery of assigned IT projects in own area of expertise for specific lines...

Zurich is currently looking for a RCIS Crop Claims CAT Adjuster. This position may work virtually out of one of the following North American states: Nebraska or Kansas.   With moderate direction, investigate, evaluate and conclude complex field inspections by following appropriate regulatory and company rules and procedures to ensure that claims are handled in the most effective, efficient way while delivering a customer-centric claims service. Provides support to Area Claims Managers either as a CAT team member or local claims specialist in the facilitation of general day to day operations and claims management. In addition, supports the lower level adjusting staff by completing and/or providing training and assistance with complex claims.   Additional responsibilities will include: Completes high dollar/quality assurance type claim reviews for Crop Hail/Named Peril with $250K and above approval limits Exercise judgement to...