Claims Examiner - Melville, NY

Key Responsibilities · Apply medical policy, contractual provisions, and operational procedures to ensure accurate Medical claims. · Resolve claim holds, review history records, and determine benefit eligibility for services rendered. · Research and document all pertinent informa ...

Key Responsibilities · Apply medical policy, contractual provisions, and operational procedures to ensure accurate Medical claims. · Resolve claim holds, review history records, and determine benefit eligibility for services rendered. · Research and document all pertinent infor ...

This position involves day-to-day responsibilities that require independent judgment and discretion contributing to the department's ongoing success.Bachelor's Degree. · NY Independent General Adjuster License. · 5+ years in insurance industry adjusting claims. · ...

This position involves all aspects of investigation, assessment and resolution of personal injury and/or property damage claims.The incumbent must manage a high-volume caseload and timely and accurately assess liability and damages prepare written reports be ready able to investi ...

This position involves all aspects of investigation, · assessment and resolution of personal injury and/or property damage claims.Investigate accidents with an eye toward developing effective litigation strategies. · Review pending cases to prepare reports summarizing the case li ...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, ...

A national insurance organization is actively hiring multiple New York–licensed Workers' Compensation Claims Adjusters across several experience levels to support growing NY Lost Time claim volume.This is a 100% remote opportunity offering long-term stability, flexibility, and ca ...

Covering the unexpected for people around the world by analyzing complex claims and ensuring timely resolutions. · Manage high exposure claims involving litigation. · Analyze and process complex third party property liability claims and personal injury protection claims. · ...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Ena ...

The Claim Examiner Trainee position is an entry-level position within liability Claims. This opportunity is for those who desire to build a career in the field of Property and Casualty Insurance.Successful candidates will handle incoming claims with the guidance of the manager or ...

Investigate and settle advanced claims promptly and equitably under minimal supervision. · Review coverages, determines liability and compensability,Evaluate reserves using independent judgment. Assists supervisor in preparing cases for litigations · ...

The Claim Examiner Trainee position is an entry-level position within liability Claims. · This opportunity is for those who desire to build a career in the field of Property and Casualty Insurance. · ...

We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. · Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies, · Certified as a Great Place to Work, · Fortune Best Workplaces in Financial Services & I ...

We invite you to grow your career with us and enjoy work-life balance. · Certified as a Great Place to Work · Fortune Best Workplaces in Financial Services & Insurance · Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by ...

+Job summary · We're looking for the next generation of leaders to take this journey with us. · +ResponsibilitiesInvestigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. · +BenefitsPay and incentive plans that recognize perform ...

This position handles GNY's most complex or severe property claims by investigating losses; managing and controlling independent adjusters and experts; interpreting the policy to make proper coverage determinations; addressing reserves; writing coverage letter and reports; and pr ...

This purpose of this position is to handle GNY's most complex or severe property claims by investigating losses; managing and controlling independent adjusters and experts; interpreting the policy to make proper coverage determinations; addressing reserves; writing coverage lette ...

New York / New Jersey (Hybrid – 3 days in office) · $142,000 – $168,000 base + 15% bonus + full benefits · A leading insurance carrier is seeking an experienced Senior Claims Examiner to join its General Liability team. This is a senior-level technical role handling complex Comme ...

DB Insurance USA seeks an experienced Claims Adjuster/Examiner to handle third-party liability claims. · Investigate and resolve claims involving bodily injury and property damage. · Determine coverage and negotiate settlements. · ...

· Job Title · 3rd Party Property Claims Adjuster/Examiner · Location · 1010 Northern Blvd., Suite 238, Great Neck, NY 11021 · Salary · $65,000 - $100,000/year · Position Type · Full-time · Non-exempt (Hourly) or Exempt (Salaried) · Monday – Friday · 9:00 am – 6:00 pm · Hybrid af ...