Assistant Director of Claims
Pittsburgh Regional Transit
Pittsburgh Regional Transit is seeking a Assistant Director of Claims to investigate, evaluate, and supervise all Public Liability and Workers' Compensation claims made against Port Authority of Allegheny d/b/a Pittsburgh Regional Transit (PRT). Negotiates and settles claims where appropriate. Maintains overall responsibility for the general supervision and management of personnel, functions and procedures employed within the Claims Department to ensure that all decisions are fiscally sound and provide customers with the highest level of service. Coordinates and oversees the use of Risk master Claims Management System or other designated claims management software system within the Department. Essential Functions: Supervises and manages the personnel, functions, and procedures employed in the Claims Department. Coordinate and oversee the use of Riskmaster Claims Management System or other designated claims management software system within the Department. Review closed claims in Riskmaster to ensure that all fields are properly completed. Review and input new lawsuit information into the system. Coordinates and supervises the handling of legal files with both in-house and outside counsel. This includes gathering additional information to be used during trial. Meeting with in-house and outside counsel to review medical documentation, employee information, equipment data and making decisions and recommendations, within delegated Limits of Authority, on whether to settle a case or continue with litigation. Maintains a 24-hour emergency call status with assistance from Claims Department supervisors on accidents involving injury or property damage; conducts on-the-scene preliminary investigation of accident severity, when warranted; prepares preliminary reports of all serious accidents. Job requirements include: Bachelor's degree in business administration, administration of justice, or related field from an accredited college or university. Related experience may be substituted for education on a year-for-year basis. Minimum of seven (7) years' experience in property claims, motor vehicle claims, personal injury claims, settlement authority, establishing reserves/valuing claims and workers compensation claims. No required certifications or licenses. Minimum of five (5) years of supervisory experience. Effective and professional communication skills. Experience with claims lawsuits including understanding of civil procedures (trials and arbitration); understanding of governmental immunity statutes; knowledge of witness locating and witness statement preparation. Valid PA drivers license. Ability to maintain a 24-hour emergency call status. Demonstrated ability in the use of Windows. Preferred Attributes: Accident investigation experience. Experience in a unionized environment. Experience with a self-insured entity. We offer a comprehensive compensation and benefits package. Interested candidates should forward a cover letter (with salary requirements) and resume. EOE Apply on Company Website
$20 - $23 per hour
...• One year of Pharmacy Experience, having resolved third party claims • Healthcare industry experience with claims background • Strong... ...benefits coverage • Maintain compliance with patient assistance program guidelines • Document all information and data discovery...ClaimsFull time- ...ensuring compliance with contractual obligations and project requirements Manage contract variations, change orders and contractual claims, assessing commercial, cost and schedule impacts Monitor project progress and facilitate contractor and stakeholder meetings as...ClaimsContract workFor contractorsWork at officeLocal areaFlexible hours
$50k - $60k
...appointments, medical records, and outstanding documentation Track case deadlines, follow-ups, insurance claims, and settlement-related activities Assist attorneys with case preparation, including gathering documentation and maintaining accurate case files Review...ClaimsFull timeWork at officeMonday to Friday- ...quality, and service goals. Experience: ~1-2+ years of experience in customer service, healthcare, insurance, benefits, claims, patient support, or related fields. ~ Strong communication, research, and problem-solving skills. ~ High attention to detail and...ClaimsFull timeWork at officeShift work
$25k
...information technology, and to lead and implement change in managerial and policy contexts. As the division grows, we are seeking an Assistant Director of Stewardship and Annual Giving to join the team. Reporting to the Senior Director of Partnerships and Advancement, this...SuggestedFull timeWork visa- ...Responsibilities: Accurately assign ICD-10, CPT, and HCPCS codes to surgical procedures and diagnoses Submit and follow up on medical claims to insurance carriers, Medicare, and Medicaid Review and resolve claim denials, rejections, and underpayments in a timely manner...ClaimsFlexible hours
$160k - $240k
...As a Product Engineer , you will join a 5-person engineering team , where backend systems and data pipelines directly power claims processing, provider payments, EHR integrations, and internal healthcare operations. Your work will sit at the core of the business...ClaimsWork at officeRemote workFlexible hours- ...matters for a better world, this opportunity may be ideal for you.Our Center for Leadership Studies is seeking an Assistant Vice Provost & Executive Director. A meaningful, impactful and inspiring opportunity for those committed to honing the skills necessary to amplify...Full timeWork experience placement
- ...Field Claims Professional A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. We offer a merit-based work-from-home program based...ClaimsLocal areaWork from home
- ...licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-...ClaimsFlexible hours
$77k - $202k
...specialize in designing, coding, testing, and tailoring Guidewire-based applications that help insurance organizations improve policy, claims, and billing processes within our Advisory practice. As a Senior Associate you will analyze complex problems, manage assigned...ClaimsFull timeH1b- Job Description: We help P&C carriers reinvent Underwriting and Claims through process redesign, operating model transformation, data-driven decisioning, and AI-enabled ways of working. As a Transformation Manager, you will lead cross-functional teams to reimagine how...ClaimsLive inWork at officeLocal area
- Job Description: We help P&C carriers reinvent Underwriting and Claims through process redesign, operating model transformation, data-driven decisioning, and AI-enabled ways of working. As a Transformation Manager, you will lead cross-functional teams to reimagine how...ClaimsLive inWork at officeLocal area
- ...benefit education, and new hire benefits orientation. \n Manage leave administration, including FMLA, military leave, STD, and LTD claims in partnership with third-party vendors. \n Coordinate quarterly 401(k) committee meetings and lead the annual 401(k) audit. \n...ClaimsLocal area
$105.4k - $207.8k
...and commercial lines insurance carriers launch new digital product propositions and services and transform the digital customer and Claim Adjustors experience. This is a great opportunity to be on the frontlines of Deloitte’s innovation and product strategy while staying...ClaimsLocal area$80k - $85k
Workers Comp Senior Claims Representative National Interstate is a member of Great American Insurance Group. As one of the leading commercial... ...and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time...ClaimsRemote jobFull timePart timeSeasonal workLive outWork at officeLocal area- Carnegie Mellon University’s Heinz College is seeking a data-driven, strategic marketer to lead marketing efforts for our portfolio of graduate programs.Core responsibilities include: Create, manage, and execute marketing strategy for the Heinz portfolio of Masters Degree...Full timeWork experience placementVisa sponsorshipWork visa
- ...metrics, including crash frequency, preventability, injuries, claims trends, CSA-related indicators, and loss experience. Oversee... ...Professional (CSP), Associate in Risk Management (ARM), Certified Director of Safety (CDS), or comparable credential. Commercial Driver...ClaimsFull timeWork at officeLocal area
- ...clients by developing agreements, negotiating contacts, setting claims and advocating for clients in court. This individual will build... ...Responsibilities Provide legal support to clients and assist attorneys Maintain client relationships Prepare legal...Claims
- ...Assistant Director, IT Operations Pitt IT Operations - Pennsylvania-Pittsburgh - (26006218) Pitt Digital is seeking an Assistant Director, IT Operations to lead the systems engineering and operations organization responsible for the infrastructure the University...Full timeRemote workRelocationVisa sponsorshipFree visaShift workWeekend workAfternoon shift
- Pitt Digital is seeking an Assistant Director, IT Operations to lead the systems engineering and operations organization responsible for the infrastructure the University runs on - data center & server hosting, virtualization, enterprise storage, backup & recovery, patching...Shift work
- ...questions to them. Perform other related duties as assigned. Qualifications ~1+ years in case management, legal assisting, paralegal work, or claims, with litigation experience preferred. ~ Familiarity with discovery, depositions, mediation, and court procedures....ClaimsFull time
- ...of defense strategies. Provide effective and timely communications, information, legal advice, and other services to clients and claims personnel on legal and factual issues. Communicate with the court, witnesses, opposing counsel, and co-counsel in a manner...ClaimsFull timeWork at officeFlexible hours
- Assistant Director of Scheduling - Conferences and Events ServicesSalary: Commensurate with experience Benefits: The University offers generous benefits including paid time off (holidays, holy days and vacation), employer matching contributions to the retirement plan,...Full time
- ...availability, eligibility, coverages, policy changes, transfers, claim submissions and billing clarification. Use a customer-focused... ...anticipate their needs. Excellent communication skills to assist customers and coordinate with other agency team members Proactive...ClaimsFor contractorsWork at officeImmediate start
- ...adjusting experience is required for career-entry applicants. Are you interested in building a career as an independent insurance claims adjuster? With continued storm activity and catastrophic weather events across the country, experienced and properly trained adjusters...Claims
- ...and maintain coverage during assigned shifts.Welcome guests and assist with luggage handling, storage, delivery, and retrieval.Coach bell... ...accurate luggage storage records and follow identification and claim procedures.Escort guests to their rooms and explain hotel...ClaimsLocal areaShift workAfternoon shift
- ...federal courts Draft coverage opinions, motions, pleadings, and legal memoranda Represent insurers in first-party property and UM/UIM claims Litigate Pennsylvania bad faith and coverage disputes Work on a variety of business litigation matters Conduct legal research,...ClaimsRemote work
- ...motions, briefs, and other legal documents. \n Handle discovery, depositions, negotiations, and trial preparation. \n Evaluate claims, assess potential exposure, and develop effective litigation strategies. \n Communicate effectively with clients, opposing...ClaimsFull time
- A leading claims adjustment firm is urgently seeking Independent Insurance Claims Adjusters to respond to the increasing demand in the wake of recent storm-related events. This role offers the chance to make a real difference while enjoying a flexible work environment...ClaimsFlexible hours
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