Providence is seeking an Epic Applications Analyst – AP Claims, who will:. ...
The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. ...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Under limited supervision, effectively evaluate and manage high exposure Workers Compensation claims including catastrophic loss, specified serious injury and other complex claims. Claims that have been reopened for additional medical treatment on more complex files. Injuries may involve one or mult...
Claims Service Representative 1 - Early Response - WeekendWhat’s in it for me?. When you join the Auto Club as a Claims Representative, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. As a representative within our Claims d...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
Claims Service Representative I - Early Response Weekend. When you join the Auto Club as a Claims Representative, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. As a representative within our Claims department you will:. A...
VP of Health Plan Claims and Operations. One of our growing Healthcare clients is looking for a VP of Health Plan Claims and Operations. Responsible for the strategic leadership and development of the Claims Department. ...
Responsible for auditing and training claims staff on all Managed Care claims received from outside providers to ensure the Claims Examiners processed and adjudicated them accurately and consistently in accordance with outside Provider Contracts, State, Federal, CMS, DMHC and Health Plan contracts, ...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
The VP of Health Plan Operations and Claims will provide strategic leadership and development of the Claims Department and its employees, as well as collaborate with Network Development, Provider Affiliation and Member Relations, Contracting, and Benefits Administration to ensure data integrity and ...
Seeking a Claims Adjuster to manage workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. To analyze mid- and higher-level workers compensation claims to determine benefit...
Job Description The Claims Specialist is responsible for accuracy of claims submission, benefits and eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping up to date accounts receivable for both CalAIM and IFMG, claim follow-up, ...
Our client is expanding their Workers' Compensation Department and seeking to add a Workers' Compensation Claims Adjusters to their California operation. This person would be responsible for handling California Workers' Compensation Indemnity claims from inception to close. Handle moderate to comple...
To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service req...
The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and guidelines as outlined by the company policy. Three (3) years of experience with processing all types of specialty claims such as Chemotherapy, Dialysis, OB and drug and...
Contact doctors/ hospitals or other persons/ organizations to verify information to make claims decisions. Settle minor claims within authority limit. ...
The VP of Health Plan Claims and Operations will provide strategic leadership and development of the Claims Department and its employees, as well as collaborate with Network Development, Provider Affiliation and Member Relations, Contracting, and Benefits Administration to ensure data integrity and ...
To analyze complex or technically difficult healthcare, environmental, management, executive, cyber, professional liability, error and omissions, and complex liability claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within company sta...
Review, process and conclude assigned claims including investigation and evaluation mid-level exposure to complex Auto and/or General Liability Casualty Claims. General Liability & Auto Claims Examiner III. Responsible for the prompt review of claims to determine coverage for loss/damage/injury. Con...
The Workers’ Compensation Claims Adjuster must be knowledgeable of the California Labor Code and administration of claims. The Claims Adjuster is responsible for the prompt and efficient examination and investigation of claims. It is the responsibility of a Workers' Compensation Claims Adjuster to r...
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Develop a plan of action for assigned claims and update the claims file following all material changes in st...
The Auto Club of Southern CA is looking for a Claims Service Representative for our High Severity Team; responsible for investigation, evaluation and negotiation of high complexity claims in compliance with established company technical and customer service. Claims Service Representative 2 - Casualt...
To analyze California Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Hybrid & Onsite) Workers Compensation Claims Hand...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...