Hospital or EOB claims emphasis. ...
Expert en responsabilité civile commerciale / Claims Adjuster - Liability/Commercial. PRIMARY PURPOSE: Effective adjudication of specialized multi line general liability claims of various complexities within company standards and industry best practices. Manage all aspects of general liability claim...
Claims Examiner will be responsible for recognizing claims involving coverage issues and bring to the Claims and Coverage Committees for referral to counsel. Responsible for managing complex liability claims, employment & civil rights claims to their conclusion in the most cost-effective way possibl...
The Medical Claims Processor is primarily responsible for accurately and thoroughly processing claims and referrals in a timely manner in accordance with specific plan benefits provisions and guidelines, exclusions and limitations. Identifies any issues or concerns regarding any claims and refers th...
A Managerr within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. ...
Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Job Title: Claims Examiner - Workers Com...
The ideal candidate will have a deep understanding of indemnity claims, complex claims, and insurance. Proven experience in handling indemnity claims and complex claims. We are currently seeking a Senior Claims Examiner to join our dynamic team in the Insurance industry. Reviewing, evaluating, and m...
We are currently seeking an entry-level Claims Loss Reporting Specialist to support our auto claims operations. Explain and evaluate benefits, coverages, and claims process involving glass claims. Claims Loss Reporting Specialist. It's an ideal entry point for individuals without prior claims experi...
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...
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 Dealer Claims and Registration Analyst is responsible for the handling of Dealer submitted claims and registrations for AHM company and lease vehicles. Dealer Claims and Registration Analyst. Why should you apply to be a Dealer Claims and Registration Analyst. The objective of this position to w...
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...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
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...
Reporting to the Team Leader, the Claims Adjuster, Auto is responsible for providing a consistently high level of service by investigating insurance claims for insurers or third parties and negotiating settlement of the claims to the satisfaction of all parties. Manages comprehensive desktop investi...
Patient Account Representative.Insurance Patient Account Representative - Medicare Emphasis.Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances.All client policies and procedures are followed.Representatives ...
Claims Service Representative 2 - Total Salvage. You will support the Auto Claims Operation by providing service pursuant to the. The primary functions include investigation, evaluation and negotiation of lower complexity claims in compliance with established company technical and customer service b...
Review and process hospital claims and complicated claims to assist claims examiners I, and II. Claims processing to ensure quality (in/out patient hospital claims, Medi-cal, Commercial, and Medi-care claims). Extensive knowledge of claims processing and claims data analysis. Audit claims processing...
The ideal candidate will have a deep understanding of indemnity claims, complex claims, and insurance. Proven experience in handling indemnity claims and complex claims. Senior Claims Examiner / Great Place To Work!. We are currently seeking a Senior Claims Examiner to join our dynamic team in the I...
Primary Purpose: To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision. Processes low level wo...
Work closely with internal legal counsel, claims managers, and third-party administrators (TPAs) to ensure claims are handled efficiently and in line with company policies. Senior Workers’ Compensation Claims Adjuster. Manage and adjust complex lost time workers’ compensation claims from inception t...
Patient Account Representative - Medicare Claims Follow-up. ...
Process all types of claims, such as HCFA 1500, outpatient/inpatient UB92, high dollar claims, COB, and DRG claims. The Claims Examiner II accurately reviews, researches, and analyzes professional, ancillary, and institutional inpatient and outpatient claims. Comprehensive knowledge of DMHC and CMS ...
Our client, is in need of a Temporary Workers' Compensation Claims Examiner for their Long Beach Office to work on a remote basis. Workers' Compensation claims in California. Ability to negotiate settlement of claims within designated authority. Experienced with litigation management; ensures timely...
As a Supervisor, you'll lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations. Workers' Compensation Claims Supervisor - Lead a Dynamic T...