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...
Identify trends and perform root cause analysis on unpaid and underpaid claims. ...
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 ...
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...
Manages an inventory of the most complex and high exposure Lawyers Professional Liability Claims by following company protocols to manage and oversee all aspects of the claim handling, including coverage determinations, investigations, and resolution strategies which may include pursuit of risk tran...
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...
Our client is expanding their Workers' Compensation Department and seeking to add Workers' Compensation Claims Adjusters to their California operations. These positions would be responsible for handling California Workers' Compensation Indemnity claims from inception to close. Handle moderate to com...
The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or health agreements, established payment metho...
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...
Our client is expanding their Workers Compensation Department and seeking to add a Workers' Compensation Claims Adjusters to their California Operations. This person would be responsible for handling California Workers' Compensation Indemnity claims. Must have California Claims Adjuster Designation....
The Claims Mailroom Clerk will oversee incoming and outgoing mail, track current processing times, returns, payments, and claim statuses to report issues to the Claims Department. Place unopened or opened claims placed in designated area for Medical Claims Processor access. The Claims Department is ...
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...
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...
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...
The Executive Director Claims Operations interfaces with internal and external resources and departments to maintain current industry knowledge and participate effectively on process development efforts focused on achieving continuous improvement in operational efficiency, processing accuracy, and c...
Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working relati...
The Analyst - Claims position will be responsible for reviewing, evaluating, and processing transportation damage claims. Handle and process transportation damage claims: Review and investigate damage liability Provide recommendations if the damaged vehicle will require 3rd party inspection Prepare ...
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...
Investigate, analyze, and determine the extent of company's liability concerning Claims and attempt to effect settlement with claimants. Calculate benefit payments and approve payment of Claims within a certain monetary limit. All tasks are to be performed with the goal of demonstrating Zenith's sup...
The Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in be...
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...
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...
The Senior Claims Examiner administers health plan contracts by processing medical claims in an efficient, cost-effective, and timely manner meeting all required guidelines and performs adjustments as necessary. Minimum two (2) years medical claims processing experience. ...
AOE/COE, Auto, or Homeowners Investigations.Writing accurate, detailed reports.Strong initiative, integrity, and work ethic.Securing written/recorded statements.Possession of a valid driver’s license.Ability to prioritize and organize multiple tasks.Computer literacy to include Microsoft Word and Mi...