Withum is seeking an experienced health claims auditor possessing in-depth knowledge of group health and disability claims procedures, medical/dental terminology, including CPT, ADA, HCPC and ICDA codes, and a thorough understanding of automated health claims systems as well as manual claims payment...
A company is looking for a Priority Claims Specialist III. Key Responsibilities:Maintain knowledge of DMEOPS codes and resolve unpaid claimsReview EOB's for correct reimbursement and follow up with insurance companiesFile appeals, communicate AR issues, and resolve outstanding accounts receivable pr...
A Manager within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. ...
A company is looking for a Health Claims Specialist. ...
As the Claims Account manager, you will be the primary Claims contact for assigned large complex national, unbundled AIG Risk Management (AIGRM) accounts and be responsible for the day-to-day servicing issues for primary AIG-handled accounts, and responsible for complex service agreements, claims co...
The Claims and Litigation Specialist Risk Manager is a primary point of contact for cases in active litigation and ensures that claims are reviewed at internal risk management committee meetings and that appropriate risk mitigation prevention opportunities are timely identified for implementation. C...
Providence is seeking an Epic Applications Analyst – AP Claims, who will:. ...
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...
Withum is seeking an experienced health claims auditor possessing in-depth knowledge of group health and disability claims procedures, medical/dental terminology, including CPT, ADA, HCPC and ICDA codes, and a thorough understanding of automated health claims systems as well as manual claims payment...
At American Family Insurance Claims Services (AFICS, Inc. Lead level role that investigates and maintains complex property/casualty claims. Determine liability, secure information, reviews coverages, arrange appraisals, and settles claims. May specialize in liability, property or catastrophe claims....
Benefit from our 30 years of experience in business:.We have an AWESOME training program and it's FREE!!.Part time $35,000 or full time $150,000 +.Looking to fill Management position that are available.Duties can be performed REMOTELY;....
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...
Benefit from our 30 years of experience in business:We have an AWESOME training program and it's FREE!!Part time $35,000 or full time $150,000 +Looking to fill Management position that are availableGREAT money to be MADE!!Duties can be performed REMOTELY; TIME FREEDOM -work RIGHT From HOME!!We are s...
The property claims field adjuster trainee will learn how to apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle minor to moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expen...
Process claims based upon the provider’s contract/agreements or pricing agreements, applicable regulatory legislation, claims processing guidelines and NMM policies and procedures. We are currently seeking a highly motivated Claims Examiner. This role will report to the Manager - Claims and enable u...
The Claims Examiner will be responsible for liability claims and property damage claims to their conclusion in the most cost-effective way possible for the client. In addition, the Claims Examiner will be responsible for recognizing claims involving coverage issues and present them to the Claims and...
Responsible for handling large volume of executive line claims, including D&O, E&O, Cyber, Crime, and Employment Practices. Guide clients through claims process and assist with accessing carrier resources. Analyze coverage and oversee and ensure timely reporting of claims . Advise and c...
The successful candidate will investigate, evaluate, negotiate and settle Auto claims by telephone and correspondence. Ability to conduct telephone investigations, evaluate, negotiate and settle first and third party commercial lines claims. ...
As an Associate Auto Claims Advisor, your responsibilities include handling non-injury claims. We are actively hiring for an Auto Claims Adjuster. You will be setting expectations about the claims process with the member, obtaining police reports, and witness statements, reaching out to other adjust...
Medical Billing & Claims Specialist. Prepare and submit billing data & medical claims to insurance companies. Investigate the insurance claims and communicate with stakeholders. If you are an experienced Medical Billing & Claims Specialist,. ...
To analyze high-level 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. Workers Compensation Claims Examiner | Long Beach...
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...
Audit medical claims received from providers for adjudication accuracy. This includes both professional and institutional claims of all types. Assist with new compliance regulation implementation related to claims accuracy. Collaborate with team members to identify and mitigate compliance risk for c...
Experience: Generally, 6 to 10 years of experience handling California Workers'pensation claims. ...