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 workers compensatio...
Specialist I, Claims & Revenue. Specialist I, Claims & Revenue. ...
Work with the ACA Commercial Stakeholders, ensure timely reconciliation of claims for encounter submission deadlines; while also meeting the needs of Revenue Integrity’s internal market and product customers. ...
Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empathy and understanding and explains policy coverages and claims processes to customers. Responsible for handling claims having moderately complex negligence, compensability,...
The positions will focus on losses in a nationwide book of surplus lines business, including primary and excess claims under commercial general liability policies (CGL) with a focus on construction defect and other construction related claims. We emphasize teamwork, collaboration – among underwritin...
The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. The Doctors Company is seeking an experienced Claims Specialist in our Region III. Monitors and reviews all new claims for designated members and establishes a plan of action to achieve ...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims ha...
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...
Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to...
Does your claims management job feel stale? A process driven organization can lose sight of the true purpose of managing claims -- good outcomes on each claim. Most of our strongest competitors over the years, all of them process driven in their claims handling, are no longer in business. Our servic...
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...
Successfully negotiate the settlement and disposition of bodily injury and property damage claims; interpret related claims documentation. Five (5) years of Claims Examiner experience is required; Ten (10) or more years is preferred with a consistent high level of performance and achievement in hand...
Assist with reviews and assesses the claims process to identify efficiencies that will result in reduction of our loss adjustment expense and to bring them to the attention of the Vice President of Claims. Assist with supervising the claims reporting activity in the internal office and the dispositi...
Join Chubb as an Entry-level Workers Compensation Medical Only Claims Examiner in our Southeast Region! This role, based in our Alpharetta, Georgia office, offers a hybrid work arrangement—three days in the office and two days remotely. Handles all aspects of workers’ compensation medical only claim...
A minimum of 10 years of Georgia workers' compensation claims adjusting experience with higher exposure claims is required. Currently we have an opening for a Field Claims Specialist in your region. Our service in claims and loss control is second to none. Field Claims Specialist position. ...
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...
Up to $22 per hour / Benefits - As a Claims Associate you'll: Evaluate claims to determine whether they qualify for reimbursement; Deliver exceptional service to members via phone, chat, and email, offering education and guidance to help them navigate the Garner claims process; Follow documented bes...
As a Commercial/Specialty Casualty Adjuster, you will be responsible to resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, ...
Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You will be responsible for working within a structured environment with established Standard Operating Procedures to ensure consistency o...
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The Veterinary Receptionist is responsible for maintaining front of house duties. ...
Reporting directly to MSC Member Experience Director, The Member Service Center Receptionist attends to visitors and deal with inquiries on the phone and face to face as well as supply information regarding the organization to the public, clients, and customers. ...
SEEKING COMMERCIAL DRYWALL PROJECT MANAGERS & ESTIMATORS. I am working with multiple well-respected, firmly established Commercial Drywall Contractors seeking experienced Project Managers and Estimators. Commercial Drywall Project Manager OR Estimator Experience Required. If you have the followi...
Customer Service Representative. We want you to join our team as a Customer Service Representative. As a Customer Service Representative, you will enjoy:. There is never a dull moment as you will be working around the store (inside and out) in many different areas to help maintain our high standards...
Client Service Professional/Receptionist. ...