Claims manager in maintaining the workflow and processes, in order to achieve set goals. Review and release professional and institutional claims. Process Member Reimbursement claims. ...
To analyze complex or technically difficult general liability 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 require...
The Claims Examiner III ensures that claims are processed according to department standards and assists the Claims manager in maintaining the workflow and processes, in order to achieve set goals. Responsibilities: Review and release professional and institutional claims Process M...
Claims Examiner - Auto Liability. To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims, including bodily injury ...
The Medical Claims Examiner will ensure all claims received comply with all health plan, regulatory, contractual, compliance, and Alivi billing guidelines and processes. SUMMARY This position is intended to provide billing and claims management support to Alivi Specialty Networks and Business Proces...
To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are proper...
A company is looking for an Auto Estimator. ...
A company is looking for a Claims Adjuster for Workers Compensation in CO & AZ Jurisdictions. ...
A company is looking for a Claims Representative - Liability. ...
A company is looking for a Claims Configuration Program Manager. ...
A company is looking for a Rx Claims Analyst for a national remote position. ...
A company is looking for a Third Party Liability Representative. ...
A company is looking for a Manager of Card Fraud Claims. ...
A company is looking for a Workers Compensation Claims AssistantKey Responsibilities:Perform basic claim handling functions such as data entry, bill payment, and ordering reportsInteract with clients, attorneys, and vendors to gather data and schedule appointmentsProcess medical only claims, review ...
A company is looking for a Claims Adjuster - Workers Compensation/Indemnity in VA Jurisdiction. ...
Key Responsibilities:Sets up new claimsProcesses mail, handles files, and inputs notes/diary entries in the claims systemAssists claims examiners with telephone callsRequired Qualifications:High school diploma, college degree preferredSix months of service-oriented office experience preferredPC lite...
Key Responsibilities:Meeting production standards based on determining recovery potentialInitiating contact with insurance carriers and attorneys to investigate claimsProviding exceptional customer service and maintaining detailed case notesRequired Qualifications:High School Diploma or equivalent18...
A company is looking for a Claims Processor 1. ...
A company is looking for a Claims Clerk for a national remote position. ...
Key Responsibilities:Determine compensability and/or coverage issues for loss time workers' compensation claimsEffectively manage a caseload of loss time claims from multiple jurisdictions, including PA, MD, MA, and VANegotiate and direct settlements under management's reviewRequired Qualifications:...
A company is looking for a Manager, Claims Performance Solutions. ...
Key Responsibilities:Maintain knowledge of DMEOPS CPT and ICD-10 codesReview and resolve unpaid, short paid, and denied claimsFollow up with insurance companies, submit corrected claims, and file appealsRequired Qualifications:High school education or equivalent5+ years of related experience in insu...
A company is looking for a Darwin Claims Analyst. ...
A company is looking for a Leave Claims Analyst. ...