The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
The TSM Claims Specialist supports the overall operations of the transportation services. We are seeking a candidate that has prior experience supporting internal customers with transportation inquiries including freight quoting and processing and managing freight claims. Responsibilities include, b...
The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
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...
The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. This position will be responsible for the investigation and resolution of lower to medium complexity and lower to medium exposure claims. These claims will consist of non-litigated and litigated matters. ...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve moderate to severe property damage claims by phone. Prior insurance field/property claims handling or adjusting experience. Ability to handle claims of var...
To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant. Revises case reserves in assigned claims files to cover probably costs. Claims industry experience preferred. Knowledge of profess...
Encova Insurance has an opening for a Claims Analyst reporting to the Director, Claims Product and Operations. The Claims Analyst role evaluates and implements claims best practices and assesses the effectiveness of their execution. Collaborate with claims leadership to recommend learning and develo...
Report weekly to the Billing and Collections Manager on denial reasons and payor issues. Respond daily to denial issues identified by billing services. Coordinate with Billing and Collections Manager for AR management. Train with billing team to learn roles for backup support; including but not limi...
The Field Adjuster will investigate and evaluate daily property claims for clients pursuant to client and company direction. Understands insurance coverage and applies appropriate claims practices to resolve claims in alignment with company guidelines. Handles all assigned claims promptly and effect...
LH & HP is recruiting for a talented professional to join its team as a Billing Specialist. This full-time position is responsible for a variety of complex billing functions. Candidate must have the ability to rely on experience and judgment to ensure the integrity of the billing, accounts recei...
Insurance claims consultant professionals provide strategic direction for the Claims Practice with exceptional leadership skills. Candidate has deep understanding of claims processes, operating models, regulations, and emerging trends in the space. Minimum 7 years' experience of demonstrated deep ex...
Regularly meet with the Revenue Cycle Supervisor to discuss and resolve reimbursement issues or billing obstacles. High school diploma with at least two years of experience in healthcare, billing, and alternate payor reimbursement claims processing. Knowledge of insurance, managed care, PPO, FQHC bi...
Network Health is seeking a Claims Analyst (ASO) who will be responsible for medical claim analysis for the Network Health Administrative Services Only (ASO) line of business. Responsibilities for this position will also include benefit determination ensuring claims are processed accurately and time...
Working knowledge of compliance related regulations such as coding, billing, documentation requirements, Local and National Coverage Decisions, National Comprehensive Coding Initiatives, Medicare/Medicaid billing regulations, the HIPAA Privacy Rule, etc. Note: this role will focus on Hospital Billin...
My client is looking for a driven estimator to review project plans and develop and execute competitive estimates along with a range of other responsibilities working directly with the Chief Estimator. My client is seeking a driven estimator to join our team in a pivotal position working directly wi...
Primary DetailsTime Type: Full time Worker Type: Employee Assist with Crop claims field inspections, investigations, customer communications and administering insurance policies to ensure compliance with state and federal regulations. The purpose of this role is to investigate and process crop claim...
To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Performs coverage, liability, and damage ana...
Manage general liability claims while under the general supervision of the Senior Claims Director. Actively track open claims and interface with Miller Pipeline’s insurance carriers, physicians, and other third parties to ensure that claims are being managed aggressively. Receive initial notificatio...
Business Analyst - Long-Term Care Claims. Three or more years of experience translating technical goals and requirements into real action for clients in Healthcare, Long Term Care, or Claims. ...
Job Title: Commercial Construction Estimator. Position Overview: We are seeking a talented Commercial Construction Estimator to accurately estimate costs associated with commercial construction projects. ...