The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlem...
The PACE Claims Examiner/Data Specialist is responsible for processing professional and hospital capitated full risk claims in accordance with the individual provider contract and Medicare and Medi-Cal billing guidelines and processes claims. ...
The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlem...
Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, technical specialist, claims manager or similar role sufficient in one more of the following states to develop a high degree of technical expertise: CA, FL, TX, GA, or SC. O...
The Auto/PD Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Investigates claims and handles complex 3rd party Auto and General Liability claims, including litigation. Assists other claims professionals with more complex or ...
The Property Claims Field Adjuster ll will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Company and...
The client is seeking a highly motivated an experienced TEMP - Claims Resolution Specialist (Customer Service) to join our team. The Claims Resolution Specialist will be the first line of contact for the client’s providers. The incumbent will assist providers with questions related to the payment of...
The Property Claims Field Adjuster will learn 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 expense to the Compa...
The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision, supporting the goals of claims department and of CorVel. CorVel in Rancho Cucamonga, CA is seeking a full time Medical Only Claims...
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...
The Auto/PD Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Investigates claims and handles complex 3rd party Auto and General Liability claims, including litigation. Assists other claims professionals with more complex or ...
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...
The Senior Liability Claims Specialist manages within company best practices complex and non-complex Liability claims. CorVel in is seeking a Senior Liability Claims Specialist. Investigates claims and handles 1st and 3rd party Auto and General Liability claims. Assists other claims professionals wi...
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...
The Property Claims Field Adjuster ll will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Company and...
The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlem...
The Claims Assistant will assist and support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific needs of the customers. Process mail, handle files (until paperless), and input notes/diary entries in the claims s...
The Billing Specialist will have excellent communication skills and a high level of professional service to clients, management, attorneys and other staff in order to effectively, efficiently and successfully administer monthly billing, and research, respond to and resolve inquiries or discrepancies...
The Collector performs A/R collections and billing involving multiple insurance contracts & entities. ...
Medical Billing Company seeks Medical Biller / Collector for multiple full-time positions in our expanding, multi-client operation based in Corona, CA. A minimum of 1 year of experience in medical billing. ...
Utilize in-depth knowledge of medical billing codes to ensure accurate and compliant billing practices. Are you looking to do meaningful and impactful work in the world with people you enjoy? Are you a detailed oriented individual with strong knowledge in medical billing? If so, we are looking for y...
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...
The EHR Application Specialist I is responsible for the ongoing design, build, testing, validation and ongoing support of mission critical application(s). ...
Responsibilities include determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance with applicable laws; and identifying opportunities for, managing subrogation of claims, and negotiating settlements. The Workers Compensation Risk Analyst ...
The customer service representative will be responsible for answering client inquiries, provide product information, and help the customer by being informative, empathetic, and eager to quickly solve a customer’s problem. Excellent customer care and focus; ability to assess customers’ needs and prov...