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. Minimum one year of experience capitated risk claim proce...
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...
Manages, investigates and resolves assigned high severity Property Loss claims under limited supervision. May assist Customer Claims Representatives with in-person inspection/policyholder contact where necessary. Investigates, determines coverage of loss and adjusts all elements of Property Loss cla...
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 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...
CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department. They will work closely with other members of the Commercial Services Operations team providing root ...
The Auto/PD Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Receives claims, confirms policy coverage and acknowledgment of the claim. Investigates claims and handles complex 3rd party Auto and General Liability claims, inc...
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 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 Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department a...
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...
Manages, investigates and resolves assigned high severity Property Loss claims under limited supervision. May assist Customer Claims Representatives with in-person inspection/policyholder contact where necessary. Investigates, determines coverage of loss and adjusts all elements of Property Loss cla...
Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or *** Health agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and compa...
Manages, investigates and resolves assigned high severity Property Loss claims under limited supervision. May assist Customer Claims Representatives with in-person inspection/policyholder contact where necessary. Investigates, determines coverage of loss and adjusts all elements of Property Loss cla...
Our Claims Legal Specialist will act as an expert on requirements to properly resolve matters when Sentry is faced with a conditional demand from counsel for a claimant. Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, tec...
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 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 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...
We're looking for candidates with great customer service skills to fill our Remote Customer Service role!.This role is entirely remote and offers full-time/Part time hours with flexibility .We are ready to schedule interviews for this week.We're seeking someone who is great with people, building rel...
Remote position (Work from home). Comfortable working remotely and independently. ...
Remote position (Work from home). Comfortable working remotely and independently. ...
The Auto/PD Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Receives claims, confirms policy coverage and acknowledgment of the claim. Investigates claims and handles complex 3rd party Auto and General Liability claims, inc...
As part of this position, you have the opportunity to work 100% remotely, collaborating with an exceptional team from the comfort of your home or office. Must be willing and available to work a minimum of 20 hours per week. By providing tax advice, full service return preparation, tax calculations, ...
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