A Managerr within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. ...
A company is looking for a Claims Review Representative 2 responsible for analyzing overpaid claims and making determinations based on claims procedures and guidelines. ...
Company is looking fora claims adjuster to help handle insurance claims on behalf of several insurance carriers. ...
A company is looking for a Claims Analyst to manage reimbursement claims and vendor invoices related to mortgage servicing. ...
Claims Examiner in an IPA, Medical Group, or Health Plan and knowledge of HIPAA and AB1455. IPA setting claims processing experience. CLAIMS PROCESSING CA HERITAGE SERVICES. ...
A company is looking for a Specialty Liability Claims Manager to manage claims and improve overall claims management processes. Key Responsibilities:Review and analyze claims information to develop effective claim strategiesPartner with third-party administrators to evaluate claims strategies for re...
JOB TITLE: Claims Examiner - Days LOCATION: 9557 Greenleaf Avenue, Whittier, CA SHIFT: Monday - Friday - 07:00am - 03:30pm PLEASE NOTE ORIENTATION TIME MAY DIFFER THAN SHIFT TIMES LISTED DURATION - 13 weeks *** 2 YEARS EXPERIENCE REQUIRED - MUST BE ABLE TO VERIFY HS DIPLOMA or GED or HIGHER EDUCATIO...
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...
This position is contingent upon CMS funding approval - Mid-level professional performs medical record and claims review for Medicare, Medicaid, and/or other claims data in order to ensure that proper guidelines have been followed. As a member of an investigative team, may act as a facilitator as we...
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...
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Develop a plan of action for assigned claims and update the claims file following all material changes in st...
The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or health agreements, established payment metho...
Description: 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 clien...
Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's responsibility for lost wages, medical benefits, and permanent impairment. Workers Compensation handling California Claims. ...
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather necessary claim information, managing the claim process from the initial request to the return to work.Collaborating with fellow case managers, nurse case managers, and consulting physicians ...
Set up and enter new claims into Claims Management System. Our client, is in need of a Claims Assistant to work in their Irvine, CA office. The ideal candidate will have 2+ years of experience assisting with the handling of various types of claims. ...
To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Workers Compensation Claims Examiner | Long Beach...
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...
Expert en responsabilité civile commerciale / Claims Adjuster - Liability/Commercial. PRIMARY PURPOSE: Effective adjudication of specialized multi line general liability claims of various complexities within company standards and industry best practices. Manage all aspects of general liability claim...
Claims Service Representative I - Early Response Weekend. When you join the Auto Club as a Claims Representative, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. As a representative within our Claims department you will:. A...
Manages/adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations; determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses; inspecting claims sites as required, assigning external vendor...
This position reports to the Supervisor, Claims Operations in a production environment and is responsible for supporting the claims department by preparing claim receipts and all related correspondence for the department. Johnson Service Group (JSG) is seeking a Claims Clerks in Irvine, CA. Claims e...
The Claims Administrator provides administrative support to the claims team through the new claims process. Input new claims information into Claims System. Assist with review and intake of new claims received by telephone, mail or email. Manage assignment of new claims. ...
Prior experience as consultant working on damages and investigative work in support of contractual disputes, dealy claims, and litigation. ...
Workers' Compensation Claims Supervisor - Lead a Dynamic Team in Orange, CA We're seeking an experienced and motivated Workers' Compensation Claims Supervisor to join our team in Orange, CA. As a Supervisor, you'll lead a team of 8, including 6 Claims Adjusters and 2 Claims Assistants, providing gui...