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...
Field Claims Investigator . Complete damage investigations within 7 days and then work with and support our claims managers to complete the investigation and begin the recovery process . Computer, with high internet access, to upload and download report...
Oversee the Claims Examiner Department, optimizing claims processing to maximize client savings. Immediate need for a Claims Manager in the Miami, FL. In this role, you will supervise and manage day-to-day claims operations, ensuring quality and compliance with industry standards and state regulatio...
Performs a combination of duties in accordance with departmental guidelines:Manages an inventory of moderate to high complexity and exposure claims by following company protocols to verify policy coverage, conduct investigations, develop and employ r Claims Specialist, Financial, Claims, Specialist,...
This position will work closely with Credit and Collections, Sales Department, Traffic Claims to research open invoices, and to process pending open claims in a timely manner. In this role, will also maintain compliance with company guidelines, and w Claims Specialist, Claims, Specialist, Insurance,...
Candidates must reside within 30 miles of Office Address: 14505 SW 27th Way, Suite 100, Miramar, FL 33027.In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable.High School diploma/GED ...
Completes all medical claims adjudication tasks twice monthly including, tracking all claims in system, verifying referrals/authorizations, entering new providers, working expectations generating remittance notices, file transmissions and mailing checks per established department protocol. Completes...
The Credit and Collection Manager - Claims has the responsibility of leading and coordinating activities related to credit management, collections and claims administration. His main objective is to ensure efficiency in the recovery of outstanding accounts and the effective resolution of claims, thu...
We are looking for a Claims Manager that supervises and manages day-to-day claims operations, including claims evaluation, adjudication and customer service in accordance with agreed quality and production standards. Process claims in a timely manner and complies with industry fair claims practices ...
Handle a personal queue of medical claims from start to finish. Approve claims for payment according to departmental guidelines. Set up and scan new claims for processing. ...
Complex Claims Desk Adjuster - Property. To handle losses and claims for property and casualty insurers. Revises case reserves in assigned claims files to cover probable costs. ...
VITUS Search Group is looking for an experienced Workers Compensation Claims Supervisor in Massachusetts area. Based on New England Claims experience. MUST MUST HAVE LICENSES & EXPERIENCE AS NEW ENGLAND WORKERS COMPENSATION CLAIMS ADJUSTER**. We are seeking a Workers Comp Claims Supervisor ...
Auto Liability Bodily Injury Claims Examiner. To analyze and process complex auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims...
Completes all medical claims adjudication tasks twice monthly including, tracking all claims in system, verifying referrals/authorizations, entering new providers, working expectations generating remittance notices, file transmissions and mailing checks per established department protocol. Completes...
Completes all medical claims adjudication tasks twice monthly including, tracking all claims in system, verifying referrals/authorizations, entering new providers, working expectations generating remittance notices, file transmissions and mailing checks per established department protocol. Completes...
Completes all medical claims adjudication tasks twice monthly including, tracking all claims in system, verifying referrals/authorizations, entering new providers, working expectations generating remittance notices, file transmissions and mailing checks per established department protocol. Completes...
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...
Completes all medical claims adjudication tasks twice monthly including, tracking all claims in system, verifying referrals/authorizations, entering new providers, working expectations generating remittance notices, file transmissions and mailing checks per established department protocol. Completes...
As a Claims Training and Quality Analyst, you will oversee and conduct various testing activities related to contract validation, benefit engine functionality, fee schedule accuracy, and other IT-driven initiatives within the claims processing environment. Conduct claims audits to review processed c...
Responsibilities:• Experienced claims processor, claims examiner to process hospital claims "UB-04" and physician claims collections "CMS 1500", claims adjudication, coding and claims coverage determination• Must have extensive knowledge of hospital and physician billing and collections, knowledge o...
Hiring a Medical Insurance Claims Manager in the Coral Gables area. Responsible for leading a team of 7 claims processors. Manage the claims and repricing departments to ensure proper workflow is conducted. Monitor timelines and constantly communicate via e-mail with clients to follow up on claims h...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
Focusing on the accurate and timely processing of content claims, via the use of edjuster’s claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system – exclaim. Work with Central Claims Processing to organize/direct the resources (claims...
Commercial Auto Claims Representative - Liability. To analyze and process low to mid-level auto physical damage claims. Commercial auto claims experience is preferred. Processes auto property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctl...
The Claims Examiner / Corporate Representative will serve as the designated corporate representative for the client in property claims litigation. Collaborate with defense counsel and claims management to implement fair and consistent strategic actions. Stay current on claims-handling statutes, lega...