The Doctors Company is seeking an experienced Claims Specialist to join our Claims Team in Georgia. The Claims Specialist independently and pro-actively manages the medical malpractice and/or dental claims for assigned members. Monitors and reviews all new claims for designated members and establish...
Work with the ACA Commercial Stakeholders, ensure timely reconciliation of claims for encounter submission deadlines; while also meeting the needs of Revenue Integrity’s internal market and product customers. ...
Join Chubb as an Entry-level Workers Compensation Medical Only Claims Examiner in our Southeast Region! This role, based in our Alpharetta, Georgia office, offers a hybrid work arrangement—three days in the office and two days remotely. Handles all aspects of workers’ compensation medical only claim...
A minimum of 10 years of Georgia workers' compensation claims adjusting experience with higher exposure claims is required. Our service in claims and loss control is second to none. Senior Claims Specialist position. Your role would be to investigate and adjust workers' compensation claims with high...
You will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care claims. Long Term Care Claims Representative – Payment Se...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims ha...
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...
Does your claims management job feel stale? A process driven organization can lose sight of the true purpose of managing claims -- good outcomes on each claim. Most of our strongest competitors over the years, all of them process driven in their claims handling, are no longer in business. Our servic...
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 client service req...
Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empathy and understanding and explains policy coverages and claims processes to customers. Responsible for handling claims having moderately complex negligence, compensability,...
As a SkillBridge Claims Assistant at EPIC Brokers, you will train for a crucial role in supporting our clients throughout the claims process. Set up new claims and follow up on ongoing cases utilizing the Agency Management System. Create and maintain claims reports using Microsoft Office (Excel). Co...
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...
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...
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, ...
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, ...
Successfully negotiate the settlement and disposition of bodily injury and property damage claims; interpret related claims documentation. Five (5) years of Claims Examiner experience is required; Ten (10) or more years is preferred with a consistent high level of performance and achievement in hand...
As a SkillBridge Claims Assistant at EPIC Brokers, you will train for a crucial role in supporting our clients throughout the claims process. Set up new claims and follow up on ongoing cases utilizing the Agency Management System. Create and maintain claims reports using Microsoft Office (Excel). Co...
Specialist I, Claims & Revenue. Specialist I, Claims & Revenue. ...
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...
Estimator for their Georgia location. The Senior Estimator position is responsible for using a combination of past experiences and project specifications to accurately project the number of materials, equipment, and man hours that must be utilized to complete a given project. ...
Provide Call Center support to individuals affected by Natural Disasters (Hurricanes, Flooding, Fires, etc.Taking calls and filling out forms for affected individuals seeking relief funding.Need to be available for flexible 7 days a week between 7am-12pm 40HR Work Weeks.Strong phone presence, handli...
Mechanical Estimator: Industrial (NOT REMOTE) In person in Statesboro or Savannah, GA. The Sack Company, is looking for a Mechanical Estimator. Job Description: Estimator - Industrial Mechanical Projects. The Sack Company is seeking a highly skilled Estimator with a proven track record in estimating...
We are urgently seeking an experienced Glass and Glazing Estimator to join our client’s team. Proven experience as a Glass and Glazing Estimator, preferably in commercial settings. ...
Success as the Commercial Electrical Estimator means accurately estimating costs for commercial electrical installations and efficiently managing projects from inception to completion. Responsibilities for the Commercial Electrical Estimator:. Requirements for the Commercial Electrical Estimator:. ...
We are looking for a dedicated and empathetic Outbound Call Center Representative to join our Patient Services team. Previous experience in a call center or customer service role is preferred, particularly in a healthcare setting. ...