The Claims Investigator should demonstrate proficiency in the following areas:. ...
Job Title: Claims Adjuster - Workers Compensation. 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 handlin...
Workers’ Compensation Claims Specialist. You’ll maintain phone and written contact with all necessary parties to verify coverage and to investigate, manage and resolve medical-only claims promptly and accurately. This is an excellent career opportunity as a Claims professional. Generally, 6 to 10 ye...
Review claims for accuracy and ensure that claims are clean; contact providers as needed to clarify or verify billed services; educate providers on error/omissions in submitted claims. Review pending claims, audit for errors, post final claims. Our client, a North County healthcare company, is looki...
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...
To analyze complex or technically difficult healthcare, environmental, management, executive, cyber, professional liability, error and omissions, and complex liability claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within company sta...
This position would be a support role to assist the Claims Divisions with performing administrative duties such as establishing new claims, responding to agent/broker inquiries, and assisting the claims adjusters with vendor communication, payment of expense invoices, sanction screening, file closur...
To analyze complex or technically difficult general liability 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 require...
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 mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. To analyze mid- and higher-level general liability claims to determine ben...
Team Lead - Medicare Specialist.This position is responsible for providing support in developing, implementing, managing, and meeting or exceeding the operational goals of our clients and Company.The Team Lead will and may work closely with their team, project supervisors, operations managers, and t...
Senior Claims Adjuster in the Agribusiness department . Manage the coverage, liability and investigation of caseload of agribusiness related claims. Responsible for reserving, negotiation, strategy and resolution of claims. Work closely with legal counsel and defense to investigate, resolve and...
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...
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...
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...
Review claims for accuracy and ensure that claims are clean; contact providers as needed to clarify or verify billed services; educate providers on error/omissions in submitted claims. Under the limited supervision of the Manager, the Senior Claims Processing Analyst is responsible for highly-accura...
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 Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. ...
As an Associate Auto Claims Advisor, your responsibilities include handling non-injury claims. We are actively hiring for an Auto Claims Adjuster. You will be setting expectations about the claims process with the member, obtaining police reports, and witness statements, reaching out to other adjust...
Investigates and maintains claims:Reviews and determines coverage and/or liability. Works towards 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 ha...
Patient Account Representative.Insurance Patient Account Representative - Medicare Emphasis.Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances.All client policies and procedures are followed.Representatives ...
AOE/COE, Auto, or Homeowners Investigations.Writing accurate, detailed reports.Strong initiative, integrity, and work ethic.Securing written/recorded statements.Possession of a valid driver’s license.Ability to prioritize and organize multiple tasks.Computer literacy to include Microsoft Word and Mi...
You’ll be responsible for handling claims according to prescribed authorization and claims best practices. Maintains current knowledge of insurance and applicable product/services; court decisions which may impact the claims function; current guidelines in the claims function; and policy changes and...
Providence is seeking an Epic Applications Analyst – AP Claims, who will:. ...
Claims Service Representative I - Early Response. 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:. Assess cl...