As part of the Price Optimization division, this role will be depended on as an Operations SME to support clients through areas including but not limited to implementations, escalated routing/pricing issues, data intel, and product nuances to provide a favorable client experience.This role will also...
We are growing and in search of an experienced Claims Computer Operations Specialist to join our team!. The Computer Operations Specialist will coordinate and maintain our Property and Casualty Claims processing systems and procedures, ensuring that efficiency and user satisfaction are maintained. I...
Expert Claims Review initiatives centered around handling of medical pre-payment and post-payment claims for accurate claim payment review through our suite of solutions. Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR prod...
AND RESPONSIBILITIES:Triage incoming emails in P&C Claim Inbox and report new claims to the applicable insurance carrier(s)Promptly and effectively manage the reporting of new claims. Ability to identify which policy(ies) apply to a claim incident/s Claims, Associate, Skills. ...
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...
Our client is committed to delivering top-notch service to their clients and needs a new member of the staff to help with that goal! We are seeking a detail-oriented and experienced Health Insurance Claims Adjuster to ensure fair and accurate claims evaluations. Investigate and evaluate health insu...
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...
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...
We have a great opportunity for individuals with medical coding and medical insurance experiences! We have full time, first shift claims adjuster roles with a great company in Clearwater! This client does offer PTO and insurance when you are hired into the company. Work with individuals to review in...
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...
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims professional to join our team. Claims may be either first or third. Meet with people involved with commercial auto claims, sometimes outside of the office. Handle claims activities and investigations by phone, mail, ...
Claims Center Specialist Certification required. ...
Negotiates and settle claims in accordance with Citizens Best Claims Practices and Estimating Guidelines and industry standards. The position is responsible for the investigation, evaluation, negotiation and settlement of personal and commercial claims of moderate complexity, including dispute resol...
Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries. Understand broad strategic concept...
Identifies inappropriate or questionable claims and refers to Claims Analysts for review. Researches all complex claims, disputes and appeals thoroughly to make accurate payment decisions in a timely manner with input from the Claims Analysts for quality assurance. Responsible for the accurate and t...
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Planning and organizing daily workload to process claims and conduct inspecti...
The Claims & Call Auditor audits processed medical insurance claims and customer service calls to ensure validity, accuracy, and compliance with appropriate policies, procedures, and regulations. Claims and Call Auditor (Call Center QC) - Clearwater, FL. In accordance with company guidelines, perfor...
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...
Previous experience in medical claims processing, including reviewing claims, denials, and member eligibility. Remote - Medical Claims Resolution Specialists needed,. In this role, you will be the point of contact regarding claim issues, providing exceptional support and ensuring a smooth clai...
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. ...
Independent responsibility for managing medium and complex claims of assigned clients. Acts as an advocate and claims specialist to provide support to clients, claimants, Producers, and carriers;. Provides initial and on-going advocacy on claims including detailed analysis, interpretation, consultat...
Commercial and/or Personal Lines Claims Representative positions. Prepare and submit First Report of Claims to carriers. Document, track, and facilitate claims assignments. Work in agency management system to document communications and track claims. ...
Claims Center Specialist Certification required. ...
The Executive Specialist will handle a regular diary of Cyber claims and must have experience handling first-party Cyber claims. Experience handling Cyber claims is required, and prior experience in Professional Liability, Commercial Crime and/or D&O claims is also preferred. Our claims and risk eng...
Manage workflow of the claim teams including Claim Representatives, Claims Consultants, and Claims Account Executives. Resolve unique or high priority coverage /claim issues involving producers, clients or company personnel, which may give rise to potential E&O claims. Assist Regional Claims Leader ...