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...
Providence is seeking an Epic Applications Analyst – AP Claims, who will:. ...
Job Description The Claims Specialist is responsible for accuracy of claims submission, benefits and eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping up to date accounts receivable for both CalAIM and IFMG, claim follow-up, ...
The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and guidelines as outlined by the company policy. Three (3) years of experience with processing all types of specialty claims such as Chemotherapy, Dialysis, OB and drug and...
Work closely with internal legal counsel, claims managers, and third-party administrators (TPAs) to ensure claims are handled efficiently and in line with company policies. Senior Workers’ Compensation Claims Adjuster. Manage and adjust complex lost time workers’ compensation claims from inception t...
As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met....
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...
The Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in be...
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...
To analyze California 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. Hybrid & Onsite) Workers Compensation Claims Hand...
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...
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...
Investigates and maintains claims:. 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 handling is conducted in compliance with applicab...
Claims Service Representative II - CasualtyThe Auto Club of Southern CA is looking for a Claims Service Representative responsible for investigation, evaluation and negotiation of low to moderate complexity claims in compliance with established company technical and customer service. Explain benefit...
The VP of Health Plan Claims and Operations will provide strategic leadership and development of the Claims Department and its employees, as well as collaborate with Network Development, Provider Affiliation and Member Relations, Contracting, and Benefits Administration to ensure data integrity and ...
Reporting to the Team Leader, the Claims Adjuster, Auto is responsible for providing a consistently high level of service by investigating insurance claims for insurers or third parties and negotiating settlement of the claims to the satisfaction of all parties. Manages comprehensive desktop investi...
The Workers’ Compensation Claims Adjuster must be knowledgeable of the California Labor Code and administration of claims. The Claims Adjuster is responsible for the prompt and efficient examination and investigation of claims. It is the responsibility of a Workers' Compensation Claims Adjuster to r...
Claims Adjuster - Property/Expert(e) en sinistres - Assurance de biens. To handle losses and claims for property and casualty insurers. Revises case reserves in assigned claims files to cover probable costs. ...
The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. ...
Responsible for auditing and training claims staff on all Managed Care claims received from outside providers to ensure the Claims Examiners processed and adjudicated them accurately and consistently in accordance with outside Provider Contracts, State, Federal, CMS, DMHC and Health Plan contracts, ...
The VP of Health Plan Operations and Claims will provide strategic leadership and development of the Claims Department and its employees, as well as collaborate with Network Development, Provider Affiliation and Member Relations, Contracting, and Benefits Administration to ensure data integrity and ...
VP of Health Plan Claims and Operations. One of our growing Healthcare clients is looking for a VP of Health Plan Claims and Operations. Responsible for the strategic leadership and development of the Claims Department. ...
The Claims Examiner I is in daily contact with team members, clients and providers. This position reports to the Claims Supervisor. Processes claims accurately, efficiently and within quality/quantity requirements. Has the ability to access research tools for accurate claims entry. ...
Our client is expanding their Workers' Compensation Department and seeking to add a Workers' Compensation Claims Adjusters to their California operation. This person would be responsible for handling California Workers' Compensation Indemnity claims from inception to close. Handle moderate to comple...
Understand and can work claims for all major crops, policy/plan types, in all stages of growth. Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions, or trials as necessary. Ensures that claims handling is conducted in compliance with applicable statues, ...