Attend and participate in Claims Review Committee meetings to provide strategy on claims file management. Bachelor's Degree with a minimum of 3 years of claims experience (bodily injury claims experience a plus); OR. JD with a minimum of 3 years of claims experience (bodily injury claims experience ...
The Claims examiner l will handle claims in accordance with established James River Claims Best Practices. Claims Examiner - Claims Specialist. The Claims Examiner l will manage a caseload of low to moderate severity/complexity property and casualty insurance claims under a moderate level of supervi...
Commission based: $35,000 to $150,000 Annually.Positive impact fighting for fair treatment of others; unlimited income potential; excellent training environment; flexible #x201D;....
Lead Orchestration of batch and real-time predictive analytic solutions for Claims projects leveraging Azure Data Factory, Databricks, Function Apps and other tools. Manage the development and deployment lifecycle of batch and real time analytics services for Claims projects. Claims experience in an...
Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments. Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures. Maint...
IAT Insurance Group has an immediate opening for a Claims Quality Auditor Specialist located in our Raleigh, North Carolina office. This position is responsible for working collaboratively with business partners to ensure compliance with IAT Best Practices and continuously supporting the improvement...
Come join our amazing team and work remote from home!The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans. Take on department projects from start to completion that falls within the scope of the Claims Recovery & Analysis Department...
Handles complex insurance and contractual coverage issues, with a primary emphasis on complex high exposure liability claims. Managing a team of adjusters in the investigations, vehicle inspections, and resolves complex and high exposure claims, as well as directs outside vendors, independent adjust...
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...
Evaluates settlement alternatives by reviewing regulatory compliance and fair claims practices; makes decisions on best option. ...
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...
Our client, an A-rated Insurance Carrier, is seeking to add a Workers' Compensation Claims TPA Oversight Specialist This person would be responsible for promptly evaluating and reviewing New Jersey and Pennsylvania Workers’ Compensation claims handled by Third Party Administrators (TPA) for adherenc...
Come join our amazing team and work remote from home!The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing FHA mortgage insurance claims for accuracy and submitting the claim form for filing. What you’ll do:Review FHA claims for accuracy within the inve...
Adhere to the Claims Support schedule to ensure call service levels are met and customer satisfaction remains high. Report any challenges, defects with workflows to Claims Support Supervisor. Demonstrate proficiency with ImageRight, 8×8 and Advanced Claims. Issue payments for claims file expenses as...
To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. Manages workers compensation claims determining comp...
Settle claims within settlement authority, where applicable. Process incoming and outgoing claims and vendor payments. ...
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...
The Finance & Accounting Representative is responsible for accurate billing of hospital claims according to payor guidelines resolving claim edits claims processing claims follow up activity resolving denied claims and special collections. ...
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...
Lead Orchestration of batch and real-time predictive analytic solutions for Claims projects leveraging Azure Data Factory, Databricks, Function Apps and other tools. Manage the development and deployment lifecycle of batch and real time analytics services for Claims projects. Claims experience in an...
The Patient Accounts Representative is responsible for following up on hospital accounts in an accurate and timely manner and follows guidelines that result in the most complete reimbursement possible and possess knowledge of payor guidelines.Working knowledge of insurance and managed care industrie...
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...
IAT Insurance Group has an immediate opening for a Claims Counsel in our Management Liability Claims Unit that can be located in any of our IAT locations. This role is a true complex claims handling role that is tasked with managing all lines of Management Liability Claims under our Management liabi...
We are recognized as a premier company, continuing to increase our role as a national leader in the claims service field. Investigates, estimates, evaluates, negotiates and reports property and casualty claims, involving work both inside and outside the office. College bachelor's degree or equivalen...
Responsibilities include finalizing claims processed electronically for payment and reviewing claim adjudication results for both Title XIX and non-title XIX claims, payment, and denial patterns, ensuring adjudication accuracy in the claims processing system, adhering to policy and procedures, respo...