The Claims Operations Analyst is responsible for gathering, analyzing, specifying, and validating the business needs of stakeholders, including customers and end users. Serving as a crucial intermediary between business units and the IT team, this role aims to enhance claims operational efficiency a...
Bachelors Degree or equivalent experience in insurance claims or related field. ...
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...
Remote Data Scientist (Healthcare Claims). Healthcare background (medical claims/payment integrity). Healthcare background (medical claims/payment integrity). ...
Bachelor’s Degree or equivalent experience in insurance claims or related field . ...
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 has a need for a Property Claims Supervisor for their Jacksonville, FL claims office. This position is considered Direct Hire and the ideal candidate will have at least 7 years of professional claims experience. Years of Property Claims Experience. Management and Supervision of claims tea...
A minimum of five years of experience in Casualty Claims, Claims Handling, or as a Claims Analyst. Are you a seasoned professional with a knack for managing complex claims? Do you have a keen eye for detail and a passion for helping people navigate challenging situations? If so, you might be the per...
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join EAC Claims Solutions as a Desk Adjuster, where you will play a crucial role in resolving significant losses, including complex property claims. Under limited supervision, you'll investigate claims, nego...
Claims Representative - Auto Liability. 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. Perf...
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 Paul Davis Network is made up of more than 320 franchises across the US and Canada....
Must have claims experience in hospital or urgent care setting . Accurately processes claims in accordance with governmental and insurance carrier guidelines to meet billing requirements and maximize reimbursement. Translates claims from the patient accounting system to the electronic billing system...
Assigns new claims to the appropriate claims handler. Entry- Level, Bilingual Spanish, Customer Service and Claims Positions. To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as a customer liaison in assisting the customer with the correct co...
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...
Claims Administrative Support SpecialistAs a. You must reside within 30 miles of Progressive's Jacksonville Claims Office at. ...
Do you want to make an Impact in your community in a diverse and inclusive company, working in a dynamic and growing industry, while supporting your personal and professional journey in your career?.The Paul Davis Network is made up of more than 350 franchises across the US and Canada....
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. ...
We deliver operations, consulting and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation, customer experience, human capital, transformation, and change management. Davies Claims North America is looking for a. Repor...
SUMMARY: Responsible for handling all assigned claims to a proper conclusion. Investigate, validate, evaluate, negotiate, and settle all claims as assigned. Submit reserve recommendations on assigned claims. Communicate with customers and other Claims personnel regarding procedures, problems, and co...
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...
We are actively seeking a Claims Coordinator who will be integral to our team success. Basic understanding of the insurance claims process is advantageous. ...
The Doctors Company is seeking a Claims Administrative Specialist to support our Jacksonville, FL team. Also provides clerical and technical assistance to the assigned claims staff. Maintains specific, timely, accurate coding and file updates to support data warehouse searches for claims processing ...
GEICO is seeking an experienced Staff Engineer with a passion for building high-performance, low maintenance, zero-downtime platforms, and applications.You will help drive our insurance business transformation as we transition from a traditional IT model to a tech organization with engineering excel...
Property Claims - Desk Examiner. Property Claims - Desk Adjuster. Investigate, measure, and adjust homeowner property insurance claims, in-office, at Stillwater's Jacksonville, Florida headquarters. Determine claim values based upon claims handling experience, acquired documentation, legal liability...