The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlem...
Software Engineering - Fraud disputes and claims. We are looking for a Director software Engineering to lead our modernization journey of Fraud disputes and claims processing. ...
Senior Manager of TPL Claims Programs- Hybrid. The position will oversee the operations and financial performance of Coordination of Benefits (COB) Claims and Retroactive Medicare Recovery Project business units. The successful candidate will have an extensive medical claims billing and processing b...
Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks. Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all sta...
Prepare file within Compulink for electronic claims; provide Claims Coordinator with rejected claims for rebilling. This position is responsible for discussing outstanding balances with patients, identifying accounts for collection, processing refunds, reviewing claims, and preparing files for elect...
Claims Specialist Medical Professional Liability - Peabody, MA. Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _. ...
How you'll make an impact: Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex wor...
Claims Examiner Worker's Comp - Cambridge, MA. Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp _. Looking to hire a Worker's Compensation Claims Examiner with hands-on experience mana. ...
This position is responsible for discussing outstanding balances with patients, identifying accounts for collection, processing refunds, reviewing claims, and preparing files for electronic claims and patient statements. NECO has an exciting opportunity in our Commonwealth Clinic for a Patient Billi...
This role allows you to use your strong coverage analysis and excess and surplus claims experience to be a key contributor to support our GRS goals and commitment to Win with Purpose! If you have experience with Excess and Surplus claims you are strongly encouraged to apply as this role does require...
This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specialized line of business. We are seeking a talented Complex Claims Consultant for our dynamic Cyber, Technology, Media, Misce...
Hancock leads the way in claims resolution services by complete nationwide coverage, fast, full-services claims inspections, and superior quality and accuracy. Our proven process is your assistance of high-quality claims support from rapid catastrophe response to direct inspections. Roofing and cons...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. This position will be responsible for the investigation and resolution of lower to medium complexity and lower to medium exposure claims. These claims will consist of non-litigated and litigated matters. ...
Professional liability and Error & Omission claims. Prior experience adjusting Professional Liability and Error & Omission Claims . ...
This Claims Team Manager will lead a team of Claims Specialists who manage a portfolio of Commercial Auto and General Liability claims to achieve the best possible outcomes and deliver an exceptional customer experience. Supervises the day-to-day operations for the claims staff by establishing prior...
The Claims/Field Investigator should demonstrate proficiency in the following areas: Multi-Lines Experience with an emphasis on Personal Lines Writing accurate and detailed reports Strong initiative, integrity, and work ethic Securing written/recorded statements Accident scene investigations Possess...
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...
Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working relati...
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...
This position often requires travel and extreme professionalism within the high net worth realm of claims. ...
Under limited supervision, investigate and resolve first and third party material damage, PIP, and BI claims which may involve coverage, liability, damage and legal issues. Inputs and retrieves information using the automated claims system, requests checks, form letters and other . Will assist in th...
The Claims Support Specialist position provides comprehensive administrative support as a part of the Client Experience. The Claims Support Specialist has responsibilities which include phone calls from members or providers as well as providing support to departments within Zelis Enterprise. A backg...
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...
Client is looking for System / Claims Analyst with encounter processing background (heavy claims processing experience) </b></p><p><b>Job Description:</b></p><p>Responsible for keying, processing and/or adjusting health claims in accordance with claims poli...
Our management liability claims team is currently seeking a Specialty Claims Consultant to join our growing team. Position can be remote based or at one of claims office locations. Fully responsible for the coverage analysis investigation evaluation negotiation and resolution of specialty and profes...