Very strong, experienced senior PB Claims consultant with a history of participating in complex Claims and implementations. Epic PB Claims Analyst (Intermediate). Our client in FL is looking for Epic PB Claims to support them in a variety of ongoing projects, including optimization efforts and new b...
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. ...
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...
The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
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...
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...
With extensive claims and legal knowledge and expertise, the Senior TPA Claims Handler ensures optimal handling of all claims through to completion of sound claims settlements in line with company targets, policies, and procedures and will ultimately assist in implementing the company's business pla...
The workers’ comp specialist is responsible for the intake of all claims from the initial inception of the claim and report them to our Third-Party Administrator. ...
Does your claims management job feel stale? A process driven organization can lose sight of the true purpose of managing claims -- good outcomes on each claim. Most of our strongest competitors over the years, all of them process driven in their claims handling, are no longer in business. Our servic...
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...
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...
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...
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...
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 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...
As a Commercial/Specialty Casualty Adjuster, you will be responsible to resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, ...
The Claims Specialist will manage an assigned pending of various types of contract surety bond claims. Adjust contract surety bond claims by receiving claim assignments, communicating with claimants and principals, investigating claims, analyzing documentation, understanding coverage under the bonds...
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 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...
The Doctors Company is seeking an experienced Claims Specialist to join our Claims Team in Florida. The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for designated members and establishes a plan of a...
Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You will be responsible for working within a structured environment with established Standard Operating Procedures to ensure consistency o...