Withum is seeking an experienced health claims auditor possessing in-depth knowledge of group health and disability claims procedures, medical/dental terminology, including CPT, ADA, HCPC and ICDA codes, and a thorough understanding of automated health claims systems as well as manual claims payment...
A company is looking for a Senior Workers Compensation Claims Adjuster. ...
Performing claims oversight on claims with an expected value over $50,000 for guaranteed cost policies and at 50% of the retention for deductible and self insured business. Completing claims audits at TPA branch claims offices or online. The Claims Division is seeking a team member to join the Natio...
Key Responsibilities:Adjudicate or submit claims and adjustments as requiredTrack and trend performance of root cause analysis and provide additional training as neededResolve claims edits and suspended claimsRequired Qualifications:Work experience in claimsBachelor's degree or a combination of educ...
Claims Examiner will be responsible for recognizing claims involving coverage issues and bring to the Claims and Coverage Committees for referral to counsel. Responsible for managing complex liability claims, employment & civil rights claims to their conclusion in the most cost-effective way pos...
A company is looking for a Systems Analyst II - Epic Claims. ...
Manages an inventory of the most complex and high exposure Lawyers Professional Liability Claims by following company protocols to manage and oversee all aspects of the claim handling, including coverage determinations, investigations, and resolution strategies which may include pursuit of risk tran...
Workers’ Compensation Claims Specialist. You’ll maintain phone and written contact with all necessary parties to verify coverage and to investigate, manage and resolve medical-only claims promptly and accurately. This is an excellent career opportunity as a Claims professional. Experience: Generally...
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, ...
The ideal candidate is someone who currently has 3-5 years' experience of medical insurance claims follow-ups and working/resolving denied claims. We are looking for an MedicalClaims Follow-Up in Hayward, CA. ...
Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Claims contact for assigned large complex national, unbundled AIG Risk Management ...
Manages an active claims portfolio of the most complex and high exposure medical malpractice (and some GL) claims at primary and excess coverage layers, applying best claims handling practices and following company protocols to manage and oversee all aspects of claims handling, including coverage de...
Utilize company software to electronically transmit claims information directly from the field to RCIS to ensure claims are processed timely and accurately. Zurich is currently looking for a RCIS Crop Claims Field Adjuster I to join our Rural Community Insurance Services (RCIS) team. ...
A Manager within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. ...
Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empathy and understanding and explains policy coverages and claims processes to customers. Responsible for handling claims having moderately complex negligence, compensability,...
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...
Withum is seeking an experienced health claims auditor possessing in-depth knowledge of group health and disability claims procedures, medical/dental terminology, including CPT, ADA, HCPC and ICDA codes, and a thorough understanding of automated health claims systems as well as manual claims payment...
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...
Sets up and enters new claims into claims management system. Prepares file balancing of claims as assigned by the claims examiner. Reviews, prepares, creates, and/or sends letters, reports, and forms per client service instructions or claims examiner/supervisor requests. ...
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...
Benefit from our 30 years of experience in business:We have an AWESOME training program and it's FREE!!Part time $35,000 or full time $150,000 +Looking to fill Management position that are availableGREAT money to be MADE!!Duties can be performed REMOTELY; TIME FREEDOM -work RIGHT From HOME!!We are s...
As a Supervisor, you'll lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations. Workers' Compensation Claims Supervisor - Lead a Dynamic T...
Experience: Generally, 6 to 10 years of experience handling California Workers'pensation claims. ...
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Develop a plan of action for assigned claims and update the claims file following all material changes in st...
As a member of our client's claims team, utilize your knowledge of workers' compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. Insurance Placement Solutions has an immediate opening for a Remote Workers Compensation Claims Adjust...