A company is looking for a Claims Fast Track Adjuster to efficiently adjudicate claims through investigation, evaluation, and negotiation. ...
Responsibilities include determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance with applicable laws; and identifying opportunities for, managing subrogation of claims, and negotiating settlements. The Workers Compensation Risk Analyst ...
A company is looking for a Claims Support Coordinator for a contract-to-hire role. ...
Our client, a leading financial services company is hiring a Claims Adjuster - Workers Compensation on a long-term contract basis. The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's responsibility for lost wages, m...
Key Responsibilities:Review claims for accuracy and compliance with contractual agreements and guidelinesIdentify errors, root causes, and trends for process improvementPrepare audit reports, assist with training, and monitor correctionsRequired Qualifications:3+ years of medical claims auditing exp...
Providence is seeking an Epic Applications Analyst – AP Claims, who will:. ...
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...
The successful candidate will investigate, evaluate, negotiate and settle Auto claims by telephone and correspondence. Ability to conduct telephone investigations, evaluate, negotiate and settle first and third party commercial lines claims. ...
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...
As an Associate Auto Claims Advisor, your responsibilities include handling non-injury claims. We are actively hiring for an Auto Claims Adjuster. You will be setting expectations about the claims process with the member, obtaining police reports, and witness statements, reaching out to other adjust...
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...
Claims Analyst III- Overpayment Prevention (Business Analyst III). Works with Query Developers to ensure business requirements are incorporated into query design, completes and coordinates UAT testing on claims identified as potential overpayments. Collaborates with the claims validation team to app...
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. ...
The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or *** Health agreements, established payment m...
To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Workers Compensation Claims Examiner | Long Beach...
The ESIS Senior Work Comp Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Authoritative technical knowledge of claims handling and claims terminologies. ESIS provides a full ran...
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...
Commercial and/or Personal Lines Claims Representative positions. Prepare and submit First Report of Claims to carriers. Document, track, and facilitate claims assignments. Work in agency management system to document communications and track claims. ...
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,...
Audit check run and send claims to the claims department for corrections. Support Claims Project activities to update configuration within the core claims processing system, typically within the areas of Provider Pricing. Analyze trends in claims processing issues and assist in identifying and quant...
Commercial and/or Personal Lines Claims Representative positions. Prepare and submit First Report of Claims to carriers. Document, track, and facilitate claims assignments. Work in agency management system to document communications and track claims. ...
To analyze complex or technically difficult general liability 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 require...
Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate analyze and determine the extent of insurance company's responsibility for lost wages medical benefits and permanent impairment. Workers Compensation handling California Claims. ...
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, ...
Reporting to the Claims Manager, you will be responsible for managing a diary system to ensure timely benefit administration and superior claims management. We deliver operations, consulting and technology solutions across the risk and insurance value chain, including excellence in claims, underwrit...