National Litigation & Claims Management Attorney. Litigation & Claims Management Attorney. We are seeking a highly skilled senior Attorney with expertise in litigation and claims management and litigation to work on our firm's representation of a large logistics services provider throughout the coun...
Up to $22 per hour / Benefits - As a Claims Associate you'll: Evaluate claims to determine whether they qualify for reimbursement; Deliver exceptional service to members via phone, chat, and email, offering education and guidance to help them navigate the Garner claims process; Follow documented bes...
Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Condu Claims, Representative, Service, Retail, Insurance. ...
Process claims information into the computerized claims adjudication system. Maintain all required documentation of claims processed and claims on hand. Responsible for accurate review and input of claims in accordance with outside regulation, internal production standards and contractual obligation...
Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. Previous field claims experience highly desirable ***. Interprets regulatory compliance and fair claims practices. ...
To analyze California 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. Hybrid & Onsite) Workers Compensation Claims Hand...
Patient Account Representative - Medicare Claims Follow-up. ...
Claims Service Representative I - Early Response. When you join the Auto Club as a Claims Representative, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. As a representative within our Claims department you will:. Assess cl...
Obtains employer/carrier information for billing/reporting purposes; contact employers/carriers to obtain authorization for treatment or report status of claims. Knowledge of Workers Compensation claims Processing. ...
Analyze hospital billing claims within the EHR and claim scrubber system. Understanding of Medicare/Medi-Cal claims processing guidelines. ...
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 Auto Claims Appraiser contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience through the inspection and estimation of automobile physical damage claims including market value calculations. Maintain accurate records based on company standards and poli...
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 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 possibl...
Works with the Claims Director, Claims Managers and Supervisors to ensure the Plan’s core system produces a high level of claims auto adjudication. Provides direct supervision to a team of claims examiners, data entry clerks and claims assistants and continuously monitors department for compliance w...
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...
Assist the claims department in addressing all aspects of the legal claims function including coverage interpretation and advice, and assisting and advising on complex coverage and extra contractual litigation. Participate in the negotiation and preparation of claims services agreements, third party...
Although assigned claims generally consist of low to medium exposure, first and third-party automobile bodily injury and property damage claims, as well as premises liability accidents, product liability claims, the claims adjuster must be qualified legally and technically to handle all claims compe...
Providence is seeking an Epic Applications Analyst – AP Claims, who will:. ...
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...
Extensive technical Claims knowledge (policies, coverage, regulation, claims processing) and proven ability to understand critical drivers within the Claims organization. Responsible for high exposure and litigated claims for the Core Auto andmercial Auto books of business, along with workerspensati...
Zurich is currently looking for a Legal Claims Professional for our Management Solutions group to work out of any of our Claims offices throughout the US. The Claims Professional will handle Private/Non-Profit D&O, EPL, and Fiduciary claims of moderate to high complexity under limited supervision. T...
The Claims Processing Supervisor will oversee the receipt, processing, calculation, payment and reporting of monthly claims submitted by providers in compliance with contractual requirements, regulations, and agency policies and procedures. The position will ensure that claims processing procedures ...
Patient Account Representative - Medi-Cal / HMO Claims Follow-up. Medi-Cal & HMO claims emphasis. ...
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...