Knowledge of claims and/or encounter processing and data analysis experience preferred. ...
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...
Identifies inappropriate or questionable claims and refers to Claims Analysts for review. Researches all complex claims, disputes and appeals thoroughly to make accurate payment decisions in a timely manner with input from the Claims Analysts for quality assurance. Responsible for the accurate and t...
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...
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...
Commercial Auto Claims Representative - Liability. To analyze and process low to mid-level auto physical damage claims. Commercial auto claims experience is preferred. Processes auto property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctl...
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...
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...
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...
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...
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...
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 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...
VITUS Search Group is looking for an experienced Workers Compensation Claims Supervisor in Massachusetts area. Based on New England Claims experience. MUST MUST HAVE LICENSES & EXPERIENCE AS NEW ENGLAND WORKERS COMPENSATION CLAIMS ADJUSTER**. We are seeking a Workers Comp Claims Supervisor ...
Ascendant is seeking qualified Bodily Injury Claims Adjusters to join their third-party claims administration organization which is committed to providing best in class claims adjudication solutions. The primary job responsibilities for this position include but are not limited to effectively managi...
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...
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. ...
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...
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...
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...
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. ...
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...