Including, 7-10 years of experience in managing teams,.Strong operational & people management skill with experience of handling minimum of .Working & Team handling Experience in claim adjudication/ Payment integrity/Enrollment.Excellent communication & interpersonal skills; team oriented and strong ...
The Product Manager of Mobile Prize Claims will establish, maintain, and implement the product vision, strategy, and roadmap for the Lottery mobile prize claims solution, with the goal of modernizing and making the current process more sustainable. Own the vision, strategy, and roadmap for Mobile Cl...
Santander US Director, Claims & Fraud Operations East Providence , Rhode Island Apply Now. The Director of Claims & Fraud Operations will lead a fraud operations support function with the following responsibilities:. ...
Director, Claims & Fraud Operations page is loaded. Director, Claims & Fraud Operations. Apply locations East Providence time type Full time posted on Posted 11 Days Ago job requisition id Req1333270 Director, Claims & Fraud OperationsCountry: United States of America...
Director, Claims & Fraud OperationsEast Providence, United States of America. The Director of Claims & Fraud Operations will lead a fraud operations support function with the following responsibilities:. ...
Leading the Claims team the Manager, Customer Service-ASC Claims is responsible for managing a team of Service Account Managers, overseeing the relationships with service providers, and ensuring the efficient and effective management of service requests. The Manager, Customer Service-ASC Claims will...
Do you like providing support and guidance to ensure customers have an exceptional experience? Are you familiar with medical terminology? Do you have experience in a claims or credentialing environment?. We are now seeking Health Claims Specialists to join us and support one of our healthcare client...
Summary of PositionThe claims associate is a motivated self-starter that is responsible for the management of all aspects of an assigned book of claims. Position FunctionsThis position is responsible for:Management of assigned claims book including intake, processing, adjustment, and settlement of t...
Director, Claims & Fraud OperationsEast Providence, United States of AmericaUSA Job Family Description: Responsible for the day-to-day operations of the company's business units. The Director of Claims & Fraud Operations will lead a fraud operations support function with the following responsibiliti...
The Associate Claims Technical Analyst is responsible for serving as the claims analysis resource for an assigned operations team. This role is responsible for performing basic and intermediate level client, member and pharmacy remediation analysis caused by errors coded into the RxClaim claims proc...
Hancock leads the way in claims resolution services by complete nationwide coverage, fast, full-services claims inspections, and superior quality and accuracy. Our proven process is your assistance of high-quality claims support from rapid catastrophe response to direct inspections. Successful Techn...
Claims Service Representative 1 - ER. 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 claims and neg...
Our office in Lincoln, RI is seeking an experienced Casualty Claims adjuster. The individual selected will be responsible for the investigation and settlement of casualty claims. This role is comprised of a combination of field work, work from home and scheduled time in our Rhode Island Claims Offic...
Summary of Position The claims associate is a motivated self-starter that is responsible for the management of all aspects of an assigned book of claims. Position Functions This position is responsible for: Management of assigned claims book including intake, processing, adjustment, and settle...
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, ...
Investigates fraud claims involving ACH, Pre-authorized drafts, altered check, forged endorsements, unauthorized third party transfers, elder fraud, identity theft or other operations fraud issues. Assists in the preparation of filing bonded claims and un-bonded charge off recommendations. ...
Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. Promptly manages claims by completing essential functions...
Claims Examiner - Auto Liability. To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims, including bodily injury ...
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...
To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are proper...
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. ...
In this position you will be writing claims and submitting the paperwork. Company Information:We offer expert Claims Adjusting services specific to the needs of home and business owners, pr. ...
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. ...
Provide support for internal and external customers via inbound calls, emails, and faxes.Provide clear, easy to understand information for customers.Document all customer activity in database within a timely manner.Maintain excellent demeanor and telephone ettiquette in stressful situations.Skills:C...
Performs claims auditing functions, including but not limited to: Opening claims, assigning claim numbers, entering claims data intoputer, etc. High School or GED required and at least 6 months as an Claims/QC Assistant at Rain and Hail or at least one year of previous underwriting or claims auditin...