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...
The Examiners primary responsibility involves the review and evaluation of complex natured claims. This includes reviewing, evaluating, adjusting and investigating claims. The Examiner will set and adjust reserves and approve payments. Evaluation of complex represented claims. ...
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...
Auto Liability Bodily Injury Claims Examiner. To analyze and process complex auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims...
With offices located in Coral Gables, FL, we are interested in bringing an examiner into the claims department to resolve balance billing and appeals sent by clients, patients, and/or providers at a very successful TPA of insurance benefits. Recent experience processing healthcare (Medicare / Medica...
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...
Knowledge of claims and/or encounter processing and data analysis experience preferred. ...
Our client is looking for a few Property Claims Desk Adjusters to help close out Hurricane claims. Adjusters: 3+ years property/ CAT claims experience required for Desk Adjusters $35 per hour based on experience, PLUS Overtime required. ...
Claims Representatives may be used to mentor lesser experienced employees and assist with training. Claims Representatives will communicate expectations to customers and have oversight of all vendors involved in the claim investigation. College degree (four-year college/university) or equivalent pro...
A well-established local Mechanical Contractor is looking to fill a Senior Mechanical Estimator position working on large projects. ...
To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Performs coverage, liability, and damage ana...
The Claims Adjuster is responsible for performing centralized appeal processing functions for AvMed physicians, facilities, and ancillary providers. Identify claims problems and propose solutions. Adjust claims resulting from reviews and administrative decisions. Interpret policy and procedures to p...
Part Time Work From Home Typing / Data Entry Clerk – Remote . Remote work from home administrative assistant, data entry clerk, typing, customer service representative, get started now!. Legitimate Work From Home Data Entry Jobs are going to require that you have skills relevant to the position you ...
Collaborate with internal teams, such as underwriters and claims specialists, to facilitate efficient claims resolution. Calculate and approve payment of claims within a certain monetary limit. Claims Adjustor Qualifications:. ...
The company is a Florida based, well-established general contractor doing $700M in annual revenue in the following sectors: High-rise, multi-family, apartments, retail, office, and public projects.They are also one of the most exciting construction environments in all of South Florida with a great s...
The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlem...
Claims Representative - Auto Liability. To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Perf...
Administrative Assistant / Data Entry Clerk (Remote Work From Home Online – Part-Time, Full-Time). Are you a data entry clerk or administrative assistant looking for a legit way to supplement your income from home? Our company is seeking motivated individuals to take part in nationwide & local p...
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...
An established company is currently hiring a remote data entry clerk. ...
The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjuster's content claims handling operations:. Focusing on the accurate and timely processing of content claims, via the use of edjuster's claims handling professional-service ...
SEEKING COMMERCIAL PAINT PROJECT MANAGER/ESTIMATOR. I am working with a well-respected, firmly established Commercial Paint Contractor seeking an experienced Project Manager/Estimator. Commercial Paint Project Manager OR Estimator Experience Required. Commercial Paint Estimator OR Project Manager. ...
Manage workflow of the claim teams including Claim Representatives, Claims Consultants, and Claims Account Executives. Resolve unique or high priority coverage /claim issues involving producers, clients or company personnel, which may give rise to potential E&O claims. Assist Regional Claims Leader ...
Earn $200 to $700+ weekly using your data entry clerk skills. Large companies are always looking for Customer Service Reps, Data Entry Clerks and Feedback Specialists to work remotely in various roles. You enjoy data entry work and can perform the work from your home or location of choosing (remote ...
Earn $200 to $700+ weekly using your data entry clerk skills. Large companies are always looking for Customer Service Reps, Data Entry Clerks and Feedback Specialists to work remotely in various roles. ...