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...
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. ...
Knowledge of claims and/or encounter processing and data analysis experience preferred. ...
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...
Duration: Contract to HIRE/PERM.Provide estimates and formal quotations, inclusive of DAS, data/communications, security, card access, and other low voltage solutions to the customer.Perform walkthroughs on job sites to gain understanding of environment and implementation requirements.Perform take o...
We will consider any applicants with claims experience from a variety of insurance backgrounds including (but not limited to); medical insurance claims processors, P&C claims processors, workers’ compensation claims, and even travel insurance claims. About the position: Insurance Claims Processor is...
We seek a driven Claims Specialist to join Sixt's dynamic Claims Department. This role will involve overseeing all at-fault claims and acting as the initial point of contact for calls to the Claims Department. Experience in claims, collections, or related fields is a bonus. ...
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...
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. ...
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. ...
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 ...
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...
Our adjusters handle field activities outside the office including investigations, estimates, evaluates, negotiates and reports on property and casualty claims. Custard Insurance Adjusters, Inc. Field adjusters are required to participate in an on-call rotation to respond in real time to tractor tra...
Job Description - Claims Adjuster Auto Estimator (187875) ****. Claims Adjuster Auto Estimator **Job Number**. ...
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 ...
Claims Representative – Broward/Dade County, FL. SUMMARY: Responsible for handling all multi-line claims in assigned territory to a proper conclusion. Investigate, validate, evaluate, negotiate, and settle all claims as assigned. Submit reserve recommendations on assigned claims. ...
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...
The Data Entry Clerk position is entry level but requires good typing skills, attention to detail and motivation. We are hiring for the Data Entry Clerk position. Computer / Laptop or phone device: you're able to use your choice as long as you can meet the Data Entry Clerk standards. Entry-Level age...
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. In order to make sure that this happens on EVERY claim, we need strong managers overseeing the claims process and customer service. Addition...