We are currently seeking a highly motivated Senior Claims Examiner. Design workflow to support the betterment of Claims Production and Claims Audits . This role will report to the Manager - Claims and enable us to continue to scale in the healthcare industry. Proficient with Federal and State requir...
Workers Compensation Claims Examiner | Long Beach, CA. To analyze high-level 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 requirem...
General Liability & Auto Claims Examiner III. Review, process and conclude assigned claims including investigation and evaluation mid-level exposure to complex Auto and/or General Liability Casualty Claims. Responsible for the prompt review of claims to determine coverage for loss/damage/injury. Con...
Review and process hospital claims and complicated claims to assist claims examiners I, and II. Claims processing to ensure quality (in/out patient hospital claims, Medi-cal, Commercial, and Medi-care claims). Extensive knowledge of claims processing and claims data analysis. Years of Medical Claims...
The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and guidelines as outlined by the company policy. Three (3) years of experience with processing all types of specialty claims such as Chemotherapy, Dialysis, OB and drug and...
We are currently seeking a highly motivated Claims Examiner. Process claims based upon the provider’s contract/agreements or pricing agreements, applicable regulatory legislation, claims processing guidelines and NMM policies and procedures. This role will report to the Manager - Claims and enable u...
The Claims Examiner will be responsible for liability claims and property damage claims to their conclusion in the most cost-effective way possible for the client. In addition, the Claims Examiner will be responsible for recognizing claims involving coverage issues and present them to the Claims and...
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...
The Claims Examiner I is in daily contact with team members, clients and providers. This position reports to the Claims Supervisor. Processes claims accurately, efficiently and within quality/quantity requirements. Has the ability to access research tools for accurate claims entry. ...
Job Requirements for the WORKERS COMPENSATION CLAIMS EXAMINER:. Analyzes compensability, liability and management of complex claims by way of thorough investigation to determine accurate exposure of a claim including but not limited to application of Medicare Set Asides. Handles claims through diary...
A Managerr within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. We believe in timely and proactive performance excellence, ongoing 360 feedback, clear performance expectations at each level, and quarterly check-ins with your manager ensure yo...
They will also provide support to Area Claims Managers either as a local claims specialist in the facilitation of general day to day operations and claims management. Zurich is currently looking for a RCIS Crop Claims Field Adjuster I to join our Rural Community Insurance Services (RCIS) team. With ...
We pay our Automotive Estimator a. If so, please consider applying for this Automotive Estimator position today!. YOUR LIFE AS AN AUTOMOTIVE ESTIMATOR. ...
Accountable for security of financial processing of claims, as well as security information contained in claims files. Must have experience handling bodily injury claims and the role is to handle complex bodily injury claims. Job Category: Claims Pay Philosophy The typical starting salary range for ...
Data Entry Clerk Work From Home - Part Time Remote Focus Group Panelists. Data entry clerk experience is not necessary. If you are a data entry clerk or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income. No Data Entry experience ne...
Position Title: Collision Estimator. The Collision Estimator is responsible for examining vehicles for collision related damage, document the time and effort required to repair and refinish vehicles back to pre-accident condition in accordance with Chilton Auto Body standards and insurance partner g...
Description Are you looking for an opportunity to join a claims team with a fast-growing company that has consistently outpaced the industry in year-over-year growth? Liberty Mutual has an excellent claims opportunity available for a Claims Specialist within our Commercial Lines division! The Claims...
The Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in be...
The Reimbursement Specialist position promotes efficient processing of claims and appeals and plays a critical role in ensuring timely and accurate payment is received. Submit claims with the proper documentation to insurance providers timely for prompt payment. Analyzing denied or rejected claims t...
Understanding of industry operations, ILWU hiring/dispatching practices, retirement programs and benefits and how these affect claims administration processes preferred. ...
Work with your Director to address project dependencies, negotiate and estimate incremental delivery dates for milestones with the stakeholder community, and deliver projects on time - Identify and raise appropriate project risks, in addition to pres Manager, Engineer, Claims, Project Management, Re...
Selective Insurance is looking for a Mobile Property Field Claims Specialist to handle field property claims throughout the US. It is the responsibility of this position to provide superior property claims service to all regions by handling Property and Inland Marine claims, generally with dollar ex...
Contact doctors/ hospitals or other persons/ organizations to verify information to make claims decisions. Settle minor claims within authority limit. ...
Sets up and enters new claims into claims management system. Prepares file balancing of claims as assigned by the claims examiner. Reviews, prepares, creates, and/or sends letters, reports, and forms per client service instructions or claims examiner/supervisor requests. Job Requirements for the Wor...
Reporting to the Team Leader, the Claims Adjuster, Auto is responsible for providing a consistently high level of service by investigating insurance claims for insurers or third parties and negotiating settlement of the claims to the satisfaction of all parties. Claims Adjuster - Auto/Expert(e) en s...