Investigate, analyze, and determine the extent of company's liability concerning Claims and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve payment of Claims ...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
We are excited to bring on a highly motivated Group Claims Specialist to support our ever-growing claims organization in a work from home environment. As a Group Claims Specialist, you will support our Short Term Disability or Integrated Absence teams. SYiXOPSII) of a Claims Specialist at Lincoln Fi...
Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established p...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?. INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!. Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry ...
Position: Legal Billing Assistant<br /> <br /> Location: CA (Remote)<br /> <br /> Duration: Contract/Full-Time</b></p> <p><b> </b></p> <p><b>Experience:</b></p> <p><b>E-billing:</b> 2 years (Requi...
Title: Workers Compensation Claims Assistant. Required: 3 years of CA Workers Compensation Claims Assistant. Key a high volume of claims into the system from all submission channels within the same day they are received. Attach/Split documents in accordance with claims procedures. ...
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...
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. ...
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Inform Senior Manager Operations of large or complex claims and claims with potential for media exposure. Me...
A-Line Staffing is now hiring a Remote Claims Analyst in Sacramento, CA. The Remote Claims Analyst would be working for a Fortune 500 company and has career growth potential. If you are interested in this Remote Claims Analyst position, please contact Austin Faris. Remote Claims Analyst Highlights. ...
Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate analyze and determine the extent of insurance company's responsibility for lost wages medical benefits and permanent impairment. Workers Compensation handling California Claims. ...
Join our growing team of Customer Service Representatives. The ideal candidate, will not only be bilingual in Spanish, but also Customer Service focused, and has some Call Center experience. Deliver high quality customer service support. Respond and resolve general customer inquiries through phone, ...
Why You’ll Love This Aviation Front Desk Customer Service Representative Job. Did you ever want to work in aviation but didn’t know how to break into the industry? Would you like working in a fast-paced environment around some of the most incredible professionals in aviation? If so, this Front Desk ...
Claims Service Representative II - CasualtyThe Auto Club of Southern CA is looking for a Claims Service Representative responsible for investigation, evaluation and negotiation of low to moderate complexity claims in compliance with established company technical and customer service. Explain benefit...
The Billing Specialist is responsible for providing general support to the billing team including, but not limited to, time narrative entry and edits, corrections and edits to invoices, compiling expense back-up for invoice submissions, filing and other administrative functions. Aderant, Elite, Bill...
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...
Gannett Fleming is seeking a Sr Billing & Project Accounting Specialist. Additionally, the specialist will compile invoice packets to meet client requirements, which may include timesheet and expense documentation, DBE reporting, client-required forms, and Project Manager progress reports. Input new...
Contact doctors/ hospitals or other persons/ organizations to verify information to make claims decisions. Settle minor claims within authority limit. ...
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...
Claims Service Representative 1 - Early Response - WeekendWhat’s in it for me?. 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 d...
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...
Expert en responsabilité civile commerciale / Claims Adjuster - Liability/Commercial. PRIMARY PURPOSE: Effective adjudication of specialized multi line general liability claims of various complexities within company standards and industry best practices. Manage all aspects of general liability claim...
Must-Haves for the Billing Specialist Role:. Minimum of two (2) years of experience in medical insurance billing: Experience should ideally be in facility billing to ensure familiarity with the relevant processes. Strong understanding of billing and coding guidelines: The candidate must have a solid...