Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You will be responsible for working within a structured environment with established Standard Operating Procedures to ensure consistency o...
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, ...
The Billing Specialist ensures the maximization of Agency cash flow through accurate and timely billing and collection practices. This includes maintaining the electronic billing systems, the production of management reports and communicating effectively with clients, payers, clinical staff, and man...
Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. To analyze mid- and higher-level general liability claims to determine ben...
As a Stable and Mature Long-Term Disability Claims Examiner, you will:. The Stable and Mature LTD Claim Examiner will manage an assigned caseload of Long Term Disability cases. This includes management of claims with longer duration and evolving medical conditions. Stable and Mature LTD Claim Examin...
Document information related to the claim and make decisions consistent with claims standards and local laws. Evaluate and handle claim payments and resolution of claims without payments. ...
Under General Supervision, Examines And Processes Short Term Disability Claims. Provides Timely And Accurate Support To Claimants, Policyholders, And The Claims Department. Manages Appropriate Adjudication Of Short-Term Disability Claims In Accordance With Policy Provisions. ...
Job Summary This Position Is Responsible For Contributing To The Overall Success Of Departmental Objectives By Providing Timely And Accurate Support To Our Client Companies And The Claims Department. Obtain And Analyze Information In Order To Make Claim Decisions And Payments On Disability Claims. D...
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...
Strong interpersonal, communication and negotiation skills.Highly developed sense of professional ethics.Ability to work on and manage a team, as well as independently.Demonstrated ability to improve processes and create efficiencies.Ability to identify project risks and plan/take action as needed.B...
The Claim Examiner II obtains and analyzes information to make claim decisions and payments on Long Term Disability “LTD” and Waiver of Premium “WOP” claims. To learn more about the Claim Examiner II position, watch our exclusive employee video!. Reviews and investigates disability claims by using t...
Supporting claims staff in executing claims processing activities. Knowledge of claims and claims processing business processes and experience with varying service objectives and technical solutions is preferred. As a Lead for the Claims Unit at Gainwell Technologies, you will be part of an innovati...
Outside property adjusters handle property claims requiring field investigations and/or inspections. They are expected to know their territory, including the geography; regulations and the law as pertains to property claims; state and local public safety and regulatory agencies and officials; the in...
This company is looking for PREMIER candidates to fill their open position of .We are partnered in helping a growing and well-established commercial .They are interested in highly-motivated and proactive individuals to fill their open role of .This role is an urgent need, and qua...
We are looking for an experienced Estimator to join our team. The Senior Estimator’s primary responsibility is to plan, manage/coordinate and estimate projects, with support as needed by other estimating team members. ...
POSTION - SENIOR CONSTRUCTION ESTIMATOR - DATA CENTRE . ...
Claims Analyst III- Overpayment Prevention (Business Analyst III). Works with Query Developers to ensure business requirements are incorporated into query design, completes and coordinates UAT testing on claims identified as potential overpayments. Collaborates with the claims validation team to app...
Investigate, evaluate and resolve assigned claims in accordance with company standards, procedures, and state regulatory requirements. Ideal candidates will have a minimum of 3-5 years of experience in adjusting Workers' Compensation claims, with a proven record of increasing responsibility, appropr...
Job Title: Estimator – Commercial Construction. They are seeking a talented Estimator to join their team to contribute to a vision of excellence and community. The Estimator will play a pivotal role in our project acquisition process, responsible for preparing accurate and competitive cost est...
POSTION - SENIOR ELECTRICAL ESTIMATOR - CAPITAL PROJECTS/DATA CENTER CONSTRUCTION . ...
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...
Claims Service Representative 2 - ER. Explain benefits, coverage's, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Negotiate within settlement authority with insured's and claimants to resolve first and third-party claims. ...
The Cardiac Cath Lab Billing Spec is responsible for patient billing of all procedures done in the Cath and EP labs, maintains and orders inventory used in performing diagnostic, invasive and therapeutic cardiac, electrophysiology and peripheral vascular procedures. ...
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...