The Claims Specialist will assure that services are promptly and accurately processed in accordance with all applicable Federal, State, and local regulations and guidelines, that claims are adjudicated in a timely manner, and customer’s needs are met in a professional and courteous manner. CCI...
The Claims Specialist manages lower-level, non-complex and non-problematic Medical Only workers’ compensation claims along with Lost Time claims involving greater complexity - within company best practices & within delegated limited authority to best possible outcome, under the direct supe...
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 Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel. Assists other claims professionals with more complex or problematic...
As a Field Claims Specialist, you'll investigate and resolve moderate to severe property damage claims by phone and face-to-face. Claims inspections will include onsite and virtual inspection. Solid experience writing own estimates and handling claims start to finish. No two property claims are ever...
With a multinational global team, Davies Group is a specialist professional services and technology firm working in partnership with leading insurance, highly regulated, and global businesses. We deliver operations, consulting and technology solutions across the risk and insurance value chain, inclu...
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...
We are seeking motivated, self-starters to join our Claims Adjuster Representatives team. ...
Actively working with a reputable commercial roofing company looking to add an Estimator to their team. If you are looking for a chance to get in on one of the most stable roofing companies out there as an Estimator look no further. Must be comfortable with leading a team of estimators. ...
Catholic Mutual Group has an excellent opportunity for a Claims/Risk Manager (CRM) for our Washington DC service office located in Hyattsville, MD. The successful candidate will receive and adjust property/casualty claims by performing. The individual in this position must have a good understanding ...
Reporting to the President this position will play an important role as part of the leadership team with responsibility for training and mentoring Estimators within the department the distribution of opportunities that come into the Estimating department to bid the finalizing of estimates before the...
The Senior Estimator will work closely with the Director of Estimating and the Estimating department on competitive design-bid-build and design-build proposals. The Senior Estimator will be responsible for writing scopes, performing takeoff, and managing scope/communication with subcontractors assoc...
Product Manager to join GEICO’s Claims team. Product Manager, you will work cross-functionally to guide products from conception to launch by connecting the technical vision and specific solutions needed to solve business and customer problems. This individual will work to innovate across multiple t...
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...
Long Term Care Claims Representative – Payment Servicing. You will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care...
Elite Technical is seeking a Claims Supervisor (Review and Recovery) to support our client, a health plan in the Elkridge MD area. The selected candidate will manage the claims inventory and Review and Recovery staff through timely and accurate processing of higher level claims. This person supervis...
Role: Billing & Collections Specialist. Are you looking for a growth opportunity for a reputable company with a positive work environment? Our client is looking for a Billing & Collections Specialist to join their team. ...
Key responsibilities: Process interim, milestone, monthly, hold, and closed billing requests in accordance with client requirements Confirm required documentation in support of all line items is included Upload/submit invoices to the appropriate client portals timely Email invoices for clients not u...
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...
In this role you will support the billing department and all office staff by providing assistance in all areas of billing and collections. Has regular meetings with all staff in the billing department regarding best billing and collections practices. Assists with recruitment, discipline and terminat...
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 State of Marylandself-insures a significant portion of State government exposures and maintainsthe State Insurance Trust Fund to pay claims and the costs associated withhandling claims filed against the State as well as claims filed by Stateagencies for damages. Self-insurance coverage includes ...
Adventist HealthCare seeks to hire an experienced Billing Specialist Lead who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. As a Billing Specialist Lead, you will:. Submits adjusted claims due to audits, changes to charges, diagnosis, ...
Responsible for all billing for the assigned customers, including service and hardware. ...
The Medicaid/Medicare Claims Processor will support Barrow Wise's Illinois DHS project and perform the following duties:. Review incoming claims for completeness, accuracy, and adherence to Medicare and Medicaid guidelines. Assign appropriate diagnosis and procedure codes to claims. Process claims t...