Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks. Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all sta...
In this role, you will investigate first party homeowner and first party commercial claims. Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system. ...
Health, dental, vision and life insurance benefits.Non-retail/Closed-door environment.Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nation...
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...
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, ...
Fraud and Claims Operations group, one of our most critical departments at Citizens. You’ll use critical thinking skills to assist customers with existing claims and determine the best next step for the customer and the bank. Specialists manage competing priorities in an accurate and timely manner a...
Under immediate supervision, investigate and dispose of first and third party claims. Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system. ...
Performs claims oversight of a third-party claim administrator (TPA). Reviews open claims to ensure carrier/excess carrier reporting, determines compensability, scheduling of IME’s, medical case management, surveillance, subrogation and litigation tasks are completed timely. Utilize risk information...
Claim Service Specialists are advocates for our customers. Claim Service Specialists are responsible for thoroughly checking claim case facts, determining coverage, liability and reserves, and accurately reporting on each settlement. They prepare and maintain well-written files and keep their teams ...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve personal lines property damage claims on the phone and/or in person. Maintains and develops current knowledge of assigned insurance lines, court decisions ...
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...
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 ...
Customer Service Representatives at Sam's Club ensure that customers have a pleasant shopping experience. Provide information to customers on products and services. Ensure customer satisfaction and provide professional customer support. Experience in customer service or retail preferred. ...
In this role you will be handling the field adjustment and management of homeowners property claims in Southeastern, MA. Conducting accurate coverage analysis and damage assessments to ensure prompt payment of claims in accordance with quality standards. Proactive communication, and setting accurate...
ESSENTIAL DUTIES AND RESPONSIBILITIES: - Review and enter orders with correct pricing and provide confirmation, freight, and deliver information - Monitor key accounts and initiate order follow-up - First point of contact for customer inquiries - Provide customer feedback - Assist in the resolution ...
Customer Service Representative. We want you to join our team as a Customer Service Representative. As a Customer Service Representative, you will enjoy:. There is never a dull moment as you will be working around the store (inside and out) in many different areas to help maintain our high standards...
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...
Insurance Company Client is looking for an experience Excess Claims professional. This position will need at least 8 years experience Excess/Umbrella claims as well as litigation management. ...
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...
As a Family Dollar Customer Service Representative you will be responsible for providing exceptional service to our customers. Key priorities include greeting customers, assisting them with selection of merchandise, completing transactions, and answering questions regarding the store and merchandise...
Claim Service Specialists are advocates for our customers. Claim Service Specialists are responsible for thoroughly checking claim case facts, determining coverage, liability and reserves, and accurately reporting on each settlement. They prepare and maintain well-written files and keep their teams ...
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...
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...
That's why our Customer Service Representatives play such a meaningful role in the operation of our branches and service centers. Customer Service Representatives embody our "team player" values, by providing an outstanding customer experience both in person and through our various communication cha...
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...