A company is looking for a Claims Vendor Specialist. Key Responsibilities:Forecast, monitor, and track vendor spend and performancePrepare and maintain vendor key performance indicatorsManage contract timelines, negotiations, and risk provisionsRequired Qualifications:1+ years of managing vendor rel...
We are expanding our operations in Waco and are looking for professional, passionate and energetic employees! Currently we are seeking several full-time A/R Specialists for our Pending Claims Department. To generate revenue by monitoring and pursuing payment and/or resolution on outstanding medical ...
A company is looking for a Priority Claims Specialist III. Key Responsibilities:Maintain knowledge of DMEOPS codes and resolve unpaid claimsReview EOB's for correct reimbursement and follow up with insurance companiesFile appeals, communicate AR issues, and resolve outstanding accounts receivable pr...
We are expanding our operations in Waco and are looking for professional, passionate and energetic employees! Currently we are seeking several full-time A/R Specialists for our Pending Claims Department. To generate revenue by monitoring and pursuing payment and/or resolution on outstanding medical ...
As a Liability & Litigation Adjuster, you will provide a fast and friendly claims experience as a desk adjuster to Swyfft's policyholders, agents, and claimants involving liability and/or litigated claims. You'll be responsible for managing and resolving claims, working with attorneys and direct...
The Senior Technical Claim Specialist position will be responsible for handling, negotiating and resolving third party commercial general liability and automobile bodily injury and property damages claims to conclusion. This would include coverage verification, policy interpretation, contract interp...
Commercial Auto and General Liability Claims Specialist. Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines. Provides quality investigation and analysis to adjust claims of high complexity/seve...
Berkshire Hathaway Specialty Insurance has an exciting opportunity for a Claims Recovery Specialist in our Atlanta, Boston, Chicago, Dallas, Houston or New York Offices. This role is responsible to manage subrogation and salvage recoveries, and recovery reporting for our North America claims group. ...
As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim. Review of client’s overall claims program and individual complex claims situations. You will...
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department a...
At the very least 5+ years claims adjusting experience including experience of managing Complex Energy and Marine claims in the US Market and London Markets and Insurance Claims terminology. Sr Claims Executive - Marine / Energy Specialist. This position is responsible for accurate reporting and fil...
The Corporate Claims Specialist goes into action when a client files a claim and manages the overall process. The ideal candidate is detail oriented with the responsibility of reporting and processing these claims by researching the policy and accumulating evidence regarding the claim, and then veri...
Priority Claims Specialist III - Remote. Primary responsibilities includes reviewing complex claims, patient records and hospital and physician billing practices and identifying any discrepancies or errors in payments made to Medicare providers; while maintaining support and communication with Clini...
As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim. Review of client's overall claims program and individualplex claims situations;. You will su...
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 ...
Berkshire Hathaway Specialty Insurance has an exciting opportunity for a Claims Recovery Specialist in our Atlanta, Boston, Chicago, Dallas, Houston or New York Offices. This role is responsible to manage subrogation and salvage recoveries, and recovery reporting for our North America claims group. ...
Provide subject matter expertise on medical and prescription insurance coverage/ verification claim billing medication prior authorization and appeal filing and alternate financial assistance opportunities.Accurately documents information in the appropriate systems and formats.Communicate the status...
RCIS Crop Claims Specialist- Central TexasZurich North America is hiring an RCIS Crop Claims Specialist to join our team!. Crop Claims Specialist Basic Qualifications:. Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and deter...
The Call Center Fraud Specialist's work is creative, exciting, and different every day. ...
This position in Healthcare Claims will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. Confirms coverage of claims by reviewing policies and documents submitted i...
Senior Technical Claim Specialist. This would include coverage verification, policy interpretation, contract interpretation, liability investigation and evaluation and negotiation of claims consistent with company policies and state regulations. Manage the claim authorization process and negotiate c...
Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims, etc. Evaluate claims, reporting forms and cancellations and initiate necessary corrections to ensure accuracy of dates, coverage, signature, commission, premium,...
The Executive Specialist will handle a regular diary of Cyber claims and must have experience handling first-party Cyber claims. The Executive Specialist will be expected to handle Incident Response and must analyze and resolve claims from coverage determination through resolution—including Incident...
Team Lead - Medicare Specialist. ...
Manages an inventory of moderate to high complexity and exposure Healthcare claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working relati...