Key Responsibilities:Collaborates with Claims and Actuarial leadership teams to analyze claims trends and patternsDrives the creation of a robust data foundation for Workers' Compensation and Managed CarePrepares deliverables for senior leaders and supports ad-hoc requests from the Claims leadership...
Follow advanced claim handling procedures as detailed by the OPD Claims Manager. Knowledge of B2B construction, claims, recovery or insurance claims negotiation and settlement process preferred. Learn the functionality of the company's Claims Database Tool and enter all notes and documentation throu...
A company is looking for a Claims Resolution Specialist I- Remote. ...
Manages, investigates and resolves assigned high severity Property Loss claims under limited supervision. May assist Customer Claims Representatives with in-person inspection/policyholder contact where necessary. Investigates, determines coverage of loss and adjusts all elements of Property Loss cla...
Key Responsibilities:Submit accurate and timely claims to third party payersResolve claim edits and account errors prior to claim submissionContact third party payers to resolve unpaid claimsRequired Qualifications:High School diploma or equivalentOne year of medical billing/medical office experienc...
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. Manage the claim authorization process and negotiate claims with significant com...
This role will handle all liability claims and related activity for designated accounts and to coordinate the activities, workflow, and delivery of liability claim services for the department. Participate in round tables with Claims Specialist when warranted. Receives, gathers, and accurately transm...
The base salary range for the Senior Claims Specialist position is $74,900-$109k/year with 25% bonus potential. This position 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...
Claims Administrative Support SpecialistAs a. ...
Under the direction of the Compliance and Contracts Manager, the Claims Specialist is responsible for working with insurance companies to perform denial resolution on outstanding claims and supports the internal Credentialing process of the center. A successful candidate for the Claims Specialist po...
Senior Technical Auto Claim Specialist. As a Senior Technical Auto Claim Specialist, you will:. Manage claim authorization and negotiate complex claims. Handle, negotiate, and resolve third-party commercial general liability and automobile bodily injury and property damage claims. ...
Key Responsibilities: Conduct on-site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with...
Responsible for providing customer service and supporting the insured and broker with commercial property claims. Communicates with vendors, producers, policy holders, clients and insurance companies to communicate claim status;. Reports to authorities as applicable, providing updates on litigated c...
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. Manage the claim authorization process and negotiate claims with significant com...
As a Technical Claims Specialist, you will play a crucial role in managing and resolving a variety of commercial claims, including general liability, property, Inland Marine, automobile bodily injury, property damage, and potentially worker's compensation claims. A well-respected Insurance Carri...
One of our best clients has an opening for a claims specialists in their Denver, CO office. You will work with an, internal team including field investigators, to manage claims and collect from businesses and insurance agencies. Resolve and negotiate claims recovery via phone, email, letter and othe...
CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department. They will work closely with other members of the Commercial Services Operations team providing root ...
One of our best clients has an opening for a claims specialists in their Denver, CO office. You will work with an, internal team including field investigators, to manage claims and collect from businesses and insurance agencies. Resolve and negotiate claims recovery via phone, email, letter and othe...
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, ...
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather necessary claim information, managing the claim process from the initial request to the return to work. Collaborating with fellow case managers, nurse case managers, and consulting physicians...
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols. Authorizes and ensures claim disbursemen...
Follow advanced claim handling procedures as detailed by the OPD Claims Manager. Knowledge of B2B construction, claims, recovery or insurance claims negotiation and settlement process preferred. Learn the functionality of the company's Claims Database Tool and enter all notes and documentation throu...
Under the direction of the Compliance and Contracts Manager, the Claims Specialist is responsible for working with insurance companies to perform denial resolution on outstanding claims and supports the internal Credentialing process of the center. A successful candidate for the Claims Specialist po...
CLAIM OPERATIONAL SERVICE AND PARTNERSHIPS: Partners with claim professionals in multiple departments to assist with the timely resolution of claims, which may include: Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills, mail and wage...