We are seeking a talented and dynamic claims professional to join our Design Professional & Environmental (DP&E) claims team as a Senior Claims Specialist. This DP&E Claims position will work under limited direction, acts as highest level individual contributor directly reviewing claims to determine...
A company is looking for a Claims Resolution Specialist I. Key Responsibilities:Review all medical insurance claims for resolution and paymentResolve inquiries and payment denials from insurance providersContact insurance carriers to collect on open account balancesRequired Qualifications:Excellent ...
This position is for a Property Field Inspection Claim Specialist, handling accidental and weather-related homeowners, commercial, and large loss claims. Minimum of 5 years experience as a Property Field Inspection Claim Specialist in the insurance industry, specifically in property claims. Claim Sp...
A company is looking for a Senior Property Claims Specialist to enhance its claims experience in a remote setting. ...
The Claims Training Specialist is primarily responsible for designing and conducting training programs using established departmental guidelines. This position is responsible for providing ongoing training on the core processing system, claims processing procedures, communicating regulatory changes ...
Key Responsibilities:Provide technical oversight to high-risk and complex workers compensation claimsServe as the primary point of contact for critical national initiatives and manage complex projectsDevelop WC guidelines, policies, procedures, and best practicesRequired Qualifications:7-10+ years o...
Independently processes medical, dental and/or hospital claims, including more difficult or complex claims, provides customer service, and handles special projects and complex functions, including subrogation; acts as a lead and resource for other claims processing positions. Processes medical, dent...
Elevates problems up to the Account Claims Specialist II when unable to resolve. File and process funeral insurance claims and assist with third party insurance claims timely. Process funeral insurance claims (Global Atlantic and TruStage) and follow up with third party insurance vendor (American Fu...
Unlock Your Potential with Zurich North America Claims: Become a Litigated Claims Specialist. Litigated Claims Specialist II, General Liability. Zurich is seeking a dedicated Litigated Claims Specialist to join our team. Completion of Zurich Claims Training Program with 3+ years of experience in Cla...
Claims Specialist Training Program. When you're part of the Claims Specialist Training Program, you'll acquire various investigative techniques and work with experts to determine what caused an accident and who is at fault. As a valued member of our claims team, you'll help our customers get back on...
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 ...
The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlem...
Chubb is currently seeking a Workers’ Compensation Senior Claims Specialist for our West Region. Display advanced claim handling skills on claim investigation, reserving, medical, disability and litigation management, case resolution and settlement strategies. Partner with underwriting, claims busin...
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...
The Property Claims Field Adjuster ll will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Company and...
Qualifications Bachelor's degree in a related field is preferred or equivalent work experience Minimum of 5 years experience as a Property Field Inspection Claim Specialist in the insurance industry, specifically in property claims Strong knowledge of property insurance policies, coverage and claim ...
Analyze hospital billing claims within the EHR and claim scrubber system. Resolve claim errors, edits, and other holds. Understanding of Medicare/Medi-Cal claims processing guidelines. Experience with EPIC EHR, Cirius Claim Scrubber, or other EHR system. ...
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...
The Claims Recovery Specialist will transfer claims to the next payor in the waterfall sequence as necessary for successful claim adjudication. Primary responsibilities are to monitor, analyze, correct, and resubmit to healthcare payors, all claims that have been denied by payors preventing successf...
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 ...
As a Construction Defect Large Loss Claims Specialist, you will be responsible for handling and resolving complex, highly specialized, and high exposure Primary and Excess Construction Defect claims, through investigation, evaluation and disposition. Large Loss Claims Specialist - Construction. Main...
Property Field Inspection Claim Specialist, handling accidental and weather-related homeowners, commercial, and large loss claims. Minimum of 5 years experience as a Property Field Inspection Claim Specialist in the insurance industry, specifically in property claims. Claim Specialist - Property Fie...
Team Lead - Medicare Specialist. ...
Elevates problems up to the Account Claims Specialist II when unable to resolve. File and process funeral insurance claims and assist with third party insurance claims timely. Process funeral insurance claims (Global Atlantic and TruStage) and follow up with third party insurance vendor (American Fu...
The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. Assesses policy coverage for submitted claims and notifies the insured of any issues; determine...