Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Identifies and reports possible claim overpayments, underpayments and any...
Great American Risk Solutions is adding an experienced Claim Specialist / Sr. Claim Specialist to their team. The positions will focus on losses in a nationwide book of surplus lines business, including primary and excess claims under commercial general liability policies (CGL) with a focus on const...
Handle claims including injury and third party property damage claims primarily under personal and commercial auto and garage, uninsured and underinsured motorists, homeowner’s liability and commercial liability coverages. Comply with practices and procedures for contact and communication, verificat...
General Liability Claims Specialist. The successful candidate will manage claims throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) and maintain compliance with quality standards. Commercial and/or construction defect claim...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve moderate to severe property damage claims by phone. Prior insurance field/property claims handling or adjusting experience. Ability to handle claims of var...
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 improving our in-house certification functions by providing updates to the plan of care, in-house certificatio...
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 ...
All partnerships, whether risk sharing or not, benefit from a high level of exclusivity, tailored underwriting and claims service. Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, dep...
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, ...
Telecommute (you can work from home, work or school). Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or sea...
Telecommute (you can work from home, work or school). Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or sea...
Telecommute (you can work from home, work or school). Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or sea...
Telecommute (you can work from home, work or school). Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or sea...
Telecommute (you can work from home, work or school). Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or sea...
Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. To analyze mid- and higher-level general liability claims to determine ben...
Are you an experienced </strong><strong> Math Expert</strong><strong> </strong><strong>who would like to lend your expertise to train AI models?</strong></p><p><strong> </strong></p><p><stron...
Patient Accounts - Physician Billing. Responsible for all billing and collection activity for assigned patient accounts from date of initial claim submission to accurate final account payment and ultimate zero balance. Responsible for billing of account, review of payment accuracy, account research ...
Are you an experienced </strong><strong> Math Expert</strong><strong> </strong><strong>who would like to lend your expertise to train AI models?</strong></p><p><strong> </strong></p><p><stron...
ThePatient Account Representative II – Call Center/Customer Service uses excellent communication skills to answer questions or obtain information from customers, be that patients, other departments, insurance companies, or outside vendors as support to the hospital, physician group, or system while ...
As an Associate Claims Specialist, you'll capture first notice of loss by phone for new homeowner claims and, when possible, handle these claims to conclusion. Based on performance, candidates hired into this role could have the potential to advance into a Claims Specialist I position in 6 months. F...
Aon is looking for a Billing Portfolio Specialist to support our growing Aon Rewards Solutions subdivision (“Aon Rewards”). As a full time, Portfolio Advisor Administrator, you will work with a team of colleagues in multiple locations to provide billing support while meeting tight deadlines. The Por...
Desire to work as part of a team to deliver on our service promise of Fast, Friendly, Clean. A challenging and exciting work environment where guest service is #1. ...
In the role of Senior Customer Service Representative, you will be responsible for answering inbound calls from policyholders and their representatives that have questions regarding an existing Long Term Care policy. Excel at customer service (minimum 1 year experience, preferably in a call-center e...
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...
As a Customer Service Representative, you will help TurboTax customers by answering their questions concerning TurboTax products and tax return software. The ability to understand and empathize with our customers needs while driving innovation and providing top-notch service. To be successful in thi...