The Claims Adjustor will investigate, evaluate, and negotiate bodily injury claims, ensuring compliance with legal standards and company policies while also coordinating with counsel on the defense of claims. Collaborate with internal teams, such as underwriters and claims specialists, to facilitate...
Hiring a Medical Insurance Claims Manager in the Coral Gables area. Responsible for leading a team of 7 claims processors. Manage the claims and repricing departments to ensure proper workflow is conducted. Monitor timelines and constantly communicate via e-mail with clients to follow up on claims h...
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 ...
The Examiners primary responsibility involves the review and evaluation of complex natured claims. This includes reviewing, evaluating, adjusting and investigating claims. Evaluation of complex represented claims. Communicate with independent adjusters and other experts to gather information on clai...
Completes all medical claims adjudication tasks twice monthly including, tracking all claims in system, verifying referrals/authorizations, entering new providers, working expectations generating remittance notices, file transmissions and mailing checks per established department protocol. Completes...
The Credit and Collection Manager - Claims has the responsibility of leading and coordinating activities related to credit management, collections and claims administration. His main objective is to ensure efficiency in the recovery of outstanding accounts and the effective resolution of claims, thu...
Does your claims management job feel stale? A process driven organization can lose sight of the true purpose of managing claims -- good outcomes on each claim. Most of our strongest competitors over the years, all of them process driven in their claims handling, are no longer in business. Our servic...
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...
Property Desk Adjuster - Complex Claims. To handle losses and claims for property and casualty insurers. Revises case reserves in assigned claims files to cover probable costs. ...
Our client has an immediate need for property claims adjusters in the Fort Lauderdale area. ...
Completes all medical claims adjudication tasks twice monthly including, tracking all claims in system, verifying referrals/authorizations, entering new providers, working expectations generating remittance notices, file transmissions and mailing checks per established department protocol. Completes...
Independent responsibility for managing medium and complex claims of assigned clients. Acts as an advocate and claims specialist to provide support to clients, claimants, Producers, and carriers;. Provides initial and on-going advocacy on claims including detailed analysis, interpretation, consultat...
Hiring a Medical Insurance Claims Manager in the Coral Gables area. Responsible for leading a team of 7 claims processors. Manage the claims and repricing departments to ensure proper workflow is conducted. Monitor timelines and constantly communicate via e-mail with clients to follow up on claims h...
Oversees accounts payable claims operations. ...
Assigns new claims to the appropriate claims handler. Entry- Level, Bilingual Spanish, Customer Service and Claims Positions. To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as a customer liaison in assisting the customer with the correct co...
With offices located in Coral Gables, FL, we are interested in bringing an examiner into the claims department to resolve balance billing and appeals sent by clients, patients, and/or providers at a very successful TPA of insurance benefits. Recent experience processing healthcare (Medicare / Medica...
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...
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...
Job Summary: The Claims Examiner will be responsible for reviewing and evaluating insurance claims to determine eligibility and coverage. We are currently looking for a detail-oriented and analytical Claims Examiner to join our team. This role requires strong analytical skills and a thorough underst...
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 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, ...
Hybrid Licensed Claims Adjuster MiamiAssurant is looking for Claims Adjusters to join our growing team in. You'll advocate for the policyholder by listening, analyzing problems, and guide them through the claims process. ...
The Claims Adjuster is responsible for performing centralized appeal processing functions for AvMed physicians, facilities, and ancillary providers. Identify claims problems and propose solutions. Adjust claims resulting from reviews and administrative decisions. Interpret policy and procedures to p...
As a member of our client's claims team, utilize your knowledge of commercial auto to independently investigate, evaluate, and resolve assigned claims in order to achieve appropriate outcomes. Insurance Placement Solutions has an immediate opening for a Remote Commercial Auto Bodily Injury Claims Ad...
The Research and Resolutions Claims Processor will be responsible for handling dental claims submitted by providers and health plan members in line with the company's policies, procedures, and contractual agreements. Performance objectives define the expected volume of claims to be processed per hou...