The Manager of Network Pharmacy Claims and Accounts Receivable oversees the daily operations of the Healthcare Revenue Cycle team to ensure appropriate and maximum cash collected. At least 5 years of direct experience in insurance of healthcare reimbursement, collections, billing, and claims verific...
The Regulated Claims Settlement Coordinator supports the Claims Settlement Team through leading the review and response to disputed claims submitted through state and federal arbitration processes. The Regulated Claims Settlement Coordinator will be responsible for supporting Zelis' settlement offer...
The Excess Construction Claims Manager will be responsible for handling excess construction claims throughout the United States involving Starr insureds. Claims Manager, Excess Construction. Claims Manager, Excess Construction. The claims require prompt coverage analysis, determination of liability ...
Expert Claims Review initiatives centered around handling of medical pre-payment and post-payment claims for accurate claim payment review through our suite of solutions. Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR prod...
The Claims Review Specialist processes claims that do not auto adjudicate through the claim system adhering to Mass General Brigham Health Plan current administrative policies, procedures, and clinical guidelines. Manually enter claims into claims processing system as needed. Job Description - Claim...
Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a Technical Architect who possesses extensive technical and delivery skill to support our Boston based Claims IT team. Minimum 4 to 6 years’ experience with implementation of Duck Creek Claims Product. ...
Join us as a Complex Claims Director, Lexington to grow your experience in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience....
If you are an experienced claims professional with a passion for delivering exceptional results and have a proven track record in homeowner liability claims, we want to speak with you! We are a five star rated company with a family culture where our employees come first. These investigations might r...
Assist with client testing requests in conjunction with ClaimSearch testing team. Previous experience with insurance claims or Medicare compliance preferred. ...
Active oversight of claims currently managed by a Third Party Administrator as well as direct handling of an active inventory of primary and excess claims related to policies written out of the Energy Profit Center in various jurisdictions. Position: Manager, Energy Claims. The Claims Manager, Energ...
Manages an inventory of moderate to high complexity and exposure commercial 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...
Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. GI Claims Fraud & Recovery Reporting Analyst. Join us as a GI Claims Fraud &am...
This Claims Team Manager will lead a team of Claims Specialists who manage a portfolio of Commercial Auto and General Liability claims to achieve the best possible outcomes and deliver an exceptional customer experience. Supervises the day-to-day operations for the claims staff by establishing prior...
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...
Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for an experienced Project Manager to facilitate all aspects of several major IT programs.The Project Manager is responsible for planning, facilitating, and supporting the execution of our business systems initiatives.The role...
Document information related to the claim and make decisions consistent with claims standards and local laws. Evaluate and handle claim payments and resolution of claims without payments. ...
As a member of our client's claims team, utilize your knowledge of workers' compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. Insurance Placement Solutions has an immediate opening for a Remote Workers Compensation Claims Adjust...
Claims Solutions — supports end-to-end claims handling with analytic and automation tools that streamline workflow, improve claims management, and support better customer experiences. Uses ISO Claims Partners proprietary information technology tools to identify diagnoses, treatment guidelines, and p...
To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. New England Claims Examiner - Workers Compensatio...
Imagine a workplace that encourages you to interpret, innovate and inspire.Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and .You can be part of an established company with a 40-year legacy that helps our customers thrive by .Our commitment ...
The position will handle Environmental claims directly that involve asbestos, and latent type claims to include the resolution of coverage issues and establishing reserves. Will need at least 4 years’ experience in commercial claims or 2 years preferred of handling environmental or large comme...
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...
Ensures optimum performance in this position gaining full knowledge of Claims Assistant functions. Access and utilize Claims System, generate loss runs and claim reports as requested. ...
Prepare file within Compulink for electronic claims; provide Claims Coordinator with rejected claims for rebilling. This position is responsible for discussing outstanding balances with patients, identifying accounts for collection, processing refunds, reviewing claims, and preparing files for elect...
We are currently seeking a skilled and experienced Personal Auto Claims Adjuster to join a reputable insurance carrier's Claims Department. Personal Auto/Total Loss Claims. Proficiency in using claims management software and tools. Conduct thorough investigations to determine coverage, liability, an...