Hospital or EOB claims emphasis. ...
Residuals Claims Analyst (Residuals Claims). Prepare residuals calculations for residuals claims and/or legal settlements. Handle producer inquiries and referrals regarding calculations, allocations, reporting and payment of residuals outside of the claims processes. ...
Description 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 issue...
Work closely with internal legal counsel, claims managers, and third-party administrators (TPAs) to ensure claims are handled efficiently and in line with company policies. Senior Workers’ Compensation Claims Adjuster. Manage and adjust complex lost time workers’ compensation claims from inception t...
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Lead Claims Specialist Mission Hills , California. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and adminis...
Attorney will be assigned to the Claims and Litigation Division of the Office of Legal Affairs. The chosen candidate will be an integral part of a team of litigation associates who manage and handle a case load of complex medical malpractice claims filed against the largest municipal health care sys...
Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established p...
Assist the claims department in addressing all aspects of the legal claims function including coverage interpretation and advice, and assisting and advising on complex coverage and extra contractual litigation. Participate in the negotiation and preparation of claims services agreements, third party...
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...
Basic knowledge of claims handling and familiarity with claims terminologies. ESIS provides a full range of sophisticated risk management services, including workerspensation claims handling; a broad spectrum of casualty insurance products, such as general liability, automobile liability, products l...
The ideal candidate must have experience using Xactimate and Symbility Mobile claims estimating platforms. ...
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...
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. Workers Compensation Claims Examiner | Long Beach...
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...
The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. ...
Do you have experience in Insurance and Claims and are eager to showcase your skills in a dynamic, fast-paced environment? Can you turn complex paperwork into smooth, accurate processes? If so, we want you to join our team as an Insurance and Claims Assistant!. Processes claims and other documents r...
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...
Works cooperatively with the Claims Trainer and Claims Team Leaders to propose and implement solutions to provide the best outcomes for our Groups, Members, and Providers. Support the claims department by reviewing procedural documentation on claims processing as they relate to QA reviews. Optum CA ...
Senior Claims Director – TPA Claims. Ten or more years’ experience as a claims professional or attorney with a high degree of specialized and technical competence in the handling of high exposure claims with emphasis on hands-on file and litigation management. In this role you will manage complex ge...
Review, process and conclude assigned claims including investigation and evaluation mid-level exposure to complex Auto and/or General Liability Casualty Claims. General Liability & Auto Claims Examiner III. Responsible for the prompt review of claims to determine coverage for loss/damage/injury. Con...
Claims Service Representative II - CasualtyThe Auto Club of Southern CA is looking for a Claims Service Representative responsible for investigation, evaluation and negotiation of low to moderate complexity claims in compliance with established company technical and customer service. Explain benefit...
In this role, you'll play a crucial part in understanding client needs and ensuring excellent support throughout their insurance claims process. Documentation: Collaborate with clients to collect and organize necessary documentation for their insurance claims. Insurance Knowledge: Familiarity with i...
Provides legal service to one or more assigned departments or units of the organization.Provides factual information, counsel and guidance on legal questions or matters.Researches legal principles and precedents, consults with outside counsel, drafts and executes legal documents, gathers relevant ca...
Expert en responsabilité civile commerciale / Claims Adjuster - Liability/Commercial. PRIMARY PURPOSE: Effective adjudication of specialized multi line general liability claims of various complexities within company standards and industry best practices. Manage all aspects of general liability claim...
A minimum of 5 years of experience in cyber claims, insurance, insurance claims, claims handling, risk management, or a related field. Are you passionate about cyber security and risk management? Do you have a knack for unraveling complex claims and delivering superior customer service? We are seeki...