Business Analyst - Medicaid Claims / Eligibility. Different Claims Pricing Models (Alternative Payment Methodology. ...
A company is looking for a Field Property Claims Supervisor in Dallas, TX, United States. ...
Business Analyst - Medicaid Claims / Eligibility. Different Claims Pricing Models (Alternative Payment Methodology. ...
Key Responsibilities:Create KPI metrics and objectives to settle claims timelyDevelop procedures and policies to improve financial resultsMaintain relationships with service providers and oversee claim settlementsRequired Qualifications:Bachelor's Degree and 2 years managing a claims department or 5...
In this position you will be writing claims and submitting the paperwork. Company Information:We offer expert Claims Adjusting services specific to the needs of home and business owners, pr. ...
A company is looking for a Medical Claims Processor. ...
Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Technical claims in...
A Senior Manager or Director within our Disputes, Claims, & Investigations group ("DCI") will work in a dynamic and fast-paced consulting environment advising clients and their legal counsel, preparing financial and economic damages calculations and related forensic and financial advis...
Our client, an A-rated Insurance Carrier, is seeking to add a New York Workers' Compensation TPA Claims Oversight Specialist. This person would be responsible for evaluating and reviewing New York Workers' Compensation claims handled by Third Party Administrators (TPA) for adherence to company's bes...
The Senior Technical Claim Specialist position will be responsible for handling, negotiating and resolving third party commercial general liability and automobile bodily injury and property damages claims to conclusion. This would include coverage verification, policy interpretation, contract interp...
Insurance Claims Reporting Process:Acts as the primary point of contact for all insurance claims. Manage Claims Handling Process:Contributes to the development of best practices for claims handling processes (incident through litigation). Ten (10) plus years of experience managing large claims and c...
Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only claims. Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, e...
Manages mid-level and higher-level auto commercial and personal lines claims by gathering information to determine 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 auto clai...
Skills:Claims Processing, Claims, Diagnostic Procedures, ICD-9, ICD-10, CPT Codes, Data Collection, CPC, Patient Care Coordination, Medical Billing, Medical Software, HIPAA, OSHA, Medical Billing - Denials, EHR/Epic, Microsoft Office, EMR, Medicare Compliance, Claims Adjudication Experience:undefine...
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...
Acuity is seeking a Field Claims Representative to investigate and resolve Commercial and Personal Lines claims with empathy, passion, and a sense of urgency. Handles all claims as assigned, including claims in other districts as requested. Desired experience includes handling full cycle multiline ...
A Senior Manager or Director within our Disputes, Claims. ...
Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Technical claims in...
Automotive Claims Specialist II. You’ll dive into the heart of the matter as you research claims, assess repair costs and skillfully negotiate adjustments. Investigate arbitration claims by collecting, comparing and evaluating required information. Manage various claims involving mechanical issues, ...
Claims Processing, Business Administration, Accounting/Finance, software delivery, or support change management experience is a plus. ...
To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Performs coverage, liability, and damage ana...
Under general supervision, assess and analyze inquiries related to medical claims/bills, authorizations and adjustments for payment or denial within contract agreement or regulatory requirements using knowledge or medical claim/bill payment processing and medical regulations. Investigates/researches...
At American Family Insurance Claims Services (AFICS, Inc. You will investigates and maintain property claims. You will determines liability, secure information, review coverages, arrange appraisals, and settles claims. You will work in the field and report to the Property Claim Manager and handle ho...
In this position you will be writing claims and submitting the paperwork. Company Information:We offer expert Claims Adjusting services specific to the needs of home and business owners, pr. ...
Sets up and enters new claims into claims management system. To provide support to the claims staff and to perform other office tasks depending on the client program. Inputs and reviews notes/diaries in claims management system as instructed. ...