HOSPITAL/FACILITY BILLING, ACCOUNTS RECEIVABLE FOLLOW-UP, and UB-04 CLAIMS PROCESSING EXPERIENCE. Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites. Ability to analyze, identify and trend claims issues to proactively reduce denials. Exper...
Corresponds and works with individuals, insurance companies, attorneys, government agencies, inter-departmental teams to prioritize, manage and investigate claims to substantiate or disprove them. Answers, in a timely manner, claims-related calls, letters, texts, and emails, and regularly updates cl...
Reviews and adjudicates claims and/or non-medical a Customer Service, Claims, Advocate, Processing, Service, Retail, Healthcare. ...
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...
Claims Examiner - Auto Liability. To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims, including bodily injury ...
You will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care claims. Long Term Care Claims Representative – Payment Se...
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. Claims Examiner - Workers Compensation | Southeas...
A minimum of 10 years of Georgia workers' compensation claims adjusting experience with higher exposure claims is required. Our service in claims and loss control is second to none. Senior Claims Specialist position. Your role would be to investigate and adjust workers' compensation claims with high...
Specialist I, Claims & Revenue. Specialist I, Claims & Revenue. ...
To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service require...
Understand and can work claims for all major crops, policy/plan types, in all stages of growth. Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions, or trials as necessary. Ensures that claims handling is conducted in compliance with applicable statues, ...
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...
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...
Work with the ACA Commercial Stakeholders, ensure timely reconciliation of claims for encounter submission deadlines; while also meeting the needs of Revenue Integrity’s internal market and product customers. ...
Working behind the scenes in the long-term care industry, our Claims Examiners provide deserving benefits to the aging and infirmed populations who depend on their claims to be accurately processed and ultimately paid. Peeling back layers of claims history and really doing a thorough examination of ...
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, ...
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...
Candidate must have proven technical knowledge in the investigation and analysis of Commercial Property Claims, with a minimum of 3+ years of experience in the handling of Commercial Property Claims. This “individual contributor" position will service claims in the Westchester Excess and Surplus lin...
The Specialist I, RCM performs revenue cycle management activities for assigned patient and insurance accounts.The incumbent assists colleagues and global partner teams with assignments and escalations related to their RCM department, while ensuring that that daily, weekly and monthly tasks are acco...
This position is a multifaceted role requiring disability claims expertise and close collaboration with departmental management, compliance and legal counsel in investigating and responding to formal inquiries from, but not limited to, Social Media sites, State Insurance Departments, or Executive Of...
This position provides technical advice and guidance to claims associates on conditional demands in various states, and recommends changes in claims handling practices based on legislative action or court decisions and trends in the insurance industry. Coordinates with various claims units to provid...