We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries. This includes intake, maintenance, claims review and selection, management, settle...
Summer Intern - Property and Casualty Claims - Richardson, Texas. It's time to CLAIM your internship! Our Property & Casualty Claims Department is looking for students who are completing their sophomore, junior and senior year with an anticipated graduation of December 2025, May 2026 or May 2027. Ga...
This includes intake, maintenance, claims review and selection, management, settlement, and related functions to the case. Carefully examine medical claims documentation, including medical records, bills, and supporting documents, to verify the accuracy and completeness of information submitted by h...
A company is looking for an Auto Claims Adjuster to investigate coverage, liability, and damages for non-injury auto claim cases. ...
The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. The Senior Claims Specialist may also assist the Claims Team Manager with ass...
A company is looking for a Claims Quality Assurance Specialist responsible for auditing claims processes and supporting quality assurance for claims adjusting teams. ...
Investigates, evaluates, negotiates and resolves claims of moderate to high complexity through effective research, negotiation and interaction with insured's and claimants in accordance to established claims procedures and state regulations. Senior Claims Adjuster (Fast Track- Bodily Injury). Resolv...
A company is looking for a Claim Director, Property Large Loss....
JOB SUMMARY: The Insurance Claims Coordinator. Inputting notes/diary entries into the claims system. Preparing a daily claims count report. ...
Bilingual (English/Spanish) Claims Service Specialist – Richardson, TX. Bilingual Claims Service Specialist. Through our paid, industry-leading training, you will learn the ins and outs of the claims process and be ready to assist our Spanish-speaking policyholders when they need us the most – durin...
Commercial and/or Personal Lines Claims Representative positions. Prepare and submit First Report of Claims to carriers. Document, track, and facilitate claims assignments. Work in agency management system to document communications and track claims. ...
The candidate should possess the ability to lead and develop a sophisticated team of claims professionals handling and managing a wide variety of Construction-related General Liability claim functions, overseeing our claims team nationwide, Litigation, Professional Liability and Builders Risk claims...
Assists in the process of workers compensation claims and maintain claim files along with administrative work. Enter, print, sort and mail checks for indemnity and medical claims. Enter new claims into system with accuracy and detail. ...
As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goals and to ensure compliance with legal statutes, po...
A Senior Manager or Director within our Disputes, Claims. ...
This D&O claims professional will have a strong background in handling D&O claims with experience in responding quickly to attorney related inquiries, mediation requests, etc. If you have a strong background in D&O claims or EPLI (Employment Practices) claims, please reach out, this might be your ne...
Ensuring all accident claims are registered with updated documents, adjust physical damage claims including unreported damage claims. Evaluate and adjudicate complex claims, including those in litigation, ensuring compliance with all legal and regulatory requirements. Handle stressful calls with pro...
Bilingual (English/Spanish) Claims Service Specialist – Richardson, TX. Bilingual Claims Service Specialist. Through our paid, industry-leading training, you will learn the ins and outs of the claims process and be ready to assist our Spanish-speaking policyholders when they need us the most – durin...
The Medical Claims Processor is responsible for reviewing and processing healthcare claims submitted by providers to insure accurate reimbursement. CornerStone Staffing is recruiting for Medical Claims Processors! Apply for this organization that is committed to managing Patient Health Benefits by o...
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...
Bilingual (English/Spanish) Claims Service Specialist – Richardson, TX. Bilingual Claims Service Specialist. Through our paid, industry-leading training, you will learn the ins and outs of the claims process and be ready to assist our Spanish-speaking policyholders when they need us the most – durin...
Audit medical claims received from providers for adjudication accuracy. This includes both professional and institutional claims of all types. Assist with new compliance regulation implementation related to claims accuracy. Collaborate with team members to identify and mitigate compliance risk for c...
In a consultative manner, partners with the claims business units to strategize, identify, elicit, and document business needs to ensure support from Claims Technology Solutions (CTS). As product manager, responsible for production support management for incidents and bug fixes by working closely wi...
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...
Prior claims processing experience within Eldorado HealthPac Claims Adjudication System is a plus. As a Contractual Compliance Coordinator, you will ensure the accuracy of the required reporting and procedural and financial claims processing requirements set forth by the client and Health Plan contr...