This role serves as a claims subject matter expert (SME) and is responsible for incoming inquiries regarding current claims and escalated issues. This role works with our Provider Contracting and Provider Relations departments to assist in managing the operational aspects of the provider relationshi...
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. ...
This role serves as a claims subject matter expert (SME) and is responsible for incoming inquiries regarding escalated claims issues. The Claims Research Specialist is responsible for the day to day handling of claim issues. They assume ownership and accountability for the timely and accurate identi...
The Product Manager of Mobile Prize Claims will establish, maintain, and implement the product vision, strategy, and roadmap for the Lottery mobile prize claims solution, with the goal of modernizing and making the current process more sustainable. Own the vision, strategy, and roadmap for Mobile Cl...
Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. Promptly manages claims by completing essential functions...
Do you like providing support and guidance to ensure customers have an exceptional experience? Are you familiar with medical terminology? Do you have experience in a claims or credentialing environment?. We are now seeking Health Claims Specialists to join us and support one of our healthcare client...
To analyze high-level commercial General & Auto Liability 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. Remote) Claims Examiner - General ...
Humana's Claims Adjudication System (CAS) team is at the heart of our core services, providing essential claims processing and management solutions. Experience in the healthcare industry, particularly with claims adjudication systems, is highly preferred. ...
To analyze mid to 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 Adjuster - Workers Compensation/Ind...
Director, Claims & Fraud OperationsEast Providence, United States of AmericaUSA Job Family Description: Responsible for the day-to-day operations of the company's business units. The Director of Claims & Fraud Operations will lead a fraud operations support function with the following responsibiliti...
Follow-up Supervisor performs all duties necessary.HIPAA guidelines when handling patient information.ICD CPT HCPCS and 1500 claim forms....
Injury Claims - Attorney RepresentedJoin Forbes' 2024 Best Employer for Diversity!. An ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negot...
Claims Service Representative 1 - ER. When you join the Auto Club as a Claims Representative, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. As a representative within our Claims department you will:. Assess claims and neg...
To analyze and process low to mid-level auto and transportation claims. Processes auto property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Performs coverage, liability, and damage analysis on all claims ass...
Our office in Lincoln, RI is seeking an experienced Casualty Claims adjuster. The individual selected will be responsible for the investigation and settlement of casualty claims. This role is comprised of a combination of field work, work from home and scheduled time in our Rhode Island Claims Offic...
The Product Manager of Mobile Prize Claims will establish, maintain, and implement the product vision, strategy, and roadmap for the Lottery mobile prize claims solution, with the goal of modernizing and making the current process more sustainable. Own the vision, strategy, and roadmap for Mobile Cl...
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 ...
Claims Business Solutions Analyst. Coordinate the operational aspects of operational services as related to accuracy and timeliness of claims transaction processing, configuration or testing. Assess the impact of major system migrations and updates, monitoring the progress of resolution for all syst...
This position will be responsible for the resolution of claims of average complexity and low to mid exposure claims. Confirms coverage of claims by reviewing policies and documents submitted in support of claims. The primary purpose of this job is to investigate, evaluate, negotiate and settle assig...
This role serves as a claims subject matter expert (SME) and is responsible for incoming inquiries regarding escalated claims issues. The Claims Research Specialist is responsible for the day to day handling of claim issues. They assume ownership and accountability for the timely and accurate identi...
The Senior Claims Representative handles complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims, as well as directs defense counsel, independent adjusters, experts, and other vendors i...
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. ...
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...
Commercial Auto Claims Representative - Liability. To analyze and process low to mid-level auto physical damage claims. Commercial auto claims experience is preferred. Processes auto property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctl...
Utilize company software to electronically transmit claims information directly from the field to RCIS to ensure claims are processed timely and accurately. Zurich is currently looking for a RCIS Crop Claims Field Adjuster I to join our Rural Community Insurance Services (RCIS) team. ...