Business Analyst - Medicaid Claims / Eligibility. Different Claims Pricing Models (Alternative Payment Methodology. ...
As a Manager, Claims Operations you will lead and be accountable for auto, property, and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. We are seeking dedicated M...
Review of individual claims within the portfolio on a regular basis and ensuring reserves and claims records are maintained in a timely manner as required by Beazley's claims controls. Communication of any material claims to Reinsurance and Finance as set out by the applicable claims authority, clai...
Complies with Unfair Claims Practices Acts and ensures handling of claims in good faith. At American Family Insurance Claims Services (AFICS, Inc. The Claim Team will handle moderate to highly complex claims. Property claims handling experience is required. ...
Key Responsibilities:Educate and develop relationships with customers in handling complex Contents claimsThoroughly evaluate and investigate Contents and Loss-of-Use claimsCollaborate with cross-functional teams to assess risk and investigate losses while providing excellent customer experienceRequi...
This role will handle all liability claims and related activity for designated accounts and to coordinate the activities, workflow, and delivery of liability claim services for the department. Investigates, evaluates, and resolves litigated liability claims in multiple jurisdictions to the point whe...
A company is looking for a Medical Claims Review Nurse for a fully remote position in Seattle, WA. ...
Ten (10) plus years of experience managing large claims and claims processes. This position is responsible for managing the operations of the intake of claims for the Legal Department to meet operational, financial and service requirements. This includes leading the intake and processing of insuranc...
A company is looking for a Mental Health Claims Billing Manager for a remote position. ...
Handles complex insurance and contractual coverage issues, with a primary emphasis on complex high exposure liability claims. Managing a team of adjusters in the investigations, vehicle inspections, and resolves complex and high exposure claims, as well as directs outside vendors, independent adjust...
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 | CT, MA, ...
As a(n) Claim Specialistyou will:Under the direction of the Compliance and Contracts Manager, the Claims Specialist is responsible for working with insurance companies to perform denial resolution on outstanding claims and supports the internal Credentialing process of the center. A successful candi...
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...
Complies with Unfair Claims Practices Acts and ensures handling of claims in good faith. At American Family Insurance Claims Services (AFICS, Inc. The Claim Team will handle moderate to highly complex claims. Property claims handling experience is required. ...
Manages an inventory of moderate to high complexity and exposure Healthcare claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working relati...
Review medical claims that are held with a pend or hold code and using our desk level procedures to apply appropriate guidelines for processing the claim. Claims experience is the primary skill needed for the positions. ...
Under the direction of the Compliance and Contracts Manager, the Claims Specialist is responsible for working with insurance companies to perform denial resolution on outstanding claims and supports the internal Credentialing process of the center. A successful candidate for the Claims Specialist po...
The Claims Coordinator I position is responsible for the full investigation of claims presented onto Graebel from transferees and/or associated parties while ensuring that the level of communication throughout process reflects an optimal level of customer service for both external and internal the ...
Skills:Medical , Claims Adjudication, Claims Processing, Payment Determination, ICD-10, CPT Codes Experience:Experienced3 year(s). Adjudicates medical claims/bills for payment or denial within contract agreement or guidelines/protocol, using knowledge of medical claim/bill payment processing and med...
Ten (10) plus years of experience managing large claims and claims processes. This position is responsible for managing the operations of the intake of claims for the Legal Department to meet operational, financial and service requirements. This includes leading the intake and processing of insuranc...
As a member of the Field Property Claims Team, you will play a vital role in providing an outstanding customer experience by using your investigative, problem solving, and negotiation skills to resolve a variety of homeowner claims in a fast paced, detail-oriented, team environment. Every day is a n...
We’re searching for someone to join our team as a Restoration Claims Specialist. Our Restoration Claims Specialist position pays $21 - $25 per hour, based on experience. As a Restoration Claims Specialist, you will report to the Office Manager and you will work with our customers, insurance partners...
Position Summary: The Billing Claims Coordinator is responsible for resolution of outstanding A/R including correcting billing errors, refiling claims, appealing denials, and posting approved adjustments. Colorado Retina Associates is looking for a Billing Claims Coordinator! Colorado Retina Associa...
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 ...
The Claims Supervisor - Material Damage contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience by providing leadership to the claims team, focusing on the achievement of key business goals and customer service standards. This position will oversee a team...