Withum is seeking an experienced health claims auditor possessing in-depth knowledge of group health and disability claims procedures, medical/dental terminology, including CPT, ADA, HCPC and ICDA codes, and a thorough understanding of automated health claims systems as well as manual claims payment...
A company is looking for a Claims Examiner for a temporary assignment. ...
IAT Insurance Group has an immediate opening for a Claims Counsel in our Management Liability Claims Unit that can be located in any of our IAT locations. This role is a true complex claims handling role that is tasked with managing all lines of Management Liability Claims under our Management liabi...
A company is looking for a Strategic Claims Director for Complex Property. ...
The Claims Complex Director will ensure high quality claims handling in the Casualty Specialty Claims Department. You'll work with some of the best claims and underwriting minds in the industry, addressing challenging claims and sophisticated coverage issues. Make your mark in Casualty Claims. Join ...
A company is looking for a Priority Claims Specialist III. Key Responsibilities:Maintain knowledge of DMEOPS codes and resolve unpaid claimsReview EOB's for correct reimbursement and follow up with insurance companiesFile appeals, communicate AR issues, and resolve outstanding accounts receivable pr...
Analyze contracts, policies, applicable law and facts/circumstances surrounding claims to determine appropriate coverage position, and to resolve claims on reasonable terms and at an appropriate value. High degree of technical competence in the handling of high exposure claims and a minimum of 5 yea...
Performing claims oversight on claims with an expected value over $50,000 for guaranteed cost policies and at 50% of the retention for deductible and self insured business. Completing claims audits at TPA branch claims offices or online. The Claims Division is seeking a team member to join the Natio...
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...
The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or *** Health agreements, established payment m...
Investigates and maintains claims:. Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handling is conducted in compliance with applicab...
To analyze complex or technically difficult healthcare, environmental, management, executive, cyber, professional liability, error and omissions, and complex liability claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within company sta...
Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Provide technical and jurisdictional guidance and training to claims examiners and claims support staff. Staff man...
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...
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Develop a plan of action for assigned claims and update the claims file following all material changes in st...
Under the direction of the Asset Manager/Central Services Manager (CSM), the Business Claims Processing Specialist will work directly with property owners and staff to assist them with a variety of tasks that include: renewals of their affordable housing contracts, determining their annual rent adju...
Providence is seeking an Epic Applications Analyst – AP Claims, who will:. ...
At American Family Insurance Claims Services (AFICS, Inc. Lead level role that investigates and maintains complex property/casualty claims. Determine liability, secure information, reviews coverages, arrange appraisals, and settles claims. May specialize in liability, property or catastrophe claims....
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...
The Claims Examiner I is in daily contact with team members, clients and providers. This position reports to the Claims Supervisor. Processes claims accurately, efficiently and within quality/quantity requirements. Has the ability to access research tools for accurate claims entry. ...
The Claims Coordinator will be responsible for medical, dental, and vision claims processing of claims submitted electronically or on hard copy. Review claims for benefit determination based on work queue, electronic or hard copy submissions. Years of Claims Processing experience. Coordinator must b...
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 Service Representative I - Early Response. 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 cl...
The property claims field adjuster trainee will learn how to apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle minor to moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expen...
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