The Claims Quality Assurance Auditor serves as a consultative expert in claims operations supporting the accuracy, consistency, and quality of claims processing by conducting audits of claims processed against established Plan guidelines and protocols specific to claim adjudication, both via manual ...
A company is looking for a Commercial Auto Claim Adjuster III....
MPS is seeking an experienced Financial Analyst/Accountant to oversee the end-to-end processing of customer product claims including analysis and accounting. Claims analysis includes claim intake, due diligence processing and audit, negotiation, and settlement. Claims accounting includes financial r...
A company is looking for a Medical Malpractice Lead Claims Specialist in Long Term Care. ...
Use claims handling software, a company car and laptop to determine claims related damage and write estimates in a paperless environment. The starting pay range for this position is $60,000 - $80,000 based on property claims adjusting experience. Our Field Property Claims Adjusters will:**. Must ach...
Key Responsibilities:Calculate and communicate changes to benefits based on contract termsTrain case managers on financial components affecting claimsMaintain reporting and metrics on overpayment recoupment and waiversRequired Qualifications:College degree or equivalent work experience3 to 5 years o...
The ideal person for this role has an extensive background in healthcare claims auditing, claims processing and coding, and a high level of understanding of payment guidelines for CMS, Medicaid and commercial payers. Conduct comprehensive reviews of post pay claims using any and all available resour...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
Providence is seeking an Epic Applications Analyst – AP Claims, who will:. ...
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 Company that offers insurance claims administration services, risk management, analytics, worker care and absence management, and compliance services is looking for a Claims Assessor to work remotely. Why you should apply to be a Claims Assessor:. Chance to make a difference in people's lives by...
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...
Reporting to the Team Leader, the Claims Adjuster, Auto is responsible for providing a consistently high level of service by investigating insurance claims for insurers or third parties and negotiating settlement of the claims to the satisfaction of all parties. Manages comprehensive desktop investi...
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...
Responsible for providing superior property claims service to all regions by handling Property and Inland Marine claims of varying exposures. Selective Insurance is looking for a Virtual Property Claims Specialist for this remote opportunity. Handles property/inland marine claims as assigned. This p...
The Team Leader will be responsible for working with the ESIS Claims management team to successfully implement business plans focusing on claims quality, customer service, staff development and expense management. Determines and delegates claims settlement authority to claims representatives. Develo...
Selective Insurance is looking for a Mobile Property Field Claims Specialist to handle field property claims throughout the US. It is the responsibility of this position to provide superior property claims service to all regions by handling Property and Inland Marine claims, generally with dollar ex...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
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...
Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate analyze and determine the extent of insurance company's responsibility for lost wages medical benefits and permanent impairment. Workers Compensation handling California Claims. ...
The ESIS Senior Work Comp Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Authoritative technical knowledge of claims handling and claims terminologies. ESIS provides a full ran...
Claims Service Representative 1 - Early Response - WeekendWhat’s in it for me?. 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 d...
The ideal candidate is someone who currently has 3-5 years' experience of medical insurance claims follow-ups and working/resolving denied claims. We are looking for an MedicalClaims Follow-Up in Hayward, CA. ...
As a Supervisor, you'll lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations. Workers' Compensation Claims Supervisor - Lead a Dynamic T...
The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. ...