Senior Auto Claims ExaminerOur client, a respected company in RI, is looking to add a Senior Auto Claims Examiner to their staff! 5+ years of industry-specific experience is ;. Manage a caseload of Commercial claims from start to finish. Commercial auto claims experience and ability to. ...
We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting Group Protection in a remote environment. As a Claims Customer Care Associate, you will be responsible for answering claimants calls regarding potential group insurance product (example: denta...
Up to $22 per hour / Benefits - As a Claims Associate you'll: Evaluate claims to determine whether they qualify for reimbursement; Deliver exceptional service to members via phone, chat, and email, offering education and guidance to help them navigate the Garner claims process; Follow documented bes...
Undergeneral supervision of the Follow-up Supervisor, performs all duties necessaryto follow up on outstanding claims and correct all denied claims for a largephysician multi-specialty practice. Responsibilities:Review all denied claims, correct them Claims, Insurance, Healthcare, Supervisor. ...
The Senior Pharmacy Claims Professional adjudicates pharmacy claims and processes pharmacy claims for payment. The Senior Pharmacy Claims Professional oversees processes and ensures accuracy for pharmacy point of sale transition adjudicated claims. Analyze, monitor, and enhance processes and claims ...
To analyze complex public entity claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high leve...
As a Group Claims Specialist, you will support our Short Term Disability or Integrated Absence teams. ...
Job Description - Injury Claims - Attorney Represented (234708). 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 negotiate and settle cla...
We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an Integrated Absence Claims Specialist, you will manage a workload of Short-Term Disability claims and their associated leaves. Lincoln Financial Group Integrated Abs...
Lead development efforts for claims/returns modernization, ensuring current and future business requirements are met with new system design:. Claims workflows and automation. Re-routing claims for high damage parts from air to truck. Develop process maps and system specifications for the new order m...
Hancock leads the way in claims resolution services by complete nationwide coverage, fast, full-services claims inspections, and superior quality and accuracy. Our proven process is your assistance of high-quality claims support from rapid catastrophe response to direct inspections. Roofing and cons...
Claims Representative - Auto Liability. To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Perf...
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...
Performs claims auditing functions, including but not limited to: Opening claims, assigning claim numbers, entering claims data intoputer, etc. High School or GED required and at least 6 months as an Claims/QC Assistant at Rain and Hail or at least one year of previous underwriting or claims auditin...
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. New England Claims Examiner - Workers Compensatio...
Investigates fraud claims involving ACH, Pre-authorized drafts, altered check, forged endorsements, unauthorized third party transfers, elder fraud, identity theft or other operations fraud issues. Assists in the preparation of filing bonded claims and un-bonded charge off recommendations. ...
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...
Hancock leads the way in claims resolution services by complete nationwide coverage, fast, full-services claims inspections, and superior quality and accuracy. Our proven process is your assistance of high-quality claims support from rapid catastrophe response to direct inspections. Successful Techn...
Requests appropriate adjustment via AWD to the Claims BPO. Receives, tracks, completes and maintains the provider grids on a daily basis providing timely claims determination, adjustments where appropriate, and feedback to providers. Acts as a resource to Claims Production staff and other department...
To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Performs coverage, liability, and damage ana...
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...
Follow-up Supervisor performs all duties necessary.HIPAA guidelines when handling patient information.ICD CPT HCPCS and 1500 claim forms....
Experience in handling provider calls/complaints pertaining to Benefits & Eligibility, claims/appeals/denials is a plus. ...
As a Commercial/Specialty Casualty Adjuster, you will be responsible to resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, ...
Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You will be responsible for working within a structured environment with established Standard Operating Procedures to ensure consistency o...