A company is looking for a Remote Medical Reimbursement & Claims Specialist in Dallas, TX. ...
If requested, be prepared to provide assistance to non-Major Claims personnel in terms of advice and guidance and review of Claims Reports and Case Assessment Reports. Manage the disposition of Major Claims (currently $2. M minimum exposure) from inception to final disposition; the typical caseload ...
A company is looking for a Medical Claims Auditor to audit and adjudicate stop loss insurance medical claims. ...
Knowledge of Claims-specific applications such as MRM Portal, Claims Portal, Business Objects, and Tableau preferred. Claims Finance and Workforce Operations Manager. This position manages the staff, assets, and activities of the Claims Department's financial operations, including budgeting, forecas...
A company is looking for a Claim Manager Assistant I who will manage incoming and outgoing communications while facilitating claim determinations....
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...
If requested, be prepared to provide assistance to non-Major Claims personnel in terms of advice and guidance and review of Claims Reports and Case Assessment Reports. Manage the disposition of Major Claims (currently $2. M minimum exposure) from inception to final disposition; the typical caseload ...
Mary Kraft is seeking an experienced Claims Examiner that will be responsible for analyzing complex or technically difficult workers' compensation claims to determine benefits due. Claims Examiner - Workers Compensation (Project. This role involves managing high exposure claims that include liti...
The Claims Investigator should demonstrate proficiency in the following areas:. ...
Mary Kraft is seeking a Workers Compensation Claims Examiner who will be responsible for processing low-level workers' compensation claims. The role includes determining compensability and benefits due, ensuring ongoing adjudication of claims within company standards and industry best practices,...
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...
This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving claims according to company protoc...
Understand and can work claims for all major crops, policy/plan types, in all stages of growth. Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions, or trials as necessary. Ensures that claims handling is conducted in compliance with applicable statues, ...
The Claims Examiner II accurately reviews, researches and analyzes professional, ancillary and institutional inpatient and outpatient claims. Process all types of claims, such as, HCFA 1500, outpatient/inpatient UB92, high dollar claims, COB and DRG claim. Comprehensive knowledge of DMHC and CMS gui...
Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize dis...
Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients...
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 assistant, Insurance claims. Will assist in setting up claims, requesting checks, sending out letters based on direction given, follow up on in status of pending matters, as needed and designated by the staff. ...
Property & Casualty (P&C) Claims Adjuster. Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liabi...
To analyze complex or technically difficult workers' compensation 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 req...
The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development op...
To analyze California 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. Hybrid & Onsite) Workers Compensation Claims Hand...
A Managerr within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. ...
The Claims Recovery Administrative Assistant provides administrative support to attorneys and paralegals on the Claims Recovery Team. ...