Claims manager in maintaining the workflow and processes, in order to achieve set goals. Review and release professional and institutional claims. Process Member Reimbursement claims. ...
The Medical Claims Examiner will ensure all claims received comply with all health plan, regulatory, contractual, compliance, and Alivi billing guidelines and processes. SUMMARY This position is intended to provide billing and claims management support to Alivi Specialty Networks and Business Proces...
To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are proper...
The Claims Examiner III ensures that claims are processed according to department standards and assists the Claims manager in maintaining the workflow and processes, in order to achieve set goals. Responsibilities: Review and release professional and institutional claims Process M...
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...
Claims Examiner - Workers Compensation | Southeast Jurisdictions. 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 servi...
A company is looking for a Claims Clerk for a national remote position. ...
Key Responsibilities:Analyze, investigate and approve claims dataSupport leadership to scope, size, prioritize items and deliver solutionsUtilize google sheets and SQL to develop accurate, quantitative analyses of claims issuesRequired Qualifications:2+ years of experience in a data analyst role or ...
Key Responsibilities:Receiving and confirming policy coverage for claimsInvestigating and managing 1st and 3rd party Auto and General Liability claimsEstablishing reserves, authorizing payments, and communicating claim statusRequired Qualifications:Five or more years of experience in handling Auto a...
Key Responsibilities:Investigate, evaluate, settle, and process casualty claims primarily over the phoneHandle various types of claims including injury and property damage claims under different coveragesComply with claims organization policies, best practices, and jurisdictional guidelinesRequired ...
A company is looking for a Patient Support Medical Claims Processing Representative. ...
A company is looking for a Claims Representative - Liability. ...
A company is looking for a Workers Compensation Claims AssistantKey Responsibilities:Perform basic claim handling functions such as data entry, bill payment, and ordering reportsInteract with clients, attorneys, and vendors to gather data and schedule appointmentsProcess medical only claims, review ...
A company is looking for a Senior Manager, Claims Compliance. ...
A company is looking for a Manager of Card Fraud Claims. ...
A company is looking for a Claims Processor 1. ...
A company is looking for a Sr Claims Recovery & Analysis Analyst. ...
A company is looking for a Claims Adjuster, Warranty I. ...
A company is looking for a Senior Manager, Claims Platform Configuration. ...
A company is looking for a Rx Claims Analyst for a national remote position. ...
Key Responsibilities:Sets up new claimsProcesses mail, handles files, and inputs notes/diary entries in the claims systemAssists claims examiners with telephone callsRequired Qualifications:High school diploma, college degree preferredSix months of service-oriented office experience preferredPC lite...
A company is looking for a Claims Specialist - TEMPKey Responsibilities:Receives and confirms policy coverage for claimsDetermines validity and compensability of claimsManages non-complex workers' compensation claims under supervisionRequired Qualifications:Bachelor's degree or equivalent experience...
A company is looking for a Claims Representative - General LiabilityKey Responsibilities:Managing an active desk of fast-track property damage liability claimsAnalyzing coverage issues under various standard industry formsAdjusting total auto losses as part of adjusting liability claimsRequired Qual...
Key Responsibilities:Maintain knowledge of DMEOPS CPT and ICD-10 codesReview and resolve unpaid, short paid, and denied claimsFollow up with insurance companies, submit corrected claims, and file appealsRequired Qualifications:High school education or equivalent5+ years of related experience in insu...
LHH Recruitment Solutions is currently seeking a Construction Estimator for one of our esteemed clients, a leading privately held construction company specializing in multi-trade projects. Using standardized CSI format and historical data, the Construction Estimator will meticulously prepare detaile...