With offices located in Coral Gables, FL, we are interested in bringing an examiner into the claims department to resolve balance billing and appeals sent by clients, patients, and/or providers at a very successful TPA of insurance benefits. Recent experience processing healthcare (Medicare / Medica...
Responsibilities:• Experienced claims processor, claims examiner to process hospital claims "UB-04" and physician claims collections "CMS 1500", claims adjudication, coding and claims coverage determination• Must have extensive knowledge of hospital and physician billing and collections, knowledge o...
Auto Liability Bodily Injury Claims Examiner. To analyze and process complex auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims...
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...
Knowledge of claims and/or encounter processing and data analysis experience preferred. ...
Review of individual claims within the portfolio on a regular basis and ensuring reserves and claims records are maintained in a timely manner as required by Beazley's claims controls. Communication of any material claims to Reinsurance and Finance as set out by the applicable claims authority, clai...
Knowledge of claims and/or encounter processing and data analysis experience preferred. ...
Oversee the Claims Examiner Department (6 - 10 examiners), optimizing claims processing to maximize client savings. In this role, you will supervise and manage day-to-day claims operations, ensuring quality and compliance with industry standards and state regulations. Supervise the claims department...
The Estimator will be responsible for preparing detailed cost estimates for heavy civil infrastructure projects, including highways, bridges, earthworks, and other public works. ...
Auto Damage Claims Adjuster - National Catastrophe Response Team **Job Number**. As an **auto damage** **claims adjuster** for our National Catastrophe Response Team, youll complete vehicle damage estimates and/or oversee the estimatic quality of repair facilities. ...
Analyzes and adjudicates routine claims, determining approval on file, eligibility, identify discrepancies, and applies all cost containment measures to assist in the claim adjudication process. Screens and routes complex claims to claim manager. Facilitates training in accordance with operational g...
The Construction Estimator is responsible for preparing estimates budget costs for construction by reviewing in detail plans & bid packages provided by our customers in the Energy transmission & distribution sector of the industry. ...
Job Description - Claims Customer Service Representative (188396) ****. Claims Customer Service Representative **Job Number**. Claims Representative-** care for customers recently in accidents by demonstrating empathy while setting up new claim reports; youll also offer customers additional prod...
We are looking for an **Insurance Adjuster** to begin a career at Assurant in a fast-paced, energetic environment where you drive results while providing exceptional customer service. Investigate and adjust claims according to applicable laws and policy provisions. Review and audit estimates recei...
Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. As a key member of our experienced Claims Adjuster team, you will:. Investigate, evaluate, and resolve complex workers compensation claims app...
Job Title: Warehouse Data Entry Clerk. We are seeking a detail-oriented and bilingual Warehouse Data Entry Clerk to join our team. Previous experience in a warehouse or data entry role preferred. Strong attention to detail and accuracy in data entry. ...
As the Manager, you will be responsible for managing the day to day activities of a team of claim adjusters within the P&C Claims department. Successful P&C Claims Managers effectively lead, manage, and motivate employees to meet production service standards and provide coaching and development to h...
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...
Insurance Placement Solutions has an immediate opening for a Remote Commercial Auto Bodily Injury Claims Adjuster with our client. As a member of our client's claims team, utilize your knowledge of commercial auto to independently investigate, evaluate, and resolve assigned claims in order to achiev...
Assurant is looking for Claims Adjusters to join our growing team in. As an Adjuster, you’ll provide be working directly with policyholders when they have a claim. You’ll advocate for the policyholder by listening, analyzing problems, and guide them through the claims process. ...
Position: Data Entry Clerk Work From Home - Part-Time Focus Group Participants (Side Gig)We are seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, Phone Interviews or Paid Surveys. Data entry clerk experience is not necessaryJob Benefits:Flexibility to take pa...
Position: Remote Work From Home Online - Paid Research Panelist - Part-Time Data Entry Clerk WelcomeOur company is looking for qualified candidates to take part in paid national and local focus groups, clinical trials, and market research studies. Ability to understand and follow both oral and writt...
Knowledge of claims and/or encounter processing and data analysis experience preferred. ...
As a Building Materials Estimator, you will play a crucial role in the construction process by accurately estimating the quantity and cost of materials required for various building projects. Proven experience as a building materials estimator or similar role in the construction industry. ...