A company is looking for a Technical Claims Specialist in Worker's Compensation. Key Responsibilities:Provide technical oversight to high-risk and complex workers compensation claimsServe as the primary point of contact for critical national initiatives and manage complex projectsDevelop WC guidelin...
Responsibilities include finalizing claims processed electronically for payment and reviewing claim adjudication results for both Title XIX and non-title XIX claims, payment, and denial patterns, ensuring adjudication accuracy in the claims processing system, adhering to policy and procedures, respo...
Key Responsibilities:Collaborates with Claims and Actuarial leadership teams to analyze claims trends and patternsDrives the creation of a robust data foundation for Workers' Compensation and Managed CarePrepares deliverables for senior leaders and supports ad-hoc requests from the Claims leadership...
Responsibilities include finalizing claims processed electronically for payment and reviewing claim adjudication results for both Title XIX and non-title XIX claims, payment, and denial patterns, ensuring adjudication accuracy in the claims processing system, adhering to policy and procedures, respo...
A company is looking for a Virtual Property Claims Specialist. ...
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, ...
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims professional to join our team. Claims may be either first or third. Meet with people involved with commercial auto claims, sometimes outside of the office. Handle claims activities and investigations by phone, mail, ...
The positions will focus on losses in a nationwide book of surplus lines business, including primary and excess claims under commercial general liability policies (CGL) with a focus on construction defect and other construction related claims. We emphasize teamwork, collaboration – among underwritin...
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...
Key Responsibilities:Adjudicates claims and adjustments as requiredResolves claims edits and suspended claimsMaintains and updates required reference materials to adjudicate claimsRequired Qualifications:Experience with a 10-key machineFamiliarity with ICD-9 codes and Current Procedural Terminology ...
A company is looking for a Claims Fast Track Adjuster to efficiently adjudicate claims through investigation, evaluation, and negotiation. ...
A company is looking for a Claims Follow Up Patient Financial Services Representative. Key Responsibilities:Process payments, adjustments, claims, refunds, and denials accurately and timelyResearch payments, denials, and accounts to resolve discrepancies and make necessary appealsBuild strong relati...
A company is looking for a Customer Operations (Auto Claims) Specialist. ...
A company is looking for a Claims Support position. ...
A company is looking for a Claims Resolution Specialist I- Remote. ...
A company is looking for a Complex Cyber Claims Adjuster. ...
A company is looking for a Behavioral Health Customer Service Representative. ...
A company is looking for a Revenue Cycle Billing Specialist. ...
A company is looking for a Claims Intake Processor I. ...
A company is looking for a Leave and Disability Examiner. ...
A company is looking for a Claims Examiner for a temporary assignment. ...
A company is looking for a Senior Manager - Complex Property Claims. ...
A company is looking for a Claims Representative. ...
Key Responsibilities:Execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and resolve claimsInteract with various parties involved in the claim process to ensure effective communication and resolutionProvide exceptional customer service to claimants, h...
A company is looking for a Claims Processor II. ...