The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlem...
We have flexibility to fill this position as a Senior Claims Specialist or a Complex Claims Specialist depending on candidate experience. Senior Claims Specialist Typical Starting Salary: $94,600 - $123,000. Complex Claims Specialist Typical Starting Salary: $106,900 - $137,100. With minimal supervi...
As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, construction defect and construction related property damage claims from inception to final disposition. This is a visible and important role within our Complex Claims Unit (CCU) Hartford G...
Are you looking for an opportunity to join a claims team with a fast-growing company that has consistently outpaced the industry in year-over-year growth? Liberty Mutual has an excellent claims opportunity available for a Claims Specialist within our Commercial Lines division!. The Claims Specialist...
As a Claims Specialist, you will be responsible for handling a caseload of complex, high exposure, auto and general liability claims throughout the claim’s life cycle. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required. ...
This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims. Experience handling moderate to high exposure general liability BI and PD claims and/or a legal background as a practicing attorney with litigation or coverage experience is requ...
Investigate all aspects of assigned claims from cradle to grave including coverage determination, resolving informally postured claims directly, working with defense counsel where defense obligation exists, issuing reservation of rights letters where coverage does exist, issuing coverage declination...
As a Disability Claims QA - Long Term Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure to accuracy and completeness of reports accompanying medical records. Verify that the claims support the physicians determinations in long-term disability...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Successful completion of 5 years as a Claims Specialist. Ability to influence claims stakeholders and to effectively direct claims strategy. This position will be responsible for the resolution of moderat...
With minimal supervision, handles a book of specialty lines claims, throughout the entire claim's life cycle. Responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed auth...
Supervisor - Claims Specialist Team. The Claims Supervisor is responsible for the coordination and control of the Claim Specialist Team, ensuring that effective operations run smoothly and staff-assigned work queues are maintained within the budgeted benchmarks. Effectively resolves problems and dis...
AR Specialists are responsible for accurately identifying insurance claims denials and/or claims processing errors to resolve accounts. Qualified candidates must have at least 1-2 years medical claims experience. Resolve unpaid/denied claims by leveraging proprietary software system, making phone ca...
Job Description: Disability Claims Specialist. Must have at least + years prior LTD/IDI Insurance Claims Experience. The LTD Claim Consultant evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the LTD Claims ...
A Homecare Billing and AR Specialist is responsible for handling the billing and accounts receivable processes within a homecare or healthcare organization. Key responsibilities of a Homecare Billing and AR Specialist may include:. Billing Cycle Management: Generating and submitting claims to insura...
Degrees: High School,Cert,GED,Trn,Exper Licenses & Certifications: AHIMA Certified Coding Specialist-Physician-basedAHIMA Certified Coding SpecialistAHIMA Certified Coding AssociateAAPC Certified Professional Coder Additional Qualifications:Minimum two years of charge entry or claims/billing managem...
Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collectio...
Claims Documentation Specialist. The Documentation Specialist will be responsible for entering claims documents into our electronic system and procuring veterinary records while interpreting, coding and understanding medical terminology in relation to diagnoses and procedures. Ability to learn quick...
Client is currently looking for a Refund Specialist for our Credits Team in our Revenue Operations Department. Autonomously research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer); actions included bu...
The Default Claims Specialist is responsible for preparing, filing, and following up on all FHA, VA, USDA, PMI, and investor claims timely and accurately according to insurer/investor guidelines. Prepare and file all FHA, VA, PMI, and investor claims timely and accurately according to investor/insur...
The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of claims department and of CorVel. The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and cust...
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The Customer Service Representative is responsible for receiving calls from child support client stakeholders in accordance with Standard Operating Procedures and contractual obligations; categorizing all calls received in one of the categories provi Customer Service Representative, Customer Service...
One year experience in a customer service role handling and resolving a high volume of complex customer needs over the phone. Exciting opportunity to be a part of our Specialty Mail Order Pharmacy! As a Pharmacy Service Representative, you will provide telephone support to patients receiving life su...
Earn at Home by Taking Polls - Customer Service Representative - Data Entry Clerk - Work from Home & Part TimeWe are looking for people nationwide to participate in polls - Apply ASAP!We offer you the opportunity to earn extra income from home (teleworking) and also to decide your own participation ...
Work From Home Customer Service Representative**. As Customer Service Teammates we are able to support eBay customers and tackle their problems in the quickest, simplest, and easiest way possible. Work From Home Customer Service Representative**. As Customer Service Teammates we are able to support ...