The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this ca...
As a Medical Claims Data Specialist at LogixHealth, you will work both independently and with internal teams to provide cutting-edge solutions that will directly improve business operations. You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to ensure ...
The Claims Support Specialist position provides comprehensive administrative support as a part of the Client Experience. The Claims Support Specialist has responsibilities which include phone calls from members or providers as well as providing support to departments within Zelis Enterprise. A backg...
Ability to work in adverse conditions (post-loss insurance claims). ...
Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _. Ins Claims Examiner Medical Malpractice - Revere, MA. ...
Claim Service Specialists are advocates for our customers. Claim Service Specialists are responsible for thoroughly checking claim case facts, determining coverage, liability and reserves, and accurately reporting on each settlement. They prepare and maintain well-written files and keep their teams ...
Requisition #: 73134The Role at a GlanceWe are excited to bring on a highly motivated Group Claims Specialist to support our ever-growing claims organization in a work from home environment. Background detailsAs a Group Claims Specialist, you will support our Short Term Disability or Integrated Abse...
The Claims Specialist under the supervision of the Director of Claims is responsible for proactively investigating, managing, and resolving Workers’ Compensation, General Liability, and Automobile Liability claims. The Claims Specialist will timely and accurately process all claims from filing to cl...
Under immediate supervision, investigate and dispose of first and third party claims. Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system. ...
The position will handle Environmental claims directly that involve asbestos, and latent type claims to include the resolution of coverage issues and establishing reserves. Will need at least 4 years’ experience in commercial claims or 2 years preferred of handling environmental or large comme...
The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this ca...
Currently we have an opening for aSenior Claims Specialist in your territory. Senior Claims Specialist position. A minimum of 10 years of Connecticut and Massachusetts workers' compensation claims adjusting experience with higher exposure claims is required. Our service in claims and loss control is...
Adjust non lost-time claims for workers compensation. Knowledge of claims function and processes. Understanding of workers compensation or disability claims management, strategies, resolution techniques and adjusting. Technical/administrative capability to enter first reports of injury and to adjust...
Will assist in the training of Claims Service Specialists II and below. Under limited supervision, investigate and resolve first and third party material damage, PIP, and BI claims which may involve coverage, liability, damage and legal issues. Inputs and retrieves information using the automated cl...
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, ...
In this role, you will investigate first party homeowner and first party commercial claims. Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system. ...
Excellence In Everything We TouchPosition SummaryThe role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjusters content claims handling operations:Acting/operating as a third party, intermediary between the Insurance Company's pro...
As a Claims Coding Specialist & Reception Backup, you will process injured worker claim reports according to U. Bureau of Labor & Statistics (BLS) guidelines and other agency business needs, accurately enter information into the Claims Information System (CIS) and update information as neces...
Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working relati...
As a Claims Coding Specialist, you will process injured worker claim reports according to U. Bureau of Labor & Statistics (BLS) guidelines and other agency business needs, accurately enter information into the Claims Information System (CIS) and update information as necessary. ...
Liberty Mutual has an immediate opening for an Excess and Coverage Senior Technical Claims Specialist as part of our Excess, Coverage and Specialized Claims Unit. If you are an experienced claims professional with Commercial Excess Claims experience, this is the role for you!. If you have experience...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
Location: Bedford, MA; Hybrid in Bedford, MA This Role: As a Medical Claims Data Specialist at LogixHealth, you will work both independently and with internal teams to provide cutting-edge solutions that will directly improve business operations. Key Responsibilities: Run validations in the Ntierpri...
The Claims Support Specialist position provides comprehensive administrative support as a part of the Client Experience. The Claims Support Specialist has responsibilities which include phone calls from members or providers as well as providing support to departments within Zelis Enterprise. A backg...
Location: On-Site in Bedford, MA This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry. You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to review and...