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...
Knowledge of B2B construction, claims, recovery or insurance claims negotiation and settlement process preferred. Learn the functionality of the company's Claims Database Tool and enter all notes and documentation throughout the recovery process. Use a calendar and diary system to coordinate handlin...
A company is looking for a Customer Operations (Auto Claims) Specialist. ...
The base salary range for the Senior Claims Specialist position is $74,900-$109k/year with 25% bonus potential. This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation...
A company is looking for a Health Claims Specialist. ...
One of our best clients has an opening for a claims specialists in their Denver, CO office. You will work with an, internal team including field investigators, to manage claims and collect from businesses and insurance agencies. Resolve and negotiate claims recovery via phone, email, letter and othe...
As a Technical Claims Specialist, you will play a crucial role in managing and resolving a variety of commercial claims, including general liability, property, Inland Marine, automobile bodily injury, property damage, and potentially worker's compensation claims. A well-respected Insurance Carri...
One of our best clients has an opening for a claims specialists in their Denver, CO office. You will work with an, internal team including field investigators, to manage claims and collect from businesses and insurance agencies. Resolve and negotiate claims recovery via phone, email, letter and othe...
Under the direction of the Compliance and Contracts Manager, the Claims Specialist is responsible for working with insurance companies to perform denial resolution on outstanding claims and supports the internal Credentialing process of the center. A successful candidate for the Claims Specialist po...
The Insurance Claims Specialist will be responsible for the daily management and coordination of Workers’ Compensation claims between the third-party claims administrator (TPA) and Operations. ABOUT THE ROLE The Insurance Claims Specialist is primarily responsible for coordinating and administering ...
Claims Administrative Support SpecialistAs a. ...
Under the direction of the Compliance and Contracts Manager, the Claims Specialist is responsible for working with insurance companies to perform denial resolution on outstanding claims and supports the internal Credentialing process of the center. A successful candidate for the Claims Specialist po...
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, ...
Knowledge of B2B construction, claims, recovery or insurance claims negotiation and settlement process preferred. Learn the functionality of the company's Claims Database Tool and enter all notes and documentation throughout the recovery process. Use a calendar and diary system to coordinate handlin...
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather necessary claim information, managing the claim process from the initial request to the return to work.Collaborating with fellow case managers, nurse case managers, and consulting physicians ...
A Senior Manager or Director within our Disputes, Claims. Senior Managers are assigned to. Senior Managers work directly under the supervision of Stout's M. Overall DCI Senior Manager Knowledge Skills and Abilities. ...
A company is looking for a Claims Data Analysis and Reporting Manager. ...
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 Examiner. ...
A company is looking for a Complex Cyber Claims Adjuster. ...
A company is looking for an Intake Representative, Claims. Key Responsibilities:Receive initial claim information from customers via various channelsDetermine appropriate policy and coverage for lossesAnalyze received information and document facts of loss in the computer systemRequired Qualificatio...
A company is looking for a Claims Supervisor. ...
Key Responsibilities:Identifying coverage, setting up new claims, and documenting claims in the systemHandling incoming correspondence and calls related to claimsReviewing claims statuses, reconciling claim reserves, and releasing reportsRequired Qualifications:High School Diploma or GEDMinimum of o...
A company is looking for a Senior Workers Compensation Claims Adjuster. ...
A company is looking for a Medical Malpractice Lead Claims Specialist in Long Term Care. ...