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...
Team Lead - Medicare Specialist. ...
Claims Service Specialist – San Diego, CA. As a Claims Service Specialist, you will collect facts about the accident, investigate claim details, and collect statements from involved parties. Many associates see a base salary increase of 10% within their first year as a Claims Specialist. Through our...
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...
The client is seeking a highly motivated an experienced TEMP - Claims Resolution Specialist (Customer Service) to join our team. The Claims Resolution Specialist will be the first line of contact for the client’s providers. The incumbent will assist providers with questions related to the payment of...
Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, technical specialist, claims manager or similar role sufficient in one more of the following states to develop a high degree of technical expertise: CA, FL, TX, GA, or SC. O...
As a Supervisor, you'll lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations. Workers' Compensation Claims Supervisor - Lead a Dynamic T...
Customer Service Account Representative. Customer Service handling big box business. Target Customer Service experience a plus. The Customer Account Rep is responsible for assigned Target Brands and is not limited to monitoring receiving, processing, and addressing any/all Target Brand needs. ...
The customer service representative will be responsible for answering client inquiries, provide product information, and help the customer by being informative, empathetic, and eager to quickly solve a customer’s problem. Excellent customer care and focus; ability to assess customers’ needs and prov...
The Billing Specialist is responsible for providing general support to the billing team including, but not limited to, time narrative entry and edits, corrections and edits to invoices, compiling expense back-up for invoice submissions, filing and other administrative functions. Aderant, Elite, Bill...
The Workers Compensation Risk Analyst 3 will be responsible for managing moderately complex claims, including high exposure and litigated claims. Responsibilities include determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance with appli...
Manage all billing-related aspects for assigned payors, including billing set-up in the NextGen system and processing full-cycle billing to all payers including original billing, collections, denials and re-billing, and account maintenance/ accounts receivable and all Claim edits follow up. Billing,...
As a CSR (customer sales representative), the goal is to assist and help resolve all customer needs as quickly and accurately as possible. This is a sales support position responsible for providing direct support to all assigned Account Executives, Marketing Associates, and customers. Answer all inc...
Customer Service Representatives at Sam's Club ensure that customers have a pleasant shopping experience. Provide information to customers on products and services. Ensure customer satisfaction and provide professional customer support. Experience in customer service or retail preferred. ...
Review claims for accuracy and ensure that claims are clean; contact providers as needed to clarify or verify billed services; educate providers on error/omissions in submitted claims. Our client, a North County healthcare company, is looking to hire a Claims Processing Analyst. Review pending claim...
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...
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...
As a Customer Relations Representative - State Farm Agent Team Member with Trifunovic Insurance and Financial Services - State Farm Agent, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer servi...
The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the...
Providence is seeking an Epic Applications Analyst – AP Claims, who will:. ...
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...
As a Claims Representative II, you’ll ensure the delivery of quality claim service to our customers, and other parties to a claim, while protecting the assets of Sentry. Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empath...
Insurance Patient Account Representative - Commercial Claims. Patient Account Representative. Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. Representatives will perform any and all job-related duties a...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
A Manager within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. We believe in timely and proactive performance excellence, ongoing 360 feedback, clear performance expectations at each level, and quarterly check-ins with your manager ensure...