Senior Claims Specialist- Management Liability - Claims. The selected candidate will work closely with colleagues across AXIS Insurance including North American Claims and International Claims as well as the Commercial Management Solutions (CMS) and Financial Institutions (FI) Business Units in orde...
CAP seeks a Claims Specialist (II or III/Senior), for its San Diego office, to perform technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. Manage medical malpractice claims, including the assignment, direction, and control of defen...
We are currently seeking an entry-level Claims Loss Reporting Specialist to support our auto claims operations. Claims Loss Reporting Specialist. Explain and evaluate benefits, coverages, and claims process involving glass claims. It's an ideal entry point for individuals without prior claims experi...
The Senior Workers Compensation Claims Specialist will handle multi-party commercial line Workman’s Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-cen...
The Claims Training Specialist is primarily responsible for designing and conducting training programs using established departmental guidelines. This position is responsible for providing ongoing training on the core processing system, claims processing procedures, communicating regulatory changes ...
We are seeking a talented and dynamic claims professional to join our Design Professional & Environmental (DP&E) claims team as a Senior Claims Specialist. This DP&E Claims position will work under limited direction, acting as the highest level individual contributor directly reviewing c...
Lead Claims Specialist Mission Hills , California. Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and adminis...
Analyze hospital billing claims within the EHR and claim scrubber system. Understanding of Medicare/Medi-Cal claims processing guidelines. ...
Team Lead - Medicare Specialist. ...
Chubb is currently seeking a Workers’ Compensation Senior Claims Specialist for our West Region. Partner with underwriting, claims business consultants, and claims teams to enhance and manage marketing initiatives and customer service commitments. The successful applicant will be managing moderate-t...
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...
As a Construction Defect Large Loss Claims Specialist, you will be responsible for handling and resolving complex, highly specialized, and high exposure Primary and Excess Construction Defect claims, through investigation, evaluation and disposition. Large Loss Claims Specialist - Construction. At A...
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 Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in be...
Patient Account Representative. Insurance Patient Account Representative - Hospital A/R Emphasis. 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 duti...
Residuals Claims Analyst (Residuals Claims). Prepare residuals calculations for residuals claims and/or legal settlements. Handle producer inquiries and referrals regarding calculations, allocations, reporting and payment of residuals outside of the claims processes. ...
A Managerr 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 yo...
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...
Billing Specialist at their offices in Los Angeles, CA. Prepare monthly and transactional bills and reports for billing attorney review, incorporate edits and revisions, prepare final invoices, obtain approving signature, post bills and maintain billing files. Work with E-Billing Specialists to ensu...
The Claims Audit Manager is responsible for ensuring that claims are processed in accordance with company guidelines and contractual agreements, within set time limits, and according to provider contract rates. The Claims Audit Manager is responsible for ensuring that claims are processed in accorda...
The Dealer Claims and Registration Analyst is responsible for the handling of Dealer submitted claims and registrations for AHM company and lease vehicles. Dealer Claims and Registration Analyst. Why should you apply to be a Dealer Claims and Registration Analyst. The objective of this position to w...
The Medical Billing Specialist is responsible for managing the billing process for a healthcare practice, ensuring accurate and timely submission of claims and payments. Maintain accurate and organized billing records and documentation. Generate billing reports and analyze trends for improved financ...
Are you a driven, empathetic, and sharp professional with a knack for building relationships? We’re seeking a high-energy Sales Account Manager local to the Los Angeles area to spearhead our referral and vendor relationships. In this role, you'll play a crucial part in understanding client needs and...
Job Title: Claims Examiner - Workers Compensation. Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely r...
We are seeking a motivated and customer-focused individual to join our team as a Customer Benefits Representative. In this role, you will be responsible for providing outstanding service to our customers, assisting them in understanding and maximizing the benefits they receive from our products/serv...