SGA), is searching for a Claims Review Specialist for a Contract assignment with one of our premier Healthcare clients in Los Angeles, CA. ...
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 offers an exciting opportunity for a Technical Claims Specialist II within our Complex Workers' Compensation division. You have de...
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...
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 ...
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...
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...
The Property Claims Field Adjuster ll will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Company and...
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...
Analyze hospital billing claims within the EHR and claim scrubber system. Understanding of Medicare/Medi-Cal claims processing guidelines. ...
The Property Claims Field Adjuster ll will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Company and...
Team Lead - Medicare Specialist. ...
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...
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 ...
Managing assigned claims across multiple jurisdictions, as well as setting the case strategy for these claims in partnership with Regional Practice Leaders and Claims management. Loss Claims Specialist - Excess Casualty. Our experienced Claims professionals use their specialized expertise to handle ...
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...
We are seeking a high energy Billing Specialist who can offer a unique blend of analytical skills and high attention to detail combined with the ability to build strong relationships. The Billing Specialist is responsible for executing the day-to-day invoice processes and procedures for assigned cus...
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...
Analyst - Disputes, Claims, & Investigations Consulting. Analysts in the Disputes, Claims, & Investigations group work primarily as financial consultants on engagements within a litigation setting. Common engagements include: forensic accounting, fraud investigations, valuation, shareholder ...
Implement electronic billing firmwide within various electronic billing systems, including set ups in billing system and eBillingHub. The Senior Electronic Billing Specialist is responsible for all aspects of electronic billing. Manage, track, and assign new electronic billing implementations and mi...
The Contractors shall provide a temporary Workers Compensation Claims Analyst within 14 days of receiving a fully-executed Task order. ...
Responsibilities include determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance with applicable laws; and identifying opportunities for, managing subrogation of claims, and negotiating settlements. The Workers Compensation Risk Analyst ...
Investigates and maintains claims:. Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handling is conducted in compliance with applicab...
As the Claims Account manager, you will be the primary Claims contact for assigned large complex national, unbundled AIG Risk Management (AIGRM) accounts and be responsible for the day-to-day servicing issues for primary AIG-handled accounts, and responsible for complex service agreements, claims co...
Insurance claims consultant professionals provide strategic direction for the Claims Practice with exceptional leadership skills. Candidate has deep understanding of claims processes, operating models, regulations, and emerging trends in the space. Minimum 7 years' experience of demonstrated deep ex...