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...
Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established p...
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...
Elevates problems up to the Account Claims Specialist II when unable to resolve. File and process funeral insurance claims and assist with third party insurance claims timely. Process funeral insurance claims (Global Atlantic and TruStage) and follow up with third party insurance vendor (American Fu...
Under moderate supervision performs administrative duties of moderate technical complexity in support of the Claims function. Manage and update the Claims, Medical Legal weekly staffing agenda. Claims administrative support experience preferred with preference given to experience gained in Workers’ ...
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 administrative contractual agreements. Designs, plans, dir...
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, acts as highest level individual contributor directly reviewing claims ...
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 administrative contractual agreements. Designs, plans, dir...
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...
The Claims Recovery Specialist will transfer claims to the next payor in the waterfall sequence as necessary for successful claim adjudication. Primary responsibilities are to monitor, analyze, correct, and resubmit to healthcare payors, all claims that have been denied by payors preventing successf...
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...
Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established p...
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...
The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. Assesses policy coverage for submitted claims and notifies the insured of any issues; determine...
Analyze hospital billing claims within the EHR and claim scrubber system. Understanding of Medicare/Medi-Cal claims processing guidelines. ...
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 ...
The Senior Claims Specialist will report directly to the Director of Risk Management. Ensure the timely logging of all new claims (delegate to Claims Assistant if necessary) and timely reporting to our Insurance Carrier, with guidance by the Dir of Risk Management. Vice-Versa the adjuster can commun...
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...
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...
Stout is seeking a Manager or Senior Manager to join our Intellectual Property practice within our Disputes, Claims, and Investigations group. We believe in timely and proactive performance excellence, ongoing 360 feedback, clear performance expectations at each level, and quarterly check-ins with y...
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 Claims Examiner is responsible for analyzing and the adjudication of medical claims as it relates to managed care. Minimum 2 - 3 years of previous claims examiner experience, not medical billing. Resolve claims payment issues as presented through Provider Dispute Resolution (PDR) process or from c...
Title: Billing Specialist Finance Controllership. Responsible for all WW Billing activities, timely invoice delivery, Sales Operations, Renewals and Professional Services team coordination. Strong business understanding of the quote-to-cash process, key focus on billing. Proven work experience in B...
Competitive pay / M-F 7a-4p PST - As a Customer Service Rep you'll: Provide support to clients by incoming & outgoing phone calls & emails; Proactively assist clients with all account matters i. Customer Support / Remote] - Anywhere in U. ...