A company is looking for a Medicaid Claim Follow Up Specialist to resolve aged, outstanding, and denied Medicaid claims. ...
Investigates, negotiates settlements on, and resolves large loss claims. Collaborates with claim owner to handle complex claims within prescribed authority limits and consistent with policy and legal requirements. In conjunction with claim owner, investigates assigned portion of complex claims and i...
A company is looking for an Insurance Claims Specialist PB. Key Responsibilities:Submit accurate and timely claims to third party payersResolve claim edits and account errors prior to claim submissionContact third party payers to resolve unpaid claimsRequired Qualifications:High School diploma or eq...
As a General Liability (GL) Claims Specialist, you will work with a diverse team of claims professionals. General Liability Claims Specialist I. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work i...
A company is looking for a Medicare Claims Appeals and Grievances Specialist. ...
Zurich is looking for an RCIS Crop Claims Specialist to work out of Kansas state. As a Crop Claims Specialist, your primary accountabilitiles will include:. Work the most complex claims, involving multiple causes of loss, multiple quality issues, subrogation claims. Assists with claims that may requ...
Exercise discretion and independent judgment to obtain maximum, timely salvage recoveries by developing and executing a case strategy, gathering, and analyzing relevant facts, documenting claims file and escalating issues as appropriate. Experience with auto and total loss claims. ...
Zurich North America is seeking a dedicated and detail-oriented Claims Recovery Salvage Specialist to join our team in Overland Park, KS. Under close supervision, you will collaborate with claims and total loss professionals to assess potential total loss situations and drive high-quality outcomes. ...
The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlem...
IAT Insurance Group has an immediate opening for an Aviation Claims Specialist that can report to any IAT location. The Aviation Claim Specialist is responsible for investigating the extent of the company's liability and will be responsible for handling first party aviation hull and bodily injury cl...
As a General Liability (GL) Senior Claims Specialist, you will work with a team of claims professionals with diverse experiences and backgrounds. At this level, you will handle multi-party commercial line claims of moderate to high exposure and complexity within specific authority limits, while supp...
Currently we have an opening for a Senior Claims Specialist in your territory. Here’s what you would be doing if hired for the Senior Claims Specialist position. A minimum of 10 years of Missouri workers' compensation claims adjusting experience with higher exposure claims is required. Our service i...
With moderate direction, this position handles multi-party CGL claims of moderate to high exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims s...
Investigates, negotiates settlements on, and resolves large loss claims. Collaborates with claim owner to handle complex claims within prescribed authority limits and consistent with policy and legal requirements. In conjunction with claim owner, investigates assigned portion of complex claims and i...
Career Interest:The Claims Specialist is responsible for accurate and timely action on accounts. Confirms receipt of daily billing files by the claims clearing house. Submits paper claims and supporting documentation as required by payers. ...
Senior Complex Claims Specialist. In this role, you will be responsible for handling complex and high-value insurance claims, providing expert guidance, and ensuring timely and accurate resolution. Evaluate and assess complex insurance claims to determine coverage, liability, and potential fraud, en...
Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You will be responsible for working within a structured environment with established Standard Operating Procedures to ensure consistency o...
Review and service claims in accordance with plan provisions. Examine claim submissions and documentation to confirm coverage and assess claims. Proactively resolve claims within established standards. Claims adjudication experience. ...
Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines. Technical claims knowledge and competence as evidenced by a minimum of 2 years claims handling experience in specific line of business (Auto & General L...
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, ...
The Indemnity Claims Specialist manages within company standards and best practices WC Indemnity claims within delegated limited authority to determine benefits due; manage subrogation and ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the ...
The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlem...