Key Responsibilities:Collaborates with Claims and Actuarial leadership teams to analyze claims trends and patternsDrives the creation of a robust data foundation for Workers' Compensation and Managed CarePrepares deliverables for senior leaders and supports ad-hoc requests from the Claims leadership...
Knowledge of B2B construction, claims, recovery or insurance claims negotiation and settlement process preferred. Learn the functionality of the company's Claims Database Tool and enter all notes and documentation throughout the recovery process. Use a calendar and diary system to coordinate handlin...
A company is looking for a Priority Claims Specialist III. Key Responsibilities:Maintain knowledge of DMEOPS codes and resolve unpaid claimsReview EOB's for correct reimbursement and follow up with insurance companiesFile appeals, communicate AR issues, and resolve outstanding accounts receivable pr...
Participate in round tables with Claims Specialist when warranted. This role will handle all liability claims and related activity for designated accounts and to coordinate the activities, workflow, and delivery of liability claim services for the department. Investigates, evaluates, and resolves li...
A company is looking for a Customer Operations (Auto Claims) Specialist. ...
The base salary range for the Senior Claims Specialist position is $74,900-$109k/year with 25% bonus potential. This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation...
The Senior Technical Claim Specialist position will be responsible for handling, negotiating and resolving third party commercial general liability and automobile bodily injury and property damages claims to conclusion. This would include coverage verification, policy interpretation, contract interp...
Knowledge of B2B construction, claims, recovery or insurance claims negotiation and settlement process preferred. Learn the functionality of the company's Claims Database Tool and enter all notes and documentation throughout the recovery process. Use a calendar and diary system to coordinate handlin...
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, ...
Responsible for providing customer service and supporting the insured and broker with commercial property claims. Reports to authorities as applicable, providing updates on litigated claims;. Four (4) or more years’ experience in handling commercial property claims . ...
Under the direction of the Compliance and Contracts Manager, the Claims Specialist is responsible for working with insurance companies to perform denial resolution on outstanding claims and supports the internal Credentialing process of the center. A successful candidate for the Claims Specialist po...
As a Technical Claims Specialist, you will play a crucial role in managing and resolving a variety of commercial claims, including general liability, property, Inland Marine, automobile bodily injury, property damage, and potentially worker's compensation claims. A well-respected Insurance Carri...
Manages an inventory of moderate to high complexity and exposure Healthcare claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working relati...
The Insurance Claims Specialist will be responsible for the daily management and coordination of Workers’ Compensation claims between the third-party claims administrator (TPA) and Operations. ABOUT THE ROLE The Insurance Claims Specialist is primarily responsible for coordinating and administering ...
One of our best clients has an opening for a claims specialists in their Denver, CO office. You will work with an, internal team including field investigators, to manage claims and collect from businesses and insurance agencies. Resolve and negotiate claims recovery via phone, email, letter and othe...
Claims Administrative Support SpecialistAs a. ...
One of our best clients has an opening for a claims specialists in their Denver, CO office. You will work with an, internal team including field investigators, to manage claims and collect from businesses and insurance agencies. Resolve and negotiate claims recovery via phone, email, letter and othe...
Under the direction of the Compliance and Contracts Manager, the Claims Specialist is responsible for working with insurance companies to perform denial resolution on outstanding claims and supports the internal Credentialing process of the center. A successful candidate for the Claims Specialist po...
The Senior Technical Claim Specialist position will be responsible for handling, negotiating and resolving third party commercial general liability and automobile bodily injury and property damages claims to conclusion. This would include coverage verification, policy interpretation, contract interp...
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 ...