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...
Submits paper claims and supporting documentation as required by payers. Must have 1 year of Physician claims experience. Ability to work in multiple computer systems (Cerner, Epic, & Claims Scrub system). Ability to manage 120 claims daily. ...
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 ...
As a Claims Collection Specialist, you will be responsible for managing the collection of outstanding claims, ensuring timely payments, and maintaining positive relationships with clients and carriers. Analyze claims for collectability and submit qualifying claims to external collections. Manage Cla...
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...
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...
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. ...
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 ...
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. ...
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...
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...
As a General Liability (GL) Claims Specialist, you will work with a diverse team of claims professionals. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facil...
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...
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. ...
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, ...
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...
The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of claims department and of CorVel. The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and cust...
The Claims Manager participates in formulating and administering company best practices as well as developing long-range goals and objectives, analyzing costs, activities and operations, supporting the goals of claims department and of CorVel. Directs and controls the review and settlement of high d...
Mechanical Equipment Estimator. In this role, you will be responsible for performing construction installation manhour and cost analysis, coordinating with multiple internal construction discipline estimators, and acquiring pricing for construction support services. Mentor and train young Field Engi...
Position: Medical Claims Representative. Manage up to 120 claims daily, resolving rejections and ensuring timely submissions through Cerner, Epic, and Claims Scrub systems. Minimum of 1 year of experience with physician claims and denials, including 1500 claims. Confirm receipt of daily billing file...
RCM Healthcare Claims Denials (Accounts Receivable) Supervisor. Provide guidance and direction to staff, covering all aspects of billing and collection standards/procedures, ensure adherence to policies and procedures, and initiate correspondence to insurance companies for reconsideration of claims....
Join us as a Senior Workers Compensation Claims Examiner to grow your experience in Defense Base Act Claims. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent...
Physical Requirements for employees in the Crop Business Unit/Crop Claims General Adjuster. Great American is currently seeking Seasonal Crop Adjusters, q. Understand and can work claims for all major crops, policy/plan types, in all stages of growth. Works toward the resolution of claims files, and...
We are seeking an experienced Auto, General & Liability (AGL) Claims Adjuster for the Overland Park, KS office. Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines. The person in this role will handle ...
The Billing Specialist will focus on using company resources to audit freight invoices, execute billing and drive internal efficiencies. Ryan Transportation and Shamrock Trading Corporation are looking for a Billing Specialist. ...