Gather data and File third party property damage claims, third party injury claims, automobile accident claims, property claims, and workers compensation claims with the carrier. The Claims Specialist will play a crucial role in managing various types of insurance claims, ensuring accuracy, efficien...
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...
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, ...
Great American Risk Solutions is adding experience Claims Specialist or Senior Claims Representative. This team focuses on first party surplus lines property claims and condominium claims. We emphasize teamwork, collaboration – among underwriting, claims, and shared services teams – and continuous d...
Operations - Insurance Operations.When you join Prudential, you’ll unlock a motivating and impactful career – all while .Departments, or Executive Offices.The current employee work arrangement for .While this position does not require your on-site presence on a regular basis, depending on business p...
Settle claims within authority granted by the Claims Director, Claims Supervisor and/or insurance carrier, as appropriate. Professional Protector Plan is seeking a Claims Specialist to join our team. Reports to the Claims Director or Senior Claims Counsel. Process assigned primary and excess Profess...
Review of individual claims within the portfolio on a regular basis and ensuring reserves and claims records are maintained in a timely manner as required by Beazley’s claims controls. Communication of any material claims to Reinsurance and Finance as set out by the applicable claims authority, clai...
The Claims QA Analyst conducts audits of AvMed, Delegated Vendors, and Business Process Outsourcing (BPO) claims. The Claims QA Analyst conducts claims audits and works closely with the BPO to identify and correct any audit findings. Conducts random audit samples of manually and auto-adjudicated cla...
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Review of individual claims within the portfolio on a regular basis and ensuring reserves and claims records are maintained in a timely manner as required by Beazley's claims controls. Communication of any material claims to Reinsurance and Finance as set out by the applicable claims authority, clai...
The Medical Billing Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revi...
Offer support & solutions to customers in accordance with the company’s customer service policies. Answering incoming customer inquiries. Collaborate w/ management teams to stay updated on new products, services, and policies. ...
Ascendant is seeking qualified Bodily Injury Claims Adjusters to join their third-party claims administration organization which is committed to providing best in class claims adjudication solutions. The primary job responsibilities for this position include but are not limited to effectively managi...
Workers Compensation Claims Adjuster - Remote - Sacramento, CA. Responsibilities include handling new claims from opening until satisfactory completion, evidence, and fact-gathering surrounding claims. You have 5-7+ years of Workers’ Compensation claims experience. Assuring all claims have a workabl...
Research, review, investigate and adjust claims for personal injury or other complaints made by passengers. Performs in-house adjustment of passenger personal injury and other claims. Reviews documentation, conducts research/investigation, evaluates, negotiates and resolves claims in accordance with...
Our client has been experiencing continued growth and seeking to add (2) Senior Auto Liability/Bodily Injury Claims Examiners for their Maryland office. This person would be responsible for handling moderate to complex Auto Liability and Bodily Injury claims for losses throughout the Mid-Atlantic re...
Ascendant is seeking qualified Property Damage Claims Adjusters to join their Liability Claims Division. The primary job responsibilities for this position include but are not limited to effectively managing an inventory of claims, pursuant to statutory regulations as well as Claims Best Practices s...
Established Law Firm is seeking a Billing Specialist with law firm experience to join a prestigious law firm in Downtown of Miami! The candidate will work closely with other members of the accounting area including the Firm Administrator in the handling of the day-to-day billing operations of the fi...
Billing Specialist performs diagnosis and procedural coding to individual patient health information for data retrieval, analysis, and claims processing. Applies knowledge of current coding and billing requirements to assure claims are submitted correctly. Monitors coding and billing worklists and r...
As a PIP Supervisor, you will be responsible for providing leadership, guidance, and expertise to UAIC’s PIP adjusters ensuring efficient and accurate claims processing while maintaining compliance with company policies and regulatory standards. Founded in 1989, United Automobile Insurance Com...
Collect any documentation related to Dumps and Donation, defining when goods claims, and rejection can be attributed to growers or shipping. Monitor collection of claims to growers or any other 3rd party. Run same exercise for claims and rejections from Customers. Maintain KPI of Dumps, claims and r...
The Claims Adjuster is responsible for performing centralized appeal processing functions for AvMed physicians, facilities, and ancillary providers. Identify claims problems and propose solutions. Adjust claims resulting from reviews and administrative decisions. Interpret policy and procedures to p...
Knowledge of medical billing practices and of billing reimbursement. In this position you will be responsible for the billing and or collection of insurance claims. Understand Third Party Billing . Ensure the timeliness and accuracy of billing. ...
The Claims Representative will be responsible for managing the claims process and providing excellent customer service to our clients and vendors. ...
For claims involving injuries (if handled), learns how to review, evaluate, and negotiate moderate to complex injury claims. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Handles investigation regarding all aspects of complex auto clai...