The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
The TSM Claims Specialist supports the overall operations of the transportation services. We are seeking a candidate that has prior experience supporting internal customers with transportation inquiries including freight quoting and processing and managing freight claims. Responsibilities include, b...
The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve moderate to severe property damage claims by phone. Prior insurance field/property claims handling or adjusting experience. Ability to handle claims of var...
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...
To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant. Revises case reserves in assigned claims files to cover probably costs. Claims industry experience preferred. Knowledge of profess...
Encova Insurance has an opening for a Claims Analyst reporting to the Director, Claims Product and Operations. The Claims Analyst role evaluates and implements claims best practices and assesses the effectiveness of their execution. Collaborate with claims leadership to recommend learning and develo...
Regularly meet with the Revenue Cycle Supervisor to discuss and resolve reimbursement issues or billing obstacles. High school diploma with at least two years of experience in healthcare, billing, and alternate payor reimbursement claims processing. Knowledge of insurance, managed care, PPO, FQHC bi...
We are currently seeking detail oriented Estimator to join our Estimating team. ...
Report weekly to the Billing and Collections Manager on denial reasons and payor issues. Respond daily to posting denial issues identified by billing services. Coordinate with Billing and Collections Manager for AR management. Train with billing team to learn roles for backup support; including but ...
Report weekly to the Billing and Collections Manager on denial reasons and payor issues. Respond daily to denial issues identified by billing services. Coordinate with Billing and Collections Manager for AR management. Train with billing team to learn roles for backup support; including but not limi...
The Estimator's primary responsibility and accountability is to provide an exceptional and successful customer experience while creating estimates, coordinating repair needs for customers including all communication, informing and updating customers and insurance companies throughout the repair proc...
Insurance claims consultant professionals provide strategic direction for the Claims Practice with exceptional leadership skills. Candidate has deep understanding of claims processes, operating models, regulations, and emerging trends in the space. Minimum 7 years' experience of demonstrated deep ex...
Network Health is seeking a Claims Analyst (ASO) who will be responsible for medical claim analysis for the Network Health Administrative Services Only (ASO) line of business. Responsibilities for this position will also include benefit determination ensuring claims are processed accurately and time...
Working knowledge of compliance related regulations such as coding, billing, documentation requirements, Local and National Coverage Decisions, National Comprehensive Coding Initiatives, Medicare/Medicaid billing regulations, the HIPAA Privacy Rule, etc. Note: this role will focus on Hospital Billin...
The HVAC Estimator is responsible for sizing, estimating, and quoting all HVAC projects. ...
Electrical Project Manager/Estimator. With connections to over 575 electrical contractors, we are currently seeking a skilled Electrical Project Manager/Estimator to join one of our partner firms. We are looking for an experienced Electrical Project Manager/Estimator to join our partner electrical c...
Working knowledge of compliance related regulations such as coding, billing, documentation requirements, Local and National Coverage Decisions, National Comprehensive Coding Initiatives, Medicare/Medicaid billing regulations, the HIPAA Privacy Rule, etc. Note: this role will focus on Hospital Billin...
Company: Cities and Villages Mutual Insurance Company Location: Wauwatosa, WI Position: Claims Assistant WHY JOIN THE CVMIC TEAM: The ability to make a difference to internal and external customers! Great variety in what you do each day Flexibility with your schedule A supportive team environment Ou...
Adjudicate mechanical claims for Automotive, RV, and Marine claims. Addresses questions on claims or contracts. Works with dealerships to process claims. Process claims payments and cancellation quotes. ...
Auto Liability Bodily Injury Claims Examiner. To analyze and process complex auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims...
Business Analyst - Long-Term Care Claims. Three or more years of experience translating technical goals and requirements into real action for clients in Healthcare, Long Term Care, or Claims. ...