Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer policies and guidelines. ...
Key Responsibilities:Meeting production standards by determining recovery potential on claimsInitiating contact with insurance carriers and attorneys to investigate claimsProviding exceptional customer service and maintaining detailed case notesRequired Qualifications:High School Diploma or equivale...
To analyze complex or technically difficult surety and surety bond claims; to provide resolution of highly complex nature and/or high exposure surety claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the to...
A company is looking for a Senior Claims Specialist - Liability and First Party (1099 Contractor) position. ...
Requisition #: 73134The Role at a GlanceWe are excited to bring on a highly motivated Group Claims Specialist to support our ever-growing claims organization in a work from home environment. Background detailsAs a Group Claims Specialist, you will support our Short Term Disability or Integrated Abse...
Key Responsibilities:Receiving and confirming policy coverage for claimsInvestigating and managing 1st and 3rd party Auto and General Liability claimsEstablishing reserves, authorizing payments, and communicating claim statusRequired Qualifications:Five or more years of experience in handling Auto a...
Come join our amazing team and work remote from home!The Default FHA Claims Specialist II will work under moderate supervision, be responsible for preparing, filing, and following up on FHA claims timely and accurately according to insurer/investor guidelines. What you’ll do:Prepare and file claims ...
The Warranty Claims Specialist is responsible for reviewing warranty, policy work orders, and the processing of warranty claims to original equipment manufacturers (OEMs). A Warranty Claims Specialist has moderate knowledge of warranty claims and OEM concepts, practices, and procedures; works under ...
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, ...
Zurich North America is hiring an RCIS Crop Claims Specialist to join our team!. Crop Claims Specialist Basic Qualifications:. Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the c...
If you are interested in learning more about the Medical Claims Specialist opportunity, please submit your resume for consideration. Ensures timely processing of workers' claims . At least 3 years of previous experience working within medical claims . ...
Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer policies and guidelines. ...
The Billing Specialist is responsible for accurate and timely billing for all customers. Performs Medicaid eligibility checks as required for accurate monthly billing and prepares monthly billing statements. Composite billing such as: review of software limitations and error correction, claim submis...
A company is looking for a Claims Examiner Level 1. ...
Key Responsibilities:Investigate and resolve Homeowners claims of moderate complexity efficientlyUse advanced technology to collaborate and estimate damages virtuallyNegotiate settlements, communicate effectively with insured parties, and manage claims workloadRequired Qualifications:Bachelor's degr...
Key Responsibilities:Review claim submissions for completeness and accuracyCommunicate with TPAs and other parties regarding claimsDevelop and enhance claim procedures for Employer Stop Loss businessRequired Qualifications:3-4 years of claims experience (ESL claims experience a plus)College degree o...
A company is looking for a Leave Claims Analyst. ...
A company is looking for a Senior General Liability Claims Adjuster. ...
A company is looking for a Senior Claims Representative for Professional Liability in a remote position. ...
An organization is seeking an Associate Special Claims Investigative Analyst. Key Responsibilities:Complete special claims investigation data and research requests using various sourcesAnalyze computer and file data for trends and patternsReview internal and industry reports for regulatory complianc...
A company is looking for a Bilingual (Spanish) Customer Service Representative. Key Responsibilities:Handle inbound calls in both English and Spanish from health plan members regarding transportation servicesMeet productivity metric goals including Average Handle Time, Quality Assurance, and Custome...
Key Responsibilities:Investigates and adjusts complex bodily injury and property damage claimsSupervises outside vendors and directs defense counsel in claims-handling processesRecommends reserves and interacts with insurance carriers and re-insurersRequired Qualifications:Bachelor's degree in a rel...
Key Responsibilities:Own end-to-end resolution of all claims within the vertical for optimal customer experienceLead training and mentoring of the team, including ongoing performance evaluationIdentify and implement new processes and improvements to enhance claims handlingRequired Qualifications:2+ ...
A company is looking for a Claims Representative - Liability. ...