Senior Claims Specialist- Management Liability - Claims. The selected candidate will work closely with colleagues across AXIS Insurance including North American Claims and International Claims as well as the Commercial Management Solutions (CMS) and Financial Institutions (FI) Business Units in orde...
Elevates problems up to the Account Claims Specialist II when unable to resolve. File and process funeral insurance claims and assist with third party insurance claims timely. Process funeral insurance claims (Global Atlantic and TruStage) and follow up with third party insurance vendor (American Fu...
We are seeking a talented and dynamic claims professional to join our Design Professional & Environmental (DP&E) claims team as a Senior Claims Specialist. This DP&E Claims position will work under limited direction, acts as highest level individual contributor directly reviewing claims ...
Under moderate supervision performs administrative duties of moderate technical complexity in support of the Claims function. Manage and update the Claims, Medical Legal weekly staffing agenda. Claims administrative support experience preferred with preference given to experience gained in Workers’ ...
We are seeking a talented and dynamic claims professional to join our Design Professional & Environmental (DP&E) claims team as a Senior Claims Specialist. This DP&E Claims position will work under limited direction, acting as the highest level individual contributor directly reviewing c...
The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. Assesses policy coverage for submitted claims and notifies the insured of any issues; determine...
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 ...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
The Claims Recovery Specialist will transfer claims to the next payor in the waterfall sequence as necessary for successful claim adjudication. Primary responsibilities are to monitor, analyze, correct, and resubmit to healthcare payors, all claims that have been denied by payors preventing successf...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
As a Construction Defect Large Loss Claims Specialist, you will be responsible for handling and resolving complex, highly specialized, and high exposure Primary and Excess Construction Defect claims, through investigation, evaluation and disposition. Large Loss Claims Specialist - Construction. At A...
Analyze hospital billing claims within the EHR and claim scrubber system. Understanding of Medicare/Medi-Cal claims processing guidelines. ...
Chubb is currently seeking a Workers’ Compensation Senior Claims Specialist for our West Region. Partner with underwriting, claims business consultants, and claims teams to enhance and manage marketing initiatives and customer service commitments. The successful applicant will be managing moderate-t...
The Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in be...
The Senior Claims Specialist will report directly to the Director of Risk Management. Ensure the timely logging of all new claims (delegate to Claims Assistant if necessary) and timely reporting to our Insurance Carrier, with guidance by the Dir of Risk Management. Vice-Versa the adjuster can commun...
A Managerr within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. We believe in timely and proactive performance excellence, ongoing 360 feedback, clear performance expectations at each level, and quarterly check-ins with your manager ensure yo...
Residuals Claims Analyst (Residuals Claims). Prepare residuals calculations for residuals claims and/or legal settlements. Handle producer inquiries and referrals regarding calculations, allocations, reporting and payment of residuals outside of the claims processes. ...
Stout is seeking a Manager or Senior Manager to join our Intellectual Property practice within our Disputes, Claims, and Investigations group. We believe in timely and proactive performance excellence, ongoing 360 feedback, clear performance expectations at each level, and quarterly check-ins with y...
Are you ready to be the face of Liberty and provide outstanding service to our customers? As a Customer Service Representative, you'll play a key role in delivering exceptional customer support by handling high-volume inbound calls, resolving inquiries, processing payments, and addressing service re...
We are looking for a Claims Examiner II/III, depending on their knowledge and experience. Supports other Examiners in adjudicating claims from payors. Identifies root causes of claims payment errors and reports any issues pertaining to claims to Management. This position is not an entry level positi...
Title: Billing Specialist – Finance Controllership. Responsible for all WW Billing activities, timely invoice delivery, Sales Operations, Renewals and Professional Services team coordination. Strong business understanding of the quote-to-cash process, key focus on billing. Proven work experience in ...
Billing Specialist at their offices in Los Angeles or San Francisco, CA. Prepare monthly and transactional bills and reports for billing attorney review, incorporate edits and revisions, prepare final invoices, obtain approving signature, post bills and maintain billing files. Work with E-Billing Sp...
A Claims Examiner is responsible for analyzing and the adjudication of medical claims as it relates to managed care. Minimum 2 - 3 years of previous claims examiner experience, not medical billing. Resolve claims payment issues as presented through Provider Dispute Resolution (PDR) process or from c...
Customer Service Representative**. Branch Operations Arcata, California Minimum Experience **Entry-level** Compensation **DOE** CUSTOMER SERVICE REPRESENTATIVE Arcata. Redwood Capital Bank is currently accepting applications for positions as Customer Service Representatives (Tellers). App...
PRIMARY PURPOSE:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. Claims Adjuster Workers Compensat...