Manages complex claims with special emphasis on high dollar and attorney represented claims. Ensures compliance with state laws and company policies along with mentoring assigned Analysts regarding basic claims standards and department policies. Provides professional, technical, and strategic guidan...
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...
Claims Services/Imaging Specialist. ...
High School Diploma OR GED and 3 years of claims experience OR Bachelor degree and 1 year of claims experience. ...
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, ...
The Cardiac Cath Lab Billing Spec is responsible for patient billing of all procedures done in the Cath and EP labs, maintains and orders inventory used in performing diagnostic, invasive and therapeutic cardiac, electrophysiology and peripheral vascular procedures. ...
The Data Analyst Senior provides analytical and organizational support to the business unit operations/management. The Data Analyst Senior will be expected to understand how the specific task fits into the bigger picture and suggest how to best accomplish within the project framework. Analyst can se...
The Data Analyst provides analytical and organizational support to the business unit operations/management. The Data Analyst will be expected to understand established procedures and recommend improvements. The Data Analyst can self-manage tasks, projects, and complete them in a timely manner under ...
Document information related to the claim and make decisions consistent with claims standards and local laws. Evaluate and handle claim payments and resolution of claims without payments. ...
Claims Service Representative 2 - Casualty. This position also supports the Claims Operation by providing service pursuant to the policy by handling claims of material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and st...
The Customer Service Representative provides superior, friendly, and efficient transactions and offering company approved services and products to provide a positive experience for all customers. Enterprise Mobility (Enterprise, National and Alamo) has an exciting opportunity for a Customer Service ...
As a Customer Service Representative, you will help TurboTax customers by answering their questions concerning TurboTax products and tax return software. The ability to understand and empathize with our customers needs while driving innovation and providing top-notch service. Lead Generation (the ac...
As a Stable and Mature Long-Term Disability Claims Examiner, you will:. The Stable and Mature LTD Claim Examiner will manage an assigned caseload of Long Term Disability cases. This includes management of claims with longer duration and evolving medical conditions. Stable and Mature LTD Claim Examin...
Claims Service Representative I - Early Response. Explain benefits, coverage's, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Negotiate within settlement authority with insured's and claimants to resolve first and third-party claims....
The Cardiac Cath Lab Billing Spec is responsible for patient billing of all procedures done in the Cath and EP labs, maintains and orders inventory used in performing diagnostic, invasive and therapeutic cardiac, electrophysiology and peripheral vascular procedures. ...
The Claim Examiner II obtains and analyzes information to make claim decisions and payments on Long Term Disability “LTD” and Waiver of Premium “WOP” claims. Reviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor,...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
Customer Service Representatives. We are searching for qualified customer service reps with personality and people skills. Ability to communicate verbally with customers and co-workers to process orders both over the phone and in person. ...
The Long-Term Disability (LTD) Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. You will be part of the Long-Term Disability (LTD) Claims team which is part of our Group Insurance...
Claims Analyst III- Overpayment Prevention (Business Analyst III). Works with Query Developers to ensure business requirements are incorporated into query design, completes and coordinates UAT testing on claims identified as potential overpayments. Collaborates with the claims validation team to app...
The Claim Examiner II obtains and analyzes information to make claim decisions and payments on Long Term Disability “LTD” and Waiver of Premium “WOP” claims. To learn more about the Claim Examiner II position, watch our exclusive employee video!. Reviews and investigates disability claims by using t...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Provide customer support services at the Brighton Medical Center location for the MMC Department of Radiology. Work is performed under general supervision in accordance with standard procedures and reviewed by the Manager, Radiology Support Services, through customer feedback, direct observation, an...
Claims Representatives provide a high standard of professional conduct in the claims service to customers. Reports to: Director of Claims - Operations. They work independently in their overall management of the claims process and act with discretion with customers, claimants, insurance carriers and ...