The Claims Account Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim and implement an action plan to manage the claim. The Claims Account Specialist will work with and communicate to NJ...
Medical Claims Specialist - Hamilton, NJ. Resolves pending claims based on Medicaid rules and regulations established for final processing. Price claims manually as required by Medicaid rules and system limitations as defined by policy and departmental procedures. Good working knowledge of medical c...
Large Complex Builder's Risk claims (retail). Large Complex Builder's Risk claims. Direct management of claims including the investigation, analysis and evaluation of coverage liability and damages, within best practices. Collaborating across disciplines and business units, including: the general co...
Under the direction of the Billing Unit supervisor, the temporary Claims Eligibility Specialist will be responsible for adjudicating and processing fee for service claims, billing and eligibility inquiries and other assigned billing duties. ...
Direct management of claims including the investigation, analysis and evaluation of coverage liability and damages, within best practices. Collaborating across disciplines and business units, including: the general counsel team overseeing errors and omissions issues arising from claims. Formulating ...
The Claims Account Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim and implement an action plan to manage the claim. The Claims Account Specialist will work with and communicate to NJ...
As a direct report to the Head of Property Claims, the candidate should possess the ability to handle Ocean Marine Claims (both retail and wholesale) in the short term and, over time, develop a sophisticated team of claims professionals handling and managing Ocean Marine Claims. Developing and maint...
Medical Claims Specialist - Hamilton, NJ. Resolves pending claims based on Medicaid rules and regulations established for final processing. Price claims manually as required by Medicaid rules and system limitations as defined by policy and departmental procedures. Good working knowledge of medical c...
The Senior Claims Specialist in the Healthcare team is a critical role in our growing Claims Department, and will be responsible to direct all aspects of file handling on both in-house and third-party administered claims, with growth opportunity technical handling and professional development. The S...
AXIS is seeking a Senior Claims Specialist to join our North America Accident & Health Claims team reporting to the Head of Accident and Health Claims. This position provides senior claims handling expertise for all product lines of the Accident and Health division, both claims adjudicated in-house ...
Claims Specialist is a critical role in our growing Public Entity team as part of the Core Claims team, and will be responsible to direct all aspects of file handling on internal and third-party administered claims in the Public Entity line of business. The Public Entity Claims Specialist will manag...
Review customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines; make/advise on financial decisions regarding arbitrations. Inform buyers and sellers on the process, cost, and timing for completion of all PSI or buyer claims. ...
The Executive Specialist will handle a regular diary of Cyber claims and must have experience handling first-party Cyber claims. The Executive Specialist will be expected to handle Incident Response and must analyze and resolve claims from coverage determination through resolution—including Incident...
Under the direction of the Billing Unit supervisor, the temporary Claims Eligibility Specialist will be responsible for adjudicating and processing fee for service claims, billing and eligibility inquiries and other assigned billing duties. ...
As an Advanced Claims Review Specialist, the ideal candidate responsible for workflow - submitting retro rebilling claims to Medicare, Medicaid, and Private Insurances for reimbursement while performing other clerical duties as necessary. We’re looking for an Advanced Claims Review Specialist to joi...
As a direct report to the Head of Property Claims,the candidate should possess the ability to handle Ocean Marine Claims (both retail and wholesale) in the short term and, over time, develop a sophisticated team of claims professionals handling and managing Ocean Marine Claims. AXIS is seeking a Sen...
Medical Claims Specialist - Hamilton, NJ. Resolves pending claims based on Medicaid rules and regulations established for final processing. Price claims manually as required by Medicaid rules and system limitations as defined by policy and departmental procedures. Good working knowledge of medical c...
AXIS is seeking a ClaimsTPA Operations Specialist to join our TPA Programs North America Claims team. As a direct report to the Head of TPA & Program Claims, the successful candidate should be a problem-solver, and self-starter with the ability to support the development and execution of a TPA & Pro...
Under the direction of the Billing Unit supervisor, the temporary Claims Eligibility Specialist will be responsible for adjudicating and processing fee for service claims, billing and eligibility inquiries and other assigned billing duties. ...
NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist. Proactively manage the technical aspects of complex and high severity medical and CAT claims for quality outcomes and return to work opportunities under the regular guidance of Complex Claims Supervisor. Ensu...
US Staffing firms by SIA for 9 consecutive years.We provide workforce solutions to Global 1000 companies in Technology, Engineering, Finance, Clinical Research, Scientific, Digital/Creative/Marketing space.Mindful of the opportunity gap, we provide balanced ...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve personal lines property damage claims on the phone and/or in person. Maintains and develops current knowledge of assigned insurance lines, court decisions ...
As a Claims Specialist, you will manage a pending of at least 70 claims arising from property, physical damage, and cargo. S&S Transportation & Sharing Economy is looking for a Claims Specialist who enjoys being a key part of a dynamic team. Consults with the claim manager on those claims in which a...
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...
The Claims Specialist will manage an assigned pending of various types of contract surety bond claims. The Claims Specialist will work closely with the bond underwriting division to assist underwriters on taking appropriate action on the bonded programs and will operate under appropriate levels of s...