deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving...) Location: This role is eligible for fully remote work. How you'll make an impact Apply claims management experience...
Description: Primary Purpose: To analyze complex or technically difficult general liability claims to determine... benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication...
so that appropriate internal systemic corrections may be implemented. Submits corrected claims or appeals when underlying facts indicate...
deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving... an impact Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course...
. Job Responsibilities: What you will do Investigates and evaluates claims. Asks for guidance from more senior examiners and/or leadership... for most complex claims.Incumbents have up to $20,000 reserve authority; $10,000 settlement authority and $5,000 payment authority...
Position Title: Claims Resolution Manager Company Overview: Upward Health is an in-home, multidisciplinary medical... & Role Description: The Claims Resolution Manager leads the end-to-end process of resolving outstanding and denied medical...
Description : The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following.... The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations...
our customers through the claims process while providing Remarkable® service. This includes: Investigating, evaluating, negotiating..., and settling claims Applying knowledge of policies and insurance regulations when determining coverage, liability, & damages...
delivers exceptional value through local expertise and outstanding client service. We handle litigation arising from claims...
Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties.... You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims...
Description : Under the supervision of the Risk Manager, the Claims Specialist will assist in managing the claims... of claims for all lines of insurance to include property, general liability, auto, unemployment, and workers' compensation...
We are seeking a detail-oriented Claims Operations Specialist to own the end-to-end billing process for both medical... and pharmacy claims. This role oversees claim submission, tracking, reconciliation and serves as a key point of contact...
claims investigation and determinations for Medical-Only claims within prescribed timeframes. Reviews and gathers... information necessary to identify the claim severity. Will staff more complex claims with supervisor, team nurses, and field...
, and meaningful solutions are proposed and implemented. Adjust and document all claims within departmental standards... claims with accuracy to confirm coverage by reviewing all available tools including contract and web-based applications...
must complete several pre-employment requirements prior to starting. to learn more! Claims Specialist I (Full-time) PATIENT... Specialist's main focus is to obtain maximum and appropriate reimbursement for all claims from government and third-party payers...
and/or Standalone Short Term Disability claims. The position is responsible for the service, risk, financial performance, leadership... and development of a team of Case Specialists. This role is accountable for Client experience and strong claims management practices...
Honolulu, HI Order: 1626897 Order Type : Temp Job Title: Claims Payment Representative Industry: Healthcare..., and credit union. Description: Claims Payment Balancing HIPAA 835 Transaction validation Claims Payment reviews Account...
drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting... make an impact Independently conducts detailed analysis vital to investigating claims exposure and recommend appropriate...
. Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements... where appropriate to resolve claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently...
claims to ensure the timely and accurate payment of contract benefits Obtains reports, medical records, eligibility..., and/or additional information required to investigate and process claims Responds to all agents’, policyowners’ and beneficiaries...