program, psychological testing, and behavioral health and medication management services. As an Unpaid Claims Representative... with Nystrom & Associates, Ltd. you will partner with our patients, payers, and clinicians to assist in resolving unpaid claims...
, and settle claims for less complex losses. Other responsibilities will include contacting customers to explain coverage..., settling customer claims and contributing to the high customer service results within the claims department...
claims/liability environment or the equivalent, demonstrating a basic knowledge of computer operations and of claim file... audits (payment history, file notes, and gathering medical reports). Contacts agents and insured on routine claims to obtain...
and decision-maker. Responsible for administering claims within contractual provisions and internal /external guidelines... Time Zone Hours Key Responsibilities: Manages overall STD block of claims and possible companion claims to include...
What You Will Do: We are seeking experienced managers with subject matter expertise in healthcare claims data, including knowledge of validating..., loading, processing and analyzing healthcare claims data, preferably a variety of claims (Medicare, Medicaid, VA, Commercial...
DOE Duties & Responsibilities Essential Functions: Data Entry- Claims Maintain accuracy and integrity of data base...
remote work How you'll make an impact Apply claims management experience to execute decision-making to analyze claims... exposure, plan the proper course of action, and appropriately resolve claims. Interact extensively with various parties...
of a moderate difficulty in the investigating, processing, and audit of claims, inquiries, and transactions relating to parking...
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...
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...
management and resolution of E&O claims across internal business units. The position requires a strong foundation in legal... analysis, insurance coverage, and risk mitigation, with the ability to navigate complex claims and advocate for optimal client...
medical claims to insurance companies. Follow up on unpaid, rejected, or denied claims. Resolve issues to resubmit claims...
Senior Claims Business Process Consultant is a Subject Matter Expert (SME) for one or more states, responsible... experience Must be 18 years of age or older 2+ years of work experience analyzing data, working with claims, or working...
in Financial Services & Insurance Workers Compensation Claims Examiner | 3 Days Remote (Brea...’s best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture...
WC experience Primary Purpose: To analyze complex or technically difficult workers' compensation claims to determine... benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication...
or more of direct WC claim handling. Primary purpose: To process low 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...
as a Complex Claims Consultant handling Directors & Officers claims for Community Associations. At CNA, Claim Professionals use... their specialized expertise to handle claims efficiently and seamlessly in a collaborative environment focused on continuous improvement...
JOB SUMMARY Responsible for processing instant ticket and on-line claims. Responsible for processing all Sales... departments concerning all claims and validations. Maintains Claims and Validations files. Answer telephone inquiries...
anywhere in the US, with preference to work remotely in the Central timezone** Essential Functions: Oversees execution of Claims... developing and updating claims help desk training materials aligned with business priorities and system changes Anticipates...
Group has an opening for a Claim Representative on our Casualty Claims team. As a member of our Claims team, this position... in our home office in Marietta, PA. Responsibilities and Duties Investigate, evaluate, and settle claims as assigned by the...