and decision-maker. Responsible for administering claims within contractual provisions and internal /external guidelines... overall STD block of claims and possible companion claims to include Statutory plans, Federal, Company, State and other Leave...
: Associate Degree or higher 2 plus years of claims management experience preferably in Healthcare field Proficient.... Responsible for administering claims within contractual provisions and internal /external guidelines. Establishes a relationship...
: Associate Degree or higher 2 plus years of claims management experience preferably in Healthcare field Proficient... and decision-maker. Responsible for administering claims within contractual provisions and internal /external guidelines...
casualty claims investigation, coverage evaluation, reserving & expense management, resolution strategy, negotiation..., litigation management, claims evaluation as well as the insurance legal and regulatory environment. Intermediate to advanced...
, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management... of all responsibilities and duties. Other duties may be assigned. 1. Submits accurate and timely claims to third party payers. 2. Resolves...
claims with the authority level generally up to $150,000.00. This position requires an understanding and knowledge... of litigation management in multiple jurisdictions. Key functions include but are not limited to the following: Complete...
, and communication skills with strong attention to detail. Proficient in claims management systems and Microsoft Office applications.... Summary The Claims Examiner is responsible for reviewing, evaluating, and processing claims in accordance with policy...
, and communication skills with strong attention to detail. Proficient in claims management systems and Microsoft Office applications.... Summary The Claims Examiner is responsible for reviewing, evaluating, and processing claims in accordance with policy...
timely resolution of claims, which may include: Properly documents claim files, including notes and diaries, Requests reports... reviews. Reports and assigns claims, and transitions closed files to and from off-site storage. Receives, sorts, scans...
to resolution Work in partnership with our clients to deliver innovative solutions and enhance the claims management process Think... to investigating claims exposure and recommend appropriate settlement strategies and action plans. Create reservation of rights...
requested for quality assurance purposes Works claims of 508H (Risk Management Agency pilot) crops Assist the national...Zurich is currently looking for a Claims Crop Field Adjuster II to join our Rural Community Insurance Services (RCIS...
Division or Field Office: Claims Division Department of Position: Northeast Claims Region Work from: Home... Exercises independent discretion in handling complex and/or high exposure commercial liability claims and commercial litigation...
, organized, and timely claim documentation within the claims management system. Prepare required carrier reports, correspondence..., and settlement recommendations. Litigation Management Direct and oversee litigation strategy on contested claims, including...
Division or Field Office: Claims Division Department of Position: Northeast Claims Region Work from: Home... Exercises independent discretion in handling complex and/or high exposure commercial liability claims and commercial litigation...
Fortune 500 choose ComPsych for their mental health and absence management needs. Job Summary Absence Claims Specialists...About ComPsych ComPsychⓇ is the worldwide leader in organizational mental health, well-being, and absence management...
I O N S Contacts payers to follow up on claims status and obtain reimbursement. Re-bills claims with applicable... I E S Knowledge of third party billing procedures strongly preferred. Knowledge of claims review and analysis strongly preferred...
applications. Strong organizational and time management skills with attention to detail. Knowledge of claims processing manuals...JOB SUMMARY: The Lead Claims Examiner works directly with Claims Supervisor to create a team that works efficiently...
innovative solutions and enhance the claims management process Think critically, solve problems, plan, and prioritize activities... conducts detailed analysis vital to investigating claims exposure and recommend appropriate settlement strategies and action...
as appropriate. Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing..., and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line...
, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line... of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer...