- KING'S INSURANCE STAFFING LLC (Charlotte, NC)
- …General Liability, Bodily Injury, and Property losses being handled by TPA's. Monitor and audit claims while working with claims adjusters and attorneys to ... Our client, a National Insurance Carrier, is seeking to add aP&C Oversight Claims Specialist to North Carolina operations. This person would be responsible for… more
- Vital Care Infusion Services (Pittsburgh, PA)
- …Duties/Responsibilities: Review patient files for completeness and accuracy, identify and audit claims , ensure all revenue opportunities are included, and ... and accuracy of account activity and actions taken to resolve outstanding claims issues. Schedule follow-ups in required intervals. Investigate and verify benefits… more
- Alexander Shunnarah Trial Attorneys (Boston, MA)
- …litigation. If you're passionate about client advocacy and have experience as a Claims Adjuster or Personal Injury Case Manager/Legal Assistant, this role is perfect ... coaching clients on treatment and recovery milestones. Control the paperwork: Order, audit , and summarize medical bills and liens, track all deadlines, and maintain… more
- Marriott International (Bethesda, MD)
- …Investigations, Legal and Internal Audit , in the resolution of EPLI and Fidelity claims . Advise the Director of Specialty Claims of any high exposure ... Job Description JOB SUMMARY The Senior Manager, Specialty Claims is primarily responsible for overseeing and managing claims covered under Marriott… more
- Accident Fund Holdings, Inc. (Westerville, OH)
- …to correct problem areas. Supports schedule for large account service plans with claims , loss control, premium audit , and other departments as needed. Provides ... independent decisions and to build consensus. Ability to understand and implement audit procedures and processes for agencies. WORKING CONDITIONS: Work is performed… more
- CERiS (Fort Worth, TX)
- Position Summary: The DRG Audit Program Director is a strategic and operational leader responsible for the development, implementation, and oversight of all DRG ... clinical validation and audit initiatives. This role ensures the integrity of healthcare...finding generation and appeal management. Oversee the entire clinical claims review process, understanding various client configurations and workflows.… more
- Servpro (Commerce City, CO)
- …an opportunity. We're searching for someone to join our team as a Restoration Claims Specialist. If you're ready to dive into intriguing and rewarding work and ... benefits package and top- notch employee culture: Our Restoration Claims Specialist position pays $21 - $25 per hour,...and Dispatching Monitor job file status Monitor job file audit status Maintain customer job files Monitor and ensure… more
- Stanley Black & Decker (Towson, MD)
- …and detail-oriented individual to join our Legal Team as a Supervising Claims Coordinator. In this position, you will provide administrative support to Product ... including quarterly reporting to Medicare's claim systemCMS. Preparing quarterly Mass Tort audit and summary for EII Board Meetings. Receiving M&S Mass Tort… more
- Chubb (Cincinnati, OH)
- Job Description The Premium Audit Production Service Manager is responsible for overseeing the verification and accuracy of premium audits for insurance policies. ... a key role in process improvement and strategic planning within the audit department. Key Responsibilities: Supervising and Mentoring: Manage a team of auditors,… more
- Navitus Health Solutions, LLC (Brentwood, TN)
- …are expanding our operations team at an exciting time in our history. The Claims Operations Analyst will be a key member of the operations team supporting pharmacy ... with the company's core operations and become a key individual contributor. The Claims Operations Analyst will be responsible for working with internal and external… more
- Axis Capital (New York, NY)
- …upon request for candidates taking part in the selection process. Job Description: Senior Claims Specialist AXIS is seeking a Senior Claims Specialist to join ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the implementation of Management… more
- MINTO PUBLIC SCHOOL (Minto, ND)
- …negotiations) and disseminate minutes to newspaper if applicable Comply with internal audit procedures, schedule external audit , and respond to audit ... Risk Management: Determine insurable values of buildings and contents File loss claims and accident reports Maintain inventory of district equipment; update as… more
- GT Independence (Sturgis, MI)
- The GT Self Determination Claims Specialist maintains a core understanding of the company and of Operations. The GT Self Determination Claims Specialist is ... work is completed accurately and efficiently. The GT Self Determination Claims Specialist maintains knowledge, skills, and abilities that contribute to various… more
- Walgreens (Canton, MI)
- …into the data processing system for new patient/new referrals. Participates in the review/ audit of test claims for new patient/new referral. Handles processing ... of reorders and emails distribution as needed. Responsible for image indexing, AE report filing, Provides primary support and expertise for specialized programs such as ETT or Pharma. Performs the job responsibilities listed for programs that require special… more
- AssuredPartners (Columbus, OH)
- …management plans for clients as assigned an directed by Agency management. Own all audit , review and claims processes for assigned book of business. Analyze data ... to draft client service plans, stewardship reports, and other meaningful reports tailored to the needs of the client and circumstances of the presentation. Insurance Expertise Develop and maintain strong personal relationships with appropriate insurance… more
- VetJobs (Los Angeles, CA)
- …this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim ... resolution for personal or business claims of moderate severity and complexity. Handles ...business other than property (ie auto, workers compensation, premium audit , underwriting) may be required. Provides quality claim handling… more
- Metropolitan Transportation Authority (New York, NY)
- …reduce the MTA's cost of risk through risk analysis and transfer, claims management practices, captive financial planning, insurance program placement, and other ... Company. Responsible for handling All Agency Fiduciary, Fidelity, and agency property insurance claims ( Claims valued over $100 million are overseen by the… more
- StateJobsNY (Albany, NY)
- Duties Description The Auditor 1, SG-18 will be assigned to the Office of Audit Services and Compliance (OASC) and will report to the Auditor 2, SG- 23. The Auditor ... funds. *The Auditor 1 will perform research on entities selected for audit (ie, Local Government Agencies, Non-Profit Organizations, and law enforcement agencies) to… more
- Chubb (Wilmington, DE)
- Job Description Chubb North America Claims seeks a Claim Compliance Director to assist with and manage the day-to-day operations of the Chubb Quality Assurance and ... (TPAs), Accident & Health and Personal Injury Protection (PIP) claims . RESPONSIBILITIES Assists with NA Claims market...Workers' Compensation, A&H and PIP. Assist with and develop audit /compliance related responses to ad hoc audit … more
- LAZ Parking Midwest, LLC (Columbus, OH)
- …contractual agreement between LAZ Parking and our clients. Profit Responsible for claims and safety related training, prevention initiatives, and claims ... guest follow-up, and compliant reporting. Responsible for overall financial success including audit compliance and ensuring the operation follows audit protocol.… more
