- CHRISTUS Health (Texarkana, TX)
- …CHRISTUS services. These services will be provided by monitoring cases and claims , analyzing biometric and health risk assessment data, organizing disease management ... program utilization, disease management programs and contracted provider network support . Responsibilities: Oversee the development, implementation and management of… more
- Avenica (Allentown, PA)
- …prepare proposals, and participate in client meetings and presentations. Support new business development through proactive service delivery and responsiveness ... TPAs, and internal stakeholders. Manage customer files, billing, renewals, and claims processing using agency management systems. Review and analyze policy coverage,… more
- ICW Group (San Diego, CA)
- …why you want to be here! **PURPOSE OF THE JOB** The purpose of the Claims Support Representative is to oversee administrative processes within the Claims ... email account and processes requests. + Provides backup assistance to claims support teams. + Other duties and projects as assigned. **Performs responsibilities… more
- Marriott (Bethesda, MD)
- …**Pay Range:** $19.95 - $33.12 per hour This is a temporary position. The Claims Support Specialist will provide administrative support for Claims ... international claims , document handling, mail routing and check processing. The Claims Support Specialist reports to the Sr. Director, Global Claims and… more
- TEKsystems (Parkersburg, WV)
- Description Position Summary: Under moderate supervision, performs basic claims /zone support activities. Duties and Responsibilities: Performs support and ... directs visitors to appropriate personnel. Provides inbound and outbound phone support and customer service to all customers including policyholders, claimants, and… more
- Robert Half Office Team (Maitland, FL)
- Description We are looking for a detail-oriented Claims Admin Support Specialist to join our team in Maitland, Florida. In this long-term contract role, you will ... to manage multiple responsibilities, and a commitment to providing exceptional support . Responsibilities: * Maintain and replenish office supplies to ensure seamless… more
- IQVIA (Phoenix, AZ)
- **Patient Support Medical Claims Processing Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- TEKsystems (Parkersburg, WV)
- …customer service as a priority. + Enters new loss report information and updates claims documentation. Top Skills Details Customer Support Claim Support ... Description: + Performs support and administrative functions, including answering phones, filing,...working knowledge of policies and procedures, verifies and provides claims information, and offers initial services. + Handles all… more
- MetLife (Warwick, RI)
- …financial accuracy * Drives Claim Management Accuracy and Customer Centricity through support of the Pre-QA Program, claim file reviews and call monitoring auditing ... member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and appropriately investigates… more
- The Walt Disney Company (Kissimmee, FL)
- …**Overview:** The Senior Claims Representative provides prompt, professional liability claims support for Walt Disney World Resort guests while delivering ... brand. This role conducts onsite investigations, assesses liability exposure, and resolves claims with guests and attorneys. It also includes presenting to groups,… more
- USAA (San Antonio, TX)
- …time. + May assign or initiate emergency services when required on specific claims . + Support workload surges and catastrophe (CAT) response operations as ... is all about learning and growing.** Our Customer Service Claims Representative role may be a new career for...and the instructor led guidance will help you to support our members independently. We have new training classes… more
- Sedgwick (Seatac, WA)
- …collaboration, growth, and inclusion. **PRIMARY PURPOSE OF THE ROLE** : To provide technical claims support to the claims staff and customer service to ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Technician - SeaTac, WA Are you looking for...utilization review, vendor, claimant and client calls for the claims examiners. + Submits approved bills to the bill… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting ... necessary. Key Responsibilities: + Review, research, analyze and process professional claims by navigating multiple applications and platforms accurately. + Ensure… more
- Festival Foods (WI)
- …reserve adjustments as needed. + Cross-Team Coordination: Coordinates with store and support teams to ensure claims information is complete, accurate, and ... develops and compiles Nurse Triage metrics for reporting. + Quarterly Claims Review Support : Supports quarterly claims reviews by gathering and analyzing… more
- USAA (Colorado Springs, CO)
- …and set expectations with external and internal business partners to facilitate claims resolution. + Support members, business partners, and claimants, through ... to include P&C insurance policy contracts, coverages and internal claims handling process and procedures. + Support ...internal claims handling process and procedures. + Support workload surges and catastrophe (CAT) response operations as… more
- American Express (Phoenix, AZ)
- …Claims special servicing responsibilities such as OFAC review, billing reconciliation, claims operational support reporting oversight, claims audit ... Team Amex, you'll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to...This role provides an exciting opportunity to also handle claims for the Retail and specialty lines products in… more
- State of Montana (Helena, MT)
- …* Educate stakeholders: by providing guidance on UI laws, policies, and proper claims procedures. * Support UI Benefit Operations: by completing assignments as ... Insurance (UI) benefit payments. The incumbent conducts investigations into paid claims , adjudicates potential fraud cases, and ensures compliance with federal and… more
- NJM Insurance (Trenton, NJ)
- …candidate will be responsible for leading the management and delivery of support services from the department's Legal Assistant, Paralegal and IME Coordinator teams. ... Leveraging technical expertise, the WC Legal Support Administrator (which is the formal NJM job title)...+ Ensure effective and efficient daily workflow of litigated claims through timely management and preparation of legal documents,… more
- Ken Garff Automotive Group (Salt Lake City, UT)
- …The Service Contract Claims Administrator will perform the following: + Claims processing and service contract support (primary) + Receive, organize, and ... contract claims + Approve payments for network and non-network claims + Phone support (primary) + Receive and process phone calls, faxes, and emails from… more
- Mass Markets (Killeen, TX)
- …of a globally expanding, industry-leading organization. We are looking forCall Center Claims Representativesto support inbound customer service, help desk, and ... While prior contact center experience isn't required, experience in customer service, technical support , inside sales, or back-office support in a contact center… more
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