- Sedgwick (Syracuse, NY)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Associate | Medical Only Claims | Syracuse, NY… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist, Medical Malpractice (LTC) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
- Sedgwick (Atlanta, GA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist, Medical Malpractice (Professional Liability) **PRIMARY PURPOSE** : ... To analyze complex or technically difficult medical malpractice claims ; to provide resolution of...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
- Sedgwick (Sun Prairie, WI)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer PIP/MP Medical Auto Claims Rep **PRIMARY PURPOSE** : To analyze and process ... claims experience. Prior experience in PIP/Med Pay or Medical field is also recommended. **Skills & Knowledge** +...related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing ,… more
- State of Minnesota (St. Paul, MN)
- …will be considered for this position.** One (1) year* of experience processing claims and/or appeals. *Associate's degree in Business Administration, Public ... Department / MAPE + **Division/Unit** : Paid Family & Medical Leave + **Work Shift/Work Hours** : Day Shift,...adapt to changes in policies, procedures, or legislation impacting claims processing . **Preferred Qualifications** + Knowledge of… more
- Subaru of America (Camden, NJ)
- … Helpline staff. Defines, reviews, and improves business processes related to the Claims Helpline and claims processing . Maintains responsibility for the ... system and call system. Assists with calls and claims processing as needed during times of...2 days per week (After 90 Days Onboarding) + Travel : 10-20% EDUCATION/EXPERIENCE REQUIREMENTS: 4-Year College Degree (BA, BS)… more
- Kemper (Birmingham, AL)
- …contract and in accordance with the damages presented. **Position Responsibilities:** + Medical Claims Handling: Identify involved parties eligible for coverage, ... analyze medical bill, lost wage and other expense ...Regulatory and Statutory requirements and/or Best Practices in the processing of all claims . **Position Qualifications:** +… more
- Zurich NA (Stevens Point, WI)
- Express Claims Adjuster II 121138 Travel Guard meets the diverse needs of leisure and corporate travelers alike through its comprehensive portfolio of travel ... travel issues - from lost luggage or minor travel inconveniences to medical emergencies or life-threatening...from you! Zurich North America is seeking a **Express Claims Adjuster II** tojoin our Group inNorth America. **How… more
- State of Minnesota (St. Paul, MN)
- …minimum qualifications will be considered for this position.** Two (2) years* experience processing claims and/or appeals with one (1) of those years involving ... effective and efficient review and adjudication of paid leave claims and processes involving medical conditions, legal...Training and mentoring of other staff to enhance their claims processing abilities. + Knowledge of techniques… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health...capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
- Carnival Cruise Line (Miami, FL)
- …maintaining productivity. + Familiarity with relevant software and databases used for claims processing document management (IRM, Markview, Polar, Siebel, MAPS ... This position will manage and adjust a caseload of crew and guest claims for Princess, Holland America, Seabourn, and Cunard North America (guest claims only),… more
- Sedgwick (Riverside, CA)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… more
- Sedgwick (San Diego, CA)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… more
- Metropolitan Council (St. Paul, MN)
- …determines compensability. + Coordinates and initiates the investigation and preparation of claims . Ensures efficient processing , monitoring, and filing of ... assembles necessary documents, evidence, and exhibits. + Works with consultants, attorneys, medical personnel, and claims adjusters contracted by the Council to… more
- Zurich NA (Stevens Point, WI)
- …Adjuster is to handle claims of varying degrees of complexity with all travel insurance benefits. Claim processing benefits including but not limite to: Mid ... Cancelations, Travel Post Departure events (trip interruption, trip delay, baggage), travel medical , evacuation/repatriation and AD&D as well as providing … more
- Sedgwick (Los Angeles, CA)
- …and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult ** medical professional liability claims ** by investigating and gathering ... applicable to line of business preferred. **Experience** Six (6) years of medical malpractice claims management experience or equivalent combination of education… more
- Highmark Health (Frankfort, KY)
- … + 3 years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Axis (New York, NY)
- …environment * Ability to collaborate with team members to ensure timely and efficient processing of claims * Evidence based problem solving mindset * Continuous ... Claim Specialist - Job Description Job Family Grouping: Reinsurance Claims Job Family: Claims Location: New York...In this role, you will typically be required to: Travel to cedents and broker meetings in North America,… more
- Sedgwick (New Orleans, LA)
- …to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Advisor, Professional Liability (A&E, D&O, EPL) Will focus on miscellaneous… more
- Sedgwick (Plano, TX)
- …is correct. * May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . * ... accuracy, and files necessary documentation with state agency. * Communicates claim action/ processing with claimant, client and appropriate medical contact. *… more
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