- USAA (Phoenix, AZ)
- …and impactful. The Opportunity It is all about learning and growing. Our Customer Service Claims Representative role may be a new career for you. Theres a lot ... Norterra Drive, Phoenix, AZ 85085) as a Customer Service Claims Representative . You will be part of...Notice of Loss by acquiring relevant information for effective claim investigation. Set up appropriate services, as needed, to… more
- Optum (San Juan, PR)
- …Growing together. Primary Responsibilities: Authorizes the appropriate payment or refers claims to investigators for further review Conducts data entry and ... claims processing/issues Handling issues within turnaround standards Ability to handle most claim types / cases / issues that are submitted to the team you are… more
- USAA (Phoenix, AZ)
- …and impactful. The Opportunity It is all about learning and growing. Our Associate Auto Claims Representative role may be a new career for you. Theres a lot ... office (1 Norterra Drive, Phoenix, AZ 85085) as a Customer Service Auto Claims representative . Your work will focus on adjusting non-injury auto claims and… more
- Optum (San Juan, PR)
- …behalf of the member/provider to assist with preauthorizations and/or confirm/verify claim /benefit information Other duties may apply This role is equally ... challenging and rewarding. It requires fluency in computer navigation and toggling while you confidently and compassionately engage in dialogue with the caller. Be assured that our training will provide you with knowledge of the various products, plans and… more
- Optum (San Juan, PR)
- …when appropriate Review member benefit information, provider specific information/contracts, claims , applicable SOPs, nuance grid, delegation status, state specific ... appeals Experience with ISET, ICUE, FACETS, MACESS, ATS Behavioral Health claims experience Demonstrated familiarity with Managed Behavioral Health terminology At… more
- Optum (San Juan, PR)
- …through live chat, to give updates on their member's eligibility status or claims status and validates state specific requirements for claims and benefits ... processing. Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller Deliver information and answer questions in a positive manner to facilitate… more
- Great American Insurance Group (Cincinnati, OH)
- …where every day brings a new challenge? Join Great American Insurance Group as a Claims Representative /Senior Claims Representative , where you'll be at ... such as legal, underwriting, or special investigation units, to resolve claims . In Claims Resolution Services, a Claims Representative /Senior Claims … more
- The Travelers Indemnity Company (El Monte, CA)
- …obtain ongoing continuing education credits as mandated. In order to progress to Claim Representative , a Trainee must demonstrate proficiency in the skills ... you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided...to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides… more
- MCI Careers (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- Eisai, Inc (Nutley, NJ)
- …pharmaceutical laws and industry guidelines including the Anti-Kickback Statute, False Claims Act, federal and state pricing-related laws and regulations, PhRMA Code ... and FDA regulatory guidelines.Serves as the legal representative for market access materials on promotional review committees.Proactively informs assigned business… more
- Chubb (Walnut Creek, CA)
- …medical cost containment programs. Complies with customer service requests including Special Claims Handling procedures, file status notes and claim reviews. ... Job Description Chubb is currently seeking a Workers' Compensation Medical Only Claim Examiner for our West Coast/Pacific region. The successful applicant will be… more
- SOUTHWEST SERVICE ADMINISTRATORS INC (Phoenix, AZ)
- …Phoenix, AZ Salary Range $17.00 - $22.00 Hourly Description The Benefit & Claims Customer Service Representative provides information on health and welfare, ... benefits and claim status to hospitals, providers, and participants. Additionally this...documenting telephone, written and walk-in inquiries regarding benefits, or claim status in an efficient, prompt and professional manner.… more
- Marriott International (Bethesda, MD)
- Job Description JOB SUMMARY The Claims Representative is responsible for the administration and disposition of medical only (MO) workers compensation (WC) ... claims . Caseload will be exclusively WC claims and responsibility is limited to non-litigated medical only and disability claims of limited duration. … more
- CCMSI (Las Vegas, NV)
- Overview Multi-Line Claim Representative II - Remote Salary Range: $65,000 - $75,000 | National Accounts | Commercial Trucking Focus | Monday-Friday | Full-Time ... your career in a supportive, remote-first environment. We are seeking a Multi-Line Claim Representative II to handle complex commercial auto liability claims… more
- Chubb (Chatsworth, CA)
- …performs customer service and/or claims functions while training to become a claims representative . Gains exposure to all facets of a professional claims ... are not limited to: Compensability investigations in regards to Workers Compensation claims Handle new losses, verifies accuracy of information Deals with, insureds,… more
- Auto-Owners Insurance (Broomfield, CO)
- …top-rated insurance carrier, is seeking an experienced and motivated Field (property) Claims professional to join our team. The position requires the following, but ... the amount of loss, analyze legal liability. Handles multi-line property and casualty claims in an assigned territory with an emphasis on property claims .… more
- Solera (New York, NY)
- Field Claims Representative /Virtual Pennsylvania Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of ... please visit solera.com The Role Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes. Complete all… more
- Assurant, Inc. (New York, NY)
- …Overview of Position Manages a high volume of severe losses and/or complex claim activity. Investigates, adjusts and settles claims of the highest complexity. ... in this job? Manage a high number of severe losses and/or complex claim activity. Investigate, adjust and settle claims of the highest complexity.… more
- Chubb (Dallas, TX)
- Job Description ESIS is seeking an experienced Senior Claims Representative , AGL to handle commercial automobile and general liability claims for our client ... accounts. The Senior Claims Representative , AGL, under the direction of the ...limited to: Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation… more
- Gallagher (Oklahoma City, OK)
- …match, we encourage you to apply. Overview We are currently looking for a Claims Medical Only Representative who has a passion to provide outstanding ... administrative, claim and customer support. Do you love learning how...to make decisions and resolve issues inherent in handling claims . About You REQUIRED QUALIFICATIONS : - High School… more
