- Sedgwick (Syracuse, NY)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Workers' Compensation **PRIMARY PURPOSE** : To process ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Louisville, KY)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers' Compenstation Claims Representative | REMOTE **Preferred prior experience in handling ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (New Orleans, LA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Workers Compensation **PRIMARY PURPOSE:** To process ... or equivalent combination of education and experience or successful completion of Claims Representative training required. Skills & Knowledge: Performs other… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group has a WC Claims Support Representative position available in their West Trenton, NJ location. The WCC Claims Support Department is ... for a variety of support tasks stemming from the Claims and Legal Departments and State Agencies. The Support...to Friday (8:00AM- 4:15PM) Hybrid: 3 days in office, 2 days remote once training is complete Salary: $44,672… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- _*SUMMARY*_ We are currently seeking an *RCM Representative Senior* to join our *Third-Party Claims - HB & PB *team. This full-time role will primarily work ... Representative ) preferred /*Knowledge/Skills/Abilities:*/ * Knowledge of patient billing claims process * Ability to communicate with patients and families under… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* We are currently seeking an*RCM Representative Senior*to join our*Third-Party Claims - HB & PB *team. This full-time role will primarily work on-site ... * Knowledge of applicable federal and state regulations **Title:** *RCM Representative Senior, Third-Party Claims - HB & PB* **Location:**… more
- TEKsystems (Paramus, NJ)
- Seeking an Auto Claims Customer Service Representative to work HYBRID in NJ! Responsible for being first point of contact on initial claim to gather the ... intake information from various parties to document and input claims details * Review and audit accident...vehicle and understands other potential property damage Qualifications: + 2 + years of auto claims experience +… more
- National General Insurance Company (OH)
- …damage + For claims involving injuries (if handled), learns how to review , evaluate, and negotiate basic to moderate injury claims + Applies increased ... Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: + Handles investigation… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Service Representative 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #811 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create ... + Adjust claim(s) as warranted based on discussion and review of the provider's issue. + Deliver all information...regulations. Education and Experience : + HS Diploma + 2 years of college preferred About us: Centers Plan… more
- City of New York (New York, NY)
- …is recruiting for ( 2 ) two Eligibility Specialist IIs to function as a Claims Review Specialists, who will: - Review , process, determine and/or establish ... data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review...semester credits at an accredited college or university; or 2 . A four high school diploma or its educational… more
- Access Dubuque (Dubuque, IA)
- …reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract ... authority of the individual examiner. + Monitors third party claims ; maintains periodical review of litigated ...combination of education and experience required to include two ( 2 ) years claims supervisor experience. **Skills &… more
- CRC Insurance Services, Inc. (Norfolk, VA)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between ... 1. Bachelor's degree with a concentration in business or equivalent work experience 2 . Three years of Construction Defect Claims handling experience and… more
- Kelly Services (Columbia, SC)
- …customers - Perform research as needed to resolve non-routine inquiries - Review and adjudicate claims and non-medical appeals following organizational policies ... Job Summary: We are seeking a motivated and detail-oriented Customer Service Representative to join our team. As a Customer Service Representative , you will be… more
- Truist (Naples, FL)
- …**Preferred Qualifications:** 1. Associate in Risk Management (ARM) or Associate in Claims (AIC) designation 2 . Multi-line claim experience 3. Knowledge of ... **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Act as a leader...and prospects. May also provide support for solving complex claims or leading claim consulting teams in specialized industry… more
- Universal Health Services (Riverside, CA)
- …have been completed to assure compliance with the Friday check run deadline. 8. Review the drawers of claims processed to ensure that Customer Service has ... work, practice medicine, and receive care. SUMMARY: Responsible for auditing and training claims staff on all Managed Care claims received from outside providers… more
- Insight Global (Boca Raton, FL)
- …to the Claims Manager and functions as a customer service representative by explaining contract coverage and claim decisions to contract holders. To perform ... Job Description A company located in South Florida is looking for Automotive Claims Adjusters to join their team. The Claims Adjuster is responsible for… more
- State of Indiana (Indianapolis, IN)
- Claims Manager Date Posted: May 29, 2024 Requisition ID: 444498 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of ... accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity...growth and development of our team Role Overview: The Claims Manager coordinates the Prize Payment services for the… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Process claims , which includes ... Specific activities may change from time to time. 1. Review policy to determine if loss is covered. If...then hire attorney for coverage counsel for coverage analysis. 2 . Settle claims within settlement authority, where… more
- Truist (Atlanta, GA)
- …focused on specific client needs, ensuring accuracy, timeliness of client-related communications. 2 . Handle all claims within the upper and Jumbo segments ... English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Support Clients and Producers by servicing… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more