- Ryder System (Providence, RI)
- … claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs… more
- Kelly Services (Los Angeles, CA)
- …return to work initiatives. l Complies with customer service requests including Special Claims Handling procedures, file status notes and claim reviews. l Files ... including medical, dental , vision, telemedicine, term life, whole life, accident insurance , critical illness, a legal plan, and short-term disability. As a Kelly… more
- Sedgwick (Augusta, ME)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - Liability | Remote **PRIMARY PURPOSE** : To analyze ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims ... either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer… more
- Providence (Mission Hills, CA)
- …of functional area ie, claims operations, + HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc. ... Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- NJM Insurance (Parsippany, NJ)
- …basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Ability to manage return to work expectations ... and implement an action plan to manage the claim . The Claims Account Specialist will work...match up to 8% and additional service-based contributions, Health, Dental , and Vision insurance , Life and Disability… more
- Sedgwick (Seattle, WA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans... and legal actions. + Analyzes applicable complex liability insurance coverage and policies + Negotiates claim … more
- EquipmentShare (St. Louis, MO)
- …hours. (On call during the weekend only in special circumstances) Primary Responsibilities + Claims Processing : Efficiently process insurance claims from ... all claims , including customer interactions, assessments, and claim resolutions. + Liaison with Insurance Companies:...in a customer service role, with prior experience in claims processing or the car rental industry… more
- Adecco US, Inc. (Syracuse, NY)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries, including but not… more
- Dignity Health (Bakersfield, CA)
- …for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), ... accurate records for audit purposes. - Collaborate with internal departments, including claims processing , UM, compliance, and provider relations, to develop and… more
- Sedgwick (Roseville, CA)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner - Auto & GL Are you looking for an ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Sedgwick (Austin, TX)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a ... CANDIDATE?** Do you have experience as a **Bodily Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ?… more
- Sedgwick (Springfield, IL)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you ... and gathering information to determine the exposure on the claim ; assesses damages; manages claims through well-developed...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant,… more
- Sedgwick (West Hills, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | West Hills, CA Are you looking ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Sedgwick (Roseville, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- NTT DATA North America (Chicago, IL)
- …can inform automation strategies **Required Skills/Experience** + 5+ years of health insurance claims processing including experience working with complex ... **Chicago, IL** **Role Responsibilities** + Process and adjudicate health, dental , and vision insurance claims ...to identify patterns and opportunities for automation + Share claims processing expertise with team members and… more
- Sedgwick (Naperville, IL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Naperville or Chicago, IL - ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Sedgwick (West Des Moines, IA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability | Auto and General Liability | Jurisdiction ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Sedgwick (Knoxville, TN)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Comp (REMOTE - Southeast, VA, WV Exp ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Remote AZ Are you looking ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more