- USAA (Phoenix, AZ)
- … claims . Identifies, confirms, and makes coverage decisions on complex claims . Investigates loss details, determines legal liability, evaluates, negotiates, ... Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims . Ability to exercise sound financial judgment and discretion in… more
- GEICO (Richardson, TX)
- …claims within established guidelines. *Ensure timely and accurate processing of claims in compliance with legal and regulatory requirements. *Manage escalated ... Great Company, Great Culture, Great Rewards and Great Careers. Experienced Claims Supervisor: Dallas, TX Salary Range: $85,000 - $124,025 annually- commensurate… more
- Berkshire Hathaway Homestate Companies (Omaha, NE)
- …ESSENTIAL RESPONSIBILITIES Reviews and prioritizes daily diary instructions from Claims Professional and/or Supervisor, ensuring appropriate urgency is ... Homestate Companies, Workers Compensation Division, is looking for a well-organized, motivated Claims Assistant to support our Claims Adjusting team in our… more
- Auto-Owners Insurance (Little Rock, AR)
- …Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance ... and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability Handle multi-line property and casualty claims in an assigned… more
- Ahold Delhaize USA (Scarborough, ME)
- …evaluations, negotiation and disposition of all claims , while ensuring that all claims are in compliance with statutory and legal obligations. Monitor and ... , Insurance) and external (vendors, healthcare providers, outside attorneys) customers. Financial Impact Administration Manage book of claims business (up… more
- Berkley (Urbandale, IA)
- …beyond staff authority levels. Ensures compliance with all state statutes and regulatory/ legal requirements in claims handling practices. Qualifications What you ... companies, are rated A+ (Superior) by AM Best Company, and carry Standard & Poor's Financial Rating of A+ (Strong). #LI-AV1 #LI-Hybrid This role can be based in one… more
- Berkshire Hathaway Homestate Companies (San Diego, CA)
- …and complexity. RESPONSIBILITIES Completes classroom training introducing workers' compensation claims handling strategies, medical terminology, and legal ... you a Spanish speaker looking to apply those skills in a professional environment? Berkshire Hathaway Homestate Companies is searching for bright individuals looking… more
- Chubb (Simsbury, CT)
- …extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling ... is responsible for investigating/settling more complex and higher exposure/high frequency claims while providing an exceptional level of customer service and… more
- Atlantic Health System (Morris Plains, NJ)
- Job Description Patient Financial Services Representative - CMN Coordinator Reviews prescriptions and progress notes for accuracy and compliance with durable medical ... Reviews reports of held revenue and prioritizes work to ensure timely billing of claims and reduction of bad debt. Review patient records and submit renewal requests… more
- Adventist HealthCare (Gaithersburg, MD)
- …HealthCare seeks to hire an experienced reimbursement Specialist for our Patient Financial Services department who will embrace our mission to extend God's care ... Specialist, you will: *Establishes the payment status of billed or partially paid claims . *Determines the root cause of a denial or partially paid claim. *Contact… more
- Chubb (Tampa, FL)
- …requirements, including licensing. Qualifications Ten or more years' experience as a Casualty Claims professional with a high degree of specialized and technical ... extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling… more
- The Hartford Financial Services Group, Inc. (Brea, CA)
- …in-house training to junior associates and/or claims partners. *Participate in claims file reviews. *Attend continuing legal education seminars in order to ... business environment where you will have direct interaction with Claims Partners and insureds, we want to speak with...we want to speak with you! RESPONSIBILITIES: *Analyze complex legal and factual issues, conduct extensive and develop well-… more
- Kaiser Permanente (Baltimore, MD)
- …complex accreditation and regulatory risk management requirements (eg, policies and procedures, legal claims manager), serving as an expert advisor to drive ... for planning and organizing reporting and specialized data analysis for professional liability cases, risk management trends and issues, significant events, and… more
- PRIMORIS USA (Houston, TX)
- …to simple cycle configurations, you'll drive cost control, risk management, and financial performance while ensuring compliance with legal and regulatory ... This role is crucial in ensuring cost control, risk management, and financial performance while maintaining compliance with legal and regulatory requirements.… more
- Carrier Process Equipment Group, Inc (Louisville, KY)
- …and Financial Wellness activities. Employee Assistance Program. It provides legal and financial consultations, counseling, and work-life services like ... delays. Assist customers with product information, returns, exchanges, and warranty claims . Follow up with customers to ensure satisfaction and build long-term… more
- Hoag Memorial - Red Hill Clinic (Costa Mesa, CA)
- …within assigned work queues. *Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract management tool ... processes, from Patient Access (authorizations & admissions) through Patient Financial Services (billing & collections), including procedures and policies. *Has… more
- Contact Government Services, LLC (Brooklyn, NY)
- …environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Critical duties include: -Drafting ... to identify violations of the Controlled Substances Act and/or the False Claims Act; -Reviewing electronic evidence using platforms such as Relativity; -Data mining… more
- Wells Fargo (Charlotte, NC)
- …support in maintaining relationships with corporate clients to facilitate their financial needs, globally. The organization manages financial transactions for ... Strategy, Execution & Operations, Business & Real Estate Services, Financial Crimes Operations, Operational Excellence, Quality Assurance, Regulatory Operations, and… more
- PRIMORIS USA (Spring, TX)
- …Oversight: Collaborate with project teams to ensure accurate budgeting, forecasting, and financial reporting relating to risk management. Manage claims and ... ensuring risk mitigation strategies are in place, and protecting the company's financial and operational interests. The ideal candidate will have a deep… more
- Superior Grocers (South El Monte, CA)
- …faith believes may violate federal, state, or local law; Exercise or defend legal claims ; Detect security incidents and protect against fraudulent or illegal ... being followed. Focus on delivering great customer service to secure store's financial success. "Superior will not inquire about or seek information about… more
