- Trinity Health (Livonia, MI)
- …4 days a week and on site one day a week. What you will do: Analyze medical claims and review billing information. Refer claims for further investigation ... if needed. Document and investigate claims before payment. Review paid ...Position Highlights and Benefits: Comprehensive benefit including 1st Day medical coverage, dental, vision, paid time off, 403B and… more
- USAA (Phoenix, AZ)
- …what truly makes us special and impactful. The Opportunity As a dedicated Manager, Claims Operations, you will lead and be accountable for auto, and other claims ... assistance is not available for this position. What you'll do: Inspect and review quality of claim files and provide feedback to employees as appropriate.… more
- AUROBINDO (Durham, NC)
- …resumes, conducting phone screens, and interviewing.Assist with benefits administration including medical , dental, vision, COBRA and 401(k), health and welfare open ... and documentation in accordance with legal requirementsPerformance ManagementCoordinate performance review cycles and goal-setting processes.Support managers in delivering feedback… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... pharmaceutical laws and industry guidelines including the Anti-Kickback Statute, False Claims Act, federal and state pricing-related laws and regulations, PhRMA Code… more
- Chubb (Southfield, MI)
- …to a brighter future for employees everywhere! We are seeking a skilled Senior Claims Representative to enhance our team. Reporting to the Claims Team Leader, ... will play a vital role in investigating and managing claims promptly and equitably, in line with established best...and recommend reserve adjustments to the Team Leader. Regularly review claim progress with the Team Leader, identifying challenges… more
- Gallagher (Downers Grove, IL)
- …role is eligible for fully remote work. How you'll make an impact Apply claims management experience to execute decision-making to analyze claims exposure, plan ... the proper course of action, and appropriately resolve claims . Interact extensively with various parties involved in the...depending on your job level these benefits may improve: Medical /dental/vision plans, which start from day one! Life and… more
- Corvel (Norristown, PA)
- The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while ... adhering to company policies and procedures. The Claims Supervisor position is integral to the success of...package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health… more
- ValorVIP (Wichita, KS)
- …to complete account management tasks Accurately document and process customer claims in appropriate systems Follow all required scripts, policies, and procedures ... and effective call handling Attend meetings and training and review all new training material to stay up-to-date on...cars! Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of… more
- City of Sacramento, CA (Sacramento, CA)
- …in court in connection with these activities. DISTINGUISHING CHARACTERISTICS The job of Claims Collector differs from that of Senior Claims Collector in that ... RECEIVED AND EXERCISED General supervision is provided by the Senior Claims Collector. ESSENTIAL DUTIES AND RESPONSIBILITIES Depending upon assignment, duties may… more
- NTT DATA Group Corporation (St. Louis, MO)
- …the timelines to complete compliance training of NTT Data/Client *Work independently to research, review and act on the claims *Prioritize work and adjudicate ... here. NTT DATA is seeking to hire a Remote Claims Processor to work remote (MO). Role Responsibilities: *Processing...nature of the role offered. Company benefits may include medical , dental, and vision insurance, flexible spending or health… more
- Holland America Group (Miami, FL)
- …teams, and shore based Medical , Safety, HR, HESS and Security teams to review programs, suggest mitigation plans related to claims history and advise on ... everyone. We are looking for an amazing Director, Guest Claims Management to fill this role, which is based...and fosters collaboration with the ships, Safety, Security and Medical to make corrections to the areas giving rise… more
- Insperity (Chatsworth, CA)
- Description & Requirements Medical Claims Examiner - Chatsworth Join a team where your attention to detail and commitment to quality care make a difference. ... Examiner, you should have: Minimum of 4 years medical claims payment experience in an HMO...claims policies and procedures, adjudication processes, and claim review and analysis involving NCCI rules. Extensive working knowledge… more
- Gallagher (Quincy, MA)
- …match, we encourage you to apply. Overview Role specifics: Jurisdictions: Workers comp claims experience with DE, NJ, PA is required. Licenses: None required. DE is ... an impact Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and...depending on your job level these benefits may improve: Medical /dental/vision plans, which start from day one! Life and… more
- Progressive Casualty Insurance Company (Seattle, WA)
- … standards and local laws Evaluate and handle claim payments and resolution of claims without payments Review and determine validity of any supplement requests ... first step to Destination: Progress. As an auto damage claims adjuster , you'll serve as Progressive's point of...Benefits 401(k) with dollar-for-dollar company match up to 6% Medical , dental & vision, including free preventative care Wellness… more
- Insight Global (Bridgeton, MO)
- Key Responsibilities: The automotive claims adjuster handles inbound calls from dealerships and mechanics, reviewing and deciding on warranty claims . They manage ... knowledge of vehicle mechanics to evaluate, investigate, and process mechanical claims with accuracy and efficiency. Communicate via telephone and email with… more
- Intercare Holdings Insurance Services, Inc. (Orange, CA)
- …case reserves when warranted and in strict accordance with assigned authority levels. Review all medical bills for appropriateness prior to referral to InterMed ... Type Full-time Description Summary: Reports directly to the unit Claims Supervisor. In accordance with applicable statutes and in...the need for disability payments, the use of vendors, medical and expense payments, and the reason the claim… more
- Randstad (Fenton, MO)
- …and play a vital role behind the scenes! Qualified candidates do not need to have Claims background but do need to have a heavy knowledge of the automotive parts and ... metrics for handle times and call volume. Process and adjudicate mechanical claims for vehicles in adherence to departmental procedures and company guidelines. … more
- MCI Careers (Wichita, KS)
- …departments to resolve issues when needed Accurately document and process customer claims in appropriate systems Utilize knowledge base and training to accurately ... for resolution as needed Attend meetings and training and review all new training material to stay up-to-date on...cars! Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of… more
- Brown & Brown, Inc. (Seattle, WA)
- …with total loss on autos to their carrier Research and conduct coverage analysis on claims Review Reservation of Rights letters and offers response to insured ... to coverage disclaimers. Gather supportive documentation to include with any rebuttal Review accounts with claims for adequate coverage; recommends appropriate… more
- Unknown (Lakewood, NJ)
- …process. Key Responsibilities Support the end-to-end management of workers' compensation claims , ensuring accuracy, compliance, and timely resolution. Review ... Workers' Compensation Claims Servicing Specialist Location: Lakewood, NJ Compensation: $50,000 - $60,000 annually (based on experience) Position type: Contract to… more
