- ION Solar (Orem, UT)
- …to assess damage and determine insurance eligibility. Educate homeowners on the insurance claims process and advocate on their behalf. Coordinate with insurance ... and customer-focused Insurance Roofing Specialist to help homeowners navigate the insurance claims process for roof replacements and repairs. In this role, you'll… more
- Cambia Health Solutions (Portland, OR)
- …answer incoming calls on recorded lines, providing guidance and resources on benefits, claims and eligibility. You'll advocate for our members, track down ... CSPs play multiple roles - listener, problem-solver, investigator and advocate - all in service of making our members'..., tackling tricky issues and answering questions about benefits, claims and eligibility. Roll up your sleeves and do… more
- Baylor Scott & White Healthcare (Temple, TX)
- …may vary based on position type and/or level Job Summary The Customer Advocate 1, under general supervision, communicates to Members and Providers policy and ... based on department policy successful completion of proficiency testing following initial Advocate training. Serves as a primary contact for benefits, claims … more
- US Tech Solutions (Columbia, SC)
- …of new employees and cross training of coworkers. Experience: 1 year of claims processing or customer service experience OR Bachelor's Degree in lieu of work ... Education: High School Diploma or equivalent Required Work Experience: 1 year of claims processing or customer service experience OR Bachelor's Degree in lieu of… more
- CAPPS (Dallas, TX)
- …state agency that helps injured employees with their Texas workers' compensation claims . The agency assists, educates, and advocates on their behalf. OIEC provides ... include advocacy, customer service, and dispute assistance through OIEC's Ombudsman Program. Advocate for Injured Employees (Ombudsman IV) - Dallas The Advocate … more
- Recruit Monitor (Windsor, CT)
- About the job Customer Care Advocate Job Summary Processing routine and complex inquiries to provide high quality service to internal and external customers. The ... Handles inquiries involving group life, disability and absence including claims , medical underwriting, and continuation of coverage Handles first notices… more
- UnitedHealth Group (Louisville, KY)
- …treatment plans and benefits using external guidelines Coordinate with appeals and claims teams regarding decisions for member care You'll be rewarded and recognized ... for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Master's degree in… more
- UnitedHealth Group (Brooklyn, NY)
- …coding guidelines Knowledge of EMR for recording patient visits Knowledge of billing/ claims submission and other related actions Pay is based on several factors ... including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k… more
- CAPPS (Tyler, TX)
- …is strongly preferred. *Experience in processing, developing, or adjudicating VA claims for benefits preferred. *Experience with Microsoft Office Suite strongly ... preferred. Knowledge, Skills and Abilities: *Knowledge of VA rules and regulations. *Knowledge of medical terminology. *Skill in interviewing and providing exemplary customer service. *Skill in critical thinking. *Skill in the use of personal computers. *Skill… more
- Marshall Health Network (Huntington, WV)
- …is seeking a compassionate and analytical Registered Nurse to serve as a Health Advocate within our Employee Health team. About the Role: As a Health Advocate ... high utilizers of healthcare services and provide targeted intervention. Analyze health claims data to predict trends and opportunities for proactive care. Coach… more
- US Anesthesia Partners, Inc. (Dallas, TX)
- Overview The Patient Advocate is to promote favorable company relationships with patients, providers, and payers through prompt, accurate, and courteous resolution ... complaints that may pertain to all phases of operations including billing, claims , claim denials, payments, and collection activities. Records all customer contacts,… more
- Zurich Insurance Group (New York, NY)
- …President, Technology Underwriter. In this role, you will serve as a customer advocate with a focus on improving the customer experience by understanding their ... will work collaboratively across business units including but limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining… more
- CCC Intelligent Solutions, Inc. (Chicago, IL)
- …We're pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its ... a recognized APD and subrogation product and industry expert and client-facing advocate to support sales and expedite opportunities while utilizing their industry… more
- Berkshire Hathaway Homestate Companies (Omaha, NE)
- …treatment requests, which do not meet guidelines, for peer review and determination. Advocate for the injured worker and claims department, ensuring proposed ... relation to the requested medical treatment while interpreting medical reports/ claims summaries and applies appropriate established guidelines to requested… more
- Essential Therapy Solutions LLC (Mesa, AZ)
- …Our goals are accomplished by the commitment of every employee. ETS is an advocate for our families and providers by practicing the following values and beliefs: ... ourselves accountable. SUMMARY OF RESPONSIBILITIES: Enters information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes… more
- Zurich Insurance Group (Chicago, IL)
- …The Middle Markets Underwriter is responsible for: Serving as a customer industry advocate with a focus on improving the customer experience by understanding their ... and 6 or more years of experience in the Claims or Underwriting Support area OR Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support area AND Knowledge of line/s… more
- Alachua County Board of County Commissioners (Gainesville, FL)
- …veterans' benefits which include but are not limited to: Service-Connected Disability Claims , Non- Service Connected Pension Claims , Dependency and Indemnity ... Loan Guaranty, and Correction of Military Records. Represents Veteran/clients with claims to Department of Veterans Affairs as the Claimant's Representative. Assists… more
- Zurich Insurance Group (Addison, TX)
- …The Middle Markets Underwriter is responsible for: Serving as a customer industry advocate with a focus on improving the customer experience by understanding their ... and 6 or more years of experience in the Claims or Underwriting Support area OR Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support area AND Knowledge of line/s… more
- Ascot Group (Iselin, NJ)
- …while delivering bespoke products and world class service - both pre- and post- claims . Ascot exists to solve for our clients' brightest tomorrow, through agility, ... Data Council, and collaborate closely with stakeholders across underwriting, operation, claims , actuarial, finance, risk management and other departments to address… more
- US Tech Solutions (Columbia, SC)
- …or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to ... collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines… more
