- USAA (Phoenix, AZ)
- …Relocation assistance is not available for this position. What you'll do: Inspect and review quality of claim files and provide feedback to employees as ... 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… 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
- Lee County, FL (Fort Myers, FL)
- …for administering the Lee County Land Development Code and coordinating the review and analysis of applications for development orders, limited development orders, ... county staff with a wide range of expertise to review , analyze, and make recommendations relative to land use...family members of such service members and veterans, who claim and meet eligibility requirements of veterans preference, receive… 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)
- …your authority limits and recommend reserve adjustments to the Team Leader. Regularly review claim progress with the Team Leader, identifying challenges and ... 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,… more
- Sedgwick (Irving, TX)
- …are properly documented, and claims coding is correct. May process complex lifetime medical and/or defined period medical claims which include state and ... claims , determines benefits due, and manages action plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates settlements.… more
- INTEGRO (Tampa, FL)
- …collaboratively. Must pass a background check and drug screening. Position Responsibilities: Review and evaluate automotive extended warranty claims submitted by ... claims accurately and efficiently within established timelines. Communicate claim decisions, approvals, and denials to all stakeholders promptly and… more
- Intact Insurance Specialty Solutions (Morristown, NJ)
- …provides general administrative, and/or customer service and phone support to the Claims department. Some of the Claim Assistant responsibilities include but ... Completes data entry and initial file setup for new claims . Prepares and processes claim and expense...and a full range of benefits to include: Comprehensive medical , dental and vision insurance with no waiting period… more
- Premier Administrative Solutions (Clearwater, FL)
- …strong operational controls relating to claims cost control, including review processes for potential pre-existing conditions, determining medical necessity, ... claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost… more
- POM Recoveries Inc (Farmingdale, NY)
- …expertise in medical collections, denial processing, appeal submission, and EOB review to resolve unpaid claims effectively. KEY RESPONSIBILITIES: The ideal ... insurance providers. Investigating accounts requiring additional action and resolving unpaid claims . Responding to claim denials and verifying reimbursements… more
- Berkshire Hathaway Homestate Companies (Walnut Creek, CA)
- …Reasonable caseload with in-house Medical Management support (UR, Med Bill Review , Resource Nurses); In-house Claims Assistant support Modern Office Setting ... managers, and investigators, are coordinated to achieve a successful resolution of the claim . Assigns appropriate tasks to a Claims Assistant and/or Claims… more
- Sedgwick (Minneapolis, MN)
- …are properly documented and claims coding is correct. May process low-level lifetime medical and/or defined period medical claims which include state and ... claims ' action plans to resolution, return-to-work efforts, and approves claim payments. Approves and processes assigned claims , determines benefits due,… more
- Gallagher (Carrollton, TX)
- …Peters MO office 2-3 times per week How you'll make an impact Apply claims management experience to execute decision-making to analyze claims exposure and ... litigation, plan the proper course of action, and appropriately resolve claims . Interact extensively with various parties involved in the claim process to ensure… more
- Unknown (Lakewood, NJ)
- …to ensure timely and fair claim settlements. Duties and responsibilities: Review and analyze workers' compensation claims to determine eligibility and ... About the role: Leading provider of innovative solutions claims handling and Risk Management in the Healthcare space seeks a Work Comp Claims professional to… more
- Bluefire Insurance Services LLC (Shreveport, LA)
- …features identified upon report or likely to arise during the investigation of the claim Reviews all claims assignments to ensure accuracy of prior claim ... offer a robust benefits package that includes: Health Care: Choices among several medical , dental, and vision plans. Retirement Plan: A 401K plan with a percentage… more
- Corvel (Rockville, MD)
- …customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with ... Receives claims , confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves… more
- Sedgwick (Meridian, ID)
- …are properly documented and claims coding is correct. May process low-level lifetime medical and/or defined period medical claims which include state and ... claims ' action plans to resolution, return-to-work efforts, and approves claim payments. Approves and processes assigned claims , determines benefits due,… more
- GameStop (Grapevine, TX)
- …policy renewals, deductibles, and self-insurance programs. Maintain insurance and claims -related documentation, dashboards, and reports for executive review . ... claims . Drive early intervention and return-to-work strategies, including medical provider coordination and accommodation oversight. Lead OSHA reporting and… more
- First American Financial Corporation (Berwyn, PA)
- …settlements and resolutions with claimant / opposing counsel / third parties *Manage claim budget, review and approve outside counsel invoices and other ... team with full responsibility for your own title insurance claims ? If you are independent and self-motivated and appreciate...develop and carry out a plan to address the claim and manage the claim and/or litigation… more
- MCI Careers (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
