- Eisai, Inc (Nutley, NJ)
- …pharmaceutical laws and industry guidelines including the Anti-Kickback Statute, False Claims Act, federal and state pricing-related laws and regulations, PhRMA Code ... and FDA regulatory guidelines.Serves as the legal representative for market access materials on promotional review committees.Proactively informs assigned business… more
- Travelers Insurance Company (Alexandria, VA)
- … claim handling experience or successful completion of Travelers Outside Claim Representative training program required. + Valid driver's license required. ... claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate… more
- Travelers Insurance Company (Richardson, TX)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim ... records and damages documentation. + Keeps effective diary management system to ensure that all claims are...and control legal expenses Assures appropriate resolution. + Maintains claim files, have an effective diary system ,… more
- Travelers Insurance Company (Diamond Bar, CA)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...quality standards and trend analysis. + Utilizes diary management system to ensure that all claims are… more
- Travelers Insurance Company (Hoover, AL)
- …ongoing continuing education credits as mandated. + In order to progress to Claim Representative , a Trainee must demonstrate proficiency in the skills outlined ... standards and expectations in accordance with the Knowledge Guides. + Maintains diary system , capturing all required data and documents claim file activities in… more
- Travelers Insurance Company (Walnut Creek, CA)
- …for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim ... if a claim is compensable under Workers Compensation including evaluating claims for potential fraud. + Achieve a positive result by returning an injured… more
- Donegal Insurance Group (Grand Rapids, MI)
- …it matters most. Job Summary Donegal Insurance Group has an opening for a Claim Representative in our Workers' Compensation unit. This position is available as ... our values are founded on supporting the independent agency system , providing best-in-class service, and building relationships customers can...a remote position. The Claim Representative will have a minimum of… more
- The Hartford (ID)
- Claims Representative - CH09CN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... reside in the state of Idaho. The Worker Compensation Claim Representative is accountable to plan, recommend...plan, recommend and execute the investigation of worker compensation claims . Our dynamic team of claim professionals… more
- Sedgwick (Albany, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Representative | New York Jurisdiction | Dedicated Client We are ... payment timelines, and compliance with statutory requirements. + Negotiate settlements of claims within designated authority to reach claim resolution. + Provide… more
- USAA (Phoenix, AZ)
- …impactful. **The Opportunity** **It is all about learning and growing.** Our Customer Service Claims Representative role may be a new career for you. There's a ... Norterra Drive, Phoenix, AZ 85085)** as a Customer Service Claims Representative . You will be part of...Notice of Loss by acquiring relevant information for effective claim investigation. Set up appropriate services, as needed, to… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Claims Representative shall assume full responsibility and ownership for all aspects regarding ... Configuration and Membership and Billing to resolve provider inquiries as defined within Claims Operations procedures. The Claims Representative is required… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* We are currently seeking a*RCM Representative Senior*to join our Third-Party Claims -HB&PB team. This full-time role will primarily work remotely ... Knowledge of applicable federal and state regulations **Title:** *RCM Representative Senior, Third-Party Claims -HB&PB* **Location:** *MN-Minneapolis-Downtown Campus*… more
- Athene (West Des Moines, IA)
- …an inclusive and dynamic work environment at our various locations. Purpose: We're hiring a Claims Representative ! A Claims Representative at Athene is ... responsible for researching and processing claims requests while observing contractual and regulatory guidelines. The ideal candidate is dedicated to being highly… more
- Granville Health System (Oxford, NC)
- Position Summary: Under general supervision, generates and submits, electronic claims utilizing the UB04 and CMS 1500 claim form Performs effective AR collection ... in insurance billing Minimum of year experience in submission of electronic claims and correction of errors Computer experience required Ability to communicate well… more
- The Walt Disney Company (Kissimmee, FL)
- …Demonstrated excellent time management skills + Demonstrated familiarity with automated claims administration and management systems + Demonstrated understanding ... work in multiple computer programs and in a paperless claim 's environment. **Preferred Qualifications:** + 10+ years claims...respond to those requests that are related to the accessibility of the online application system due to a… more
- Zurich NA (Houston, TX)
- American Express Claims Representative 119433 Zurich Cover More is seeking an American Express Claims Representative to join our Group in North America. ... your individual performance look no further! The American Express Claims Intake Group provides support and service to American...to Card Members, as well as a case management system to assist Card Members in starting their process… more
- US Tech Solutions (Columbia, SC)
- …appeals according to business/contract regulations, internal standards and examining guidelines. + Enters claims into the claim system after verification of ... + Performs research as needed to resolve inquiries. + Reviews and adjudicates claims and/or non-medical appeals. + Determines whether to return, deny or pay … more
- Travelers Insurance Company (Tampa, FL)
- …**What Will You Do?** + CUSTOMER ENGAGEMENT: Serves as a customer service representative for the claim department by promptly and professionally addressing ... professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and… more
- Texas Veterans Commission (Midland, TX)
- …Financial Operations* **Organization:** **TEXAS VETERANS COMMISSION* **Title:** *TVC - Claims Benefit Advisor (Veterans Services Representative I)* **Location:** ... assisting veterans and eligible persons with the Department of Veterans Affairs claims process. Work involves collaboration with external partners to include the… more
- Robert Half Office Team (Columbus, OH)
- …policies, and denial reasons. + Familiarity with electronic health records (EHR) and claims systems . + Knowledge of HIPAA regulations and HIM/ROI best practices. ... seeking experienced HIM Associates with a strong background in working denied claims and commercial payer follow-up. This fully remote, contract-based opportunity is… more
