- US Tech Solutions (Columbia, SC)
- …after verification of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards. ... research as needed to resolve inquiries. Reviews and adjudicates complex or specialty claims and/or non-medical appeals. Determines whether to return, deny or pay … more
- Berkshire Hathaway Specialty Insurance (Boston, MA)
- …while ensuring the highest level of customer service and technical claim file quality . Proactively handle claims from first notice of loss through ultimate ... unique culture and history. Job Opportunity: At Berkshire Hathaway Specialty Insurance our claims professionals are an integral part of our business. Every claim is… more
- Smithfield Foods, Inc. (Wichita, KS)
- …Conduct all quality inspections in the area of assigned responsibility. Maintain quality objectives, prevent complaints and claims and keep quality to ... to customers and consumers. This position is responsible for ensuring the overall quality in their assigned areas through the management of regulatory, company, and… more
- CNA (Downers Grove, IL)
- …for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service ... Manages an inventory of low to moderate complexity and exposure commercial claims by following company protocols to verify policy coverage, gather necessary… more
- CNA (Chicago, IL)
- …for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service ... Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations,… more
- The Travelers Indemnity Company (Morristown, NJ)
- …and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... job does not manage staff. What Will You Do? Directly handles assigned claims . Provides quality customer service and ensures file quality and timely coverage… more
- Sinceri Senior Living (Nashville, TN)
- …to protect our organization and residents through proactive risk assessment, claims management, and quality improvement initiatives. The position requires ... with legal teams, insurance carriers, and community staff. Essential Job Functions: Claims Management & Insurance Coordination Submit and manage claims to… more
- Ball (Fort Worth, TX)
- …Establishes and analyses quality areas, including quality goals, quality problems, defective materials, claims and customer quality problems. ... and world. Primary purpose of the position: Manages the plant quality assurance function as directed. Essential Responsible Areas: Responsible for maintaining… 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 ... is not available for this position. What you'll do: Inspect and review quality of claim files and provide feedback to employees as appropriate. Responsible for… more
- ArchWell Health (Oklahoma City, OK)
- …solutions to prevent future issues and resolve recurring defects. Experience with claims / quality reports and analytical software packages. Proficient skills in ... routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We… more
- Premier Administrative Solutions (Clearwater, FL)
- …continual quality improvement. *Coordination of all activities of the Claims Department Management Team. This includes Supervisors and/or Team Leaders assigned ... Overview Claims Manager Servicing Health Insurance Policies or Benefits...Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. *Responsibility for final hiring decisions… more
- Sedgwick (Riverside, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Riverside, CA Are you looking for an opportunity to join ... best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing… more
- Five Below (Forsyth, GA)
- …robust cycle count program and all required inventory transactions including: freight claims , quality write-offs, serial number changes, cycle count adjustments, ... metrics by which performance can be measured and tracked *Ensure inbound quality inspections are completed per prescribed directives and that appropriate follow up… more
- GEICO (Richardson, TX)
- …or complex claims , providing resolution and support as needed. 3. Quality Control and Compliance: *Monitor claims processes to maintain high standards ... Experienced Claims Supervisor: Dallas, TX, Lakeland, FL, Houston, TX...need. Exciting opportunity to join an industry leading Auto Claims team. We are looking for highly motivated … more
- Sedgwick (Minneapolis, MN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Richfield, MN PRIMARY PURPOSE : To process low ... level general liability claims to determine benefits due; to ensure ongoing adjudication...RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATION Education & Licensing… more
- Mindlance (Concord, CA)
- Description: Looking for an experienced examiner to handle a heavy complex claims desk with mainly litigated claims . I want someone who can move fast and is good ... at closing claims . This is one of our more complex desks...RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATION Education & LicensingBachelor's… more
- PacificSource (Portland, OR)
- …impact and help people? Join PacificSource and help our members access quality , affordable care! PacificSource is an equal opportunity employer. All qualified ... that fully develop and utilize each person's talents and strengths. The VP of Claims , Encounters and Payment Integrity Operations is a key member of the Executive… more
- Berkley (Manassas, VA)
- …members to be on the cutting edge of technology while delivering high quality solutions. We are looking for outstanding individuals who will bring unique ... Services: Right Team, Right Technology, Simple and Secure. Responsibilities The AVP of Claims Product Management will lead a team of Product Managers responsible for… more
- ArchWell Health (Mesa, AZ)
- …solutions to prevent future issues and resolve recurring defects Experience with claims / quality reports and analytical software packages Proficient PC Skills, ... including Microsoft Office Suite Ability to maintain professionalism and flexibility in a changing work environment Fluency in - languages spoken by our people in the communities we serve (where necessary) Education and Experience High school diploma or… more
- Cummins (Schofield, WI)
- …Completing required documentation, such as work completed documents, time sheets, warranty claims , quality documents via handwritten forms or business system ... guidelines, using required tools within standard repair time to ensure a quality repair; disassembles and assembles engines or power generators following guidelines,… more
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