- Sedgwick (King Of Prussia, PA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Liability **PRIMARY PURPOSE** : To process low ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Marlton, NJ)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - WC **PRIMARY PURPOSE** : To process low level ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (New Orleans, LA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Workers Compensation **PRIMARY PURPOSE:** To process ... or equivalent combination of education and experience or successful completion of Claims Representative training required. Skills & Knowledge: Performs other… more
- DATTCO (New Britain, CT)
- …+ After invoice review , submit invoices for payment Minimum Requirements: + 2 + years- claims experience with workers- compensation or auto liability ... Insurance Claims Representative Department: Risk Management Location:...state + Prepare reports for audits as requested + Review loss runs and billing for accuracy and communicate… more
- State of Minnesota (Bemidji, MN)
- **Working Title** : **Tribal Veterans Services Officer** **Job Class: Veterans Claims Representative ** **Agency: Minnesota Department of Veterans Affairs** + ... on-going education and information dissemination and all facets of claims and appeals process. **Minimum Qualifications** Two ( 2...be conducted on all finalists. This may include a review of documentation related to job performance. It also… more
- TEKsystems (Saddle Brook, NJ)
- Seeking an Auto Claims Customer Service Representative to work hybrid in NJ! Responsible for being first point of contact on initial claim to gather the ... intake information from various parties to document and input claims details * Review and audit accident...vehicle and understands other potential property damage Qualifications: + 2 + years of auto claims experience +… more
- National General Insurance Company (FL)
- …damage + For claims involving injuries (if handled), learns how to review , evaluate, and negotiate basic to moderate injury claims + Applies increased ... Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: + Handles investigation… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Service Representative 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #811 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create ... + Adjust claim(s) as warranted based on discussion and review of the provider's issue. + Deliver all information...regulations. Education and Experience : + HS Diploma + 2 years of college preferred About us: Centers Plan… more
- City of New York (New York, NY)
- …is recruiting for ( 2 ) two Eligibility Specialist IIs to function as a Claims Review Specialists, who will: - Review , process, determine and/or establish ... data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review...semester credits at an accredited college or university; or 2 . A four high school diploma or its educational… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …guidelines. This position requires strong clinical and medical coding skills to review claims for medical necessity, appropriate coding, and pricing of ... and use existing documentation to develop and revise workflows. + Act as claims representative in corporate meetings involving changes in medical policy, pricing… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …process ensuring proper documentation was created in the system and/or files. 7. Review claims and approve payments under the appropriate binding authorities. 8. ... **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Responsible for overseeing, managing...time. 1. Manage the supervision and coordination of the claims department and staff. 2 . Organize and… more
- CRC Insurance Services, Inc. (Norfolk, VA)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between ... 1. Bachelor's degree with a concentration in business or equivalent work experience 2 . Three years of Construction Defect Claims handling experience and… more
- Truist (Naples, FL)
- …**Preferred Qualifications:** 1. Associate in Risk Management (ARM) or Associate in Claims (AIC) designation 2 . Multi-line claim experience 3. Knowledge of ... **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Act as a leader...and prospects. May also provide support for solving complex claims or leading claim consulting teams in specialized industry… more
- Universal Health Services (Riverside, CA)
- …have been completed to assure compliance with the Friday check run deadline. 8. Review the drawers of claims processed to ensure that Customer Service has ... work, practice medicine, and receive care. SUMMARY: Responsible for auditing and training claims staff on all Managed Care claims received from outside providers… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Process claims , which includes ... Specific activities may change from time to time. 1. Review policy to determine if loss is covered. If...then hire attorney for coverage counsel for coverage analysis. 2 . Settle claims within settlement authority, where… more
- Truist (Atlanta, GA)
- …focused on specific client needs, ensuring accuracy, timeliness of client-related communications. 2 . Handle all claims within the upper and Jumbo segments ... English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Support Clients and Producers by servicing… more
- State of Colorado (Denver, CO)
- Industrial Claims & Appeals Office: Administrative Law Judge II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4501115) Apply Industrial ... Claims & Appeals Office: Administrative Law Judge II Salary...time, appellate judges do not try cases and rarely review new evidence. Appellate judges are concerned with making… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Guardian Life (Plano, TX)
- The ** Claims Case Management Team Leader** is responsible for leading a team of Absence Management Case Managers to get results within their team and the ... Leader owns and acts on engagement survey results. + Review and analyze daily, weekly, and monthly reports on...team productivity 1) for operational reporting and monitoring purposes; 2 ) to identify trends and training opportunities; and 3)… more
- Centers for Independence (Milwaukee, WI)
- …co-workers, managers, vendors, participants, ICA, and state programs within a timely manner. 2 . Review , analyze, problem solve, and trouble shoot invoice payment ... ** Claims Resolution Specialist** **Job Details** **Job Location** iLIFE...knowledge and skills to successfully execute the essential functions 2 . Demonstrated experience handling high volume processing experience. 3.… more