- Sedgwick (Boise, ID)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - General Liability / Bodily Injury | CST & EST ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...THE ROLE:** To analyze General Liability / Bodily Injury claims on behalf of our valued clients to determine… more
- Ryder System (Boise, ID)
- …Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Claims Representative handles complex and mid-to-high ... exposure bodily injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims , as well as… more
- HUB International (Boise, ID)
- …to give, volunteer, engage, and serve their communities. **ABOUT THE OPPORTUNITY:** As a Claims Representative , you will obtain and gather needed claims ... reports, estimates and other forms of media to report claims to insurance companies. This position can be based...up with insureds, claimants, and insurance companies on existing claims , assist customers with any questions, problems or issues… more
- HUB International (Boise, ID)
- …and furniture stores. Research and advise staff of claim denials. As a Senior Claims Representative , you will also be expected to participate in training of ... to work remote, in-office, or hybrid. You will obtain and gather needed claims information including police reports, estimates and other forms of media to report… more
- Sedgwick (Boise, ID)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process ... low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...+ Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files… more
- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that ... involve customer contact, investigation, and resolution of claims . The Claims Research & Resolution Representative 2 performs varied activities and… more
- Zurich NA (Boise, ID)
- Claims Call Center Senior Representative , Auto 110439 Are you working in an Auto Service Center for a dealership, looking for a career away from long hours and ... opportunities for customer care's improvements. * Handle first and third party claims taking responsibility to resolve all enquiries from both customer and external… more
- Elevance Health (Meridian, ID)
- …Reference: JR112486 **Location:** + GA, COLUMBUS + ID, MERIDIAN **Description** **Title: Claims Representative I** **Location:** This position will work a hybrid ... live within 50 miles of one of our PulsePoint locations. The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Lithia & Driveway (Pocatello, ID)
- …track each claim until its final resolution. + Contact the appropriate warranty claims representative regarding any claims requiring additional authorization ... each repair order against the vehicles' service history to avoid processing duplicate claims or submitting claims forshop comebacks. + Review and process all… more
- Guardian Life (Boise, ID)
- **Complex Claims Manager, LTD Claims ** The Complex Claims Manager, LTD Claims is responsible for making accurate decisions on assigned complex claims ... federal guidelines, and established protocols. This position will manage a portfolio of claims which have complexities driven by things including but not limited to… more
- Guardian Life (Boise, ID)
- …decisions via telephone and in writing. + Prioritize and review new claims to adhere to established departmental turnaround times. + Meet productivity requirements ... as established by department for handling Supplemental Health Claims . Leadership Behaviors + Demonstrates intellectual curiosity. + Displays technical and functional… more
- Highmark Health (Boise, ID)
- …other customer requests. Determines whether to return, deny or pay claims following organizational policies and procedures. Provides direction on corrective actions ... needed including but not limited to processed claims , using enrollment, benefit and historical claim processing information. This job will perform post-payment… more
- Graybar (Boise, ID)
- Are you ready? As an Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling Company ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… more
- Evolent Health (Boise, ID)
- …+ Answer and manage inbound inquiries regarding health plan benefits and claims , eligibility, medical and other healthcare procedures, billing and payments and other ... related topics from customers in a prompt, courteous manner. Conduct out-bound and/or return calls to customers as necessary. + Ask appropriate questions and listen actively to identify specific questions or issues to provide appropriate response and type of… more
- Magellan Health Services (Boise, ID)
- …in the field with vendors, subcontractors and providers. Responsible for conducting claims and compliance audits for the purpose of detecting and/or recovering ... matter experts in Special Investigations Unit (SIU), cost containment, legal, claims , network, compliance and external county and federal and state regulatory… more
- Humana (Boise, ID)
- …provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates ... Minimum of 1 years' work experience reading and interpreting claims + Minimum of 3 years' experience in performing...normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect… more
- Utilities Service, LLC (Boise, ID)
- …the performance of the crew operation. Furnishes General Foreperson and utility representative with reports of orders completed, units of work completed, crew time, ... be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims... claims , etc., and to settle minor damage claims . + Controls crew costs, including effective use of… more
- Magellan Health Services (Boise, ID)
- …a Customer Care/Healthcare environment with experience in eligibility, authorization and claims problem resolution. 2+ years' experience in network development with ... It has come to our attention that a false representative is contacting potential candidates and offering them work...a fit. If you suspect you are being contacted by a false representative of Magellan Health, please call… more
- HealthEdge Software Inc (Boise, ID)
- …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... Employment:** Full-time, permanent **Work Environment:** The physical demands described here are representative of those that must be met by an employee to… more
- Jacksons (Caldwell, ID)
- …review of employee injury reports, investigations, return to light duty and individual claims review and claim management. Participate in all claim reviews. + Track ... by company operations. Physical Environment: + The physical demands described here are representative of those that must be met by employees to successfully perform… more