- CVS Health (St. Paul, MN)
- …efficiently. * Effective communications, organizational, and interpersonal skills. * 2+ Medical Claim processing experience. Preferred Qualifications * DG system ... RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines....level on customer service platforms by using technical and claims processing expertise. * Applies medical necessity… more
- American Family Insurance - Corporate (Minneapolis, MN)
- Investigate and maintain commercial property claims , focused on residential structures. Determine liability, secure information, review coverages, arrange ... appraisals, and settle claims . You will report to a Manager. You will...You will conduct on-site inspections, evaluate damages, and handle claim negotiations with insureds, claimants, attorneys, and public adjusters.… more
- HomeSafe Alliance (St. Paul, MN)
- **Title:** Claims Adjuster (SCA) HHG/Military Move **HomeSafe Alliance** is the single global household goods movement manager of over 300,000 Military Household ... and MCO Demand settlement according to company policies. The claims adjuster responds to internal and external...Performs other job-related duties as needed \#LI-SH Benefits: + Medical , Dental and Vision Insurance. + Paid time off… more
- Sedgwick (St. Paul, MN)
- …Apply your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... negotiates settlement with claim parties. + Revises case reserves in assigned claims files to cover probable costs. + Communicate status of claim effectively… more
- Amerisafe (Minneapolis, MN)
- …productivity driven professional to add to our Minnesota based Workers Compensation Claims Team. In this position, you will conduct on-site and in-person ... the State administrative authority. You will work with injured workers, employers, medical and legal professionals to ensure the appropriate benefits are provided to… more
- HomeSafe Alliance (St. Paul, MN)
- … Office demands. Reviewing that proper settlement practices were followed. + Addressing with Claims Adjuster on any areas of improvement and involving the ... claim expenses. + Work with the Director of Claims and Claims Managers to ensure any...Performs other job-related duties as needed. \#LI-SH Benefits: + Medical , Dental and Vision Insurance. + Paid time off… more
- HomeSafe Alliance (St. Paul, MN)
- …service providers + Receive new claims , register in the system, and assign to a Claims Adjuster + Send related claim forms and documents as needed or ... **Title:** Claims Administrator (SCA) HHG/Military Move **HomeSafe Alliance** is...scheduling and tracking items found + Interface with the Adjuster , Agent, and customers to obtain information to ensure… more
- Sedgwick (St. Paul, MN)
- …FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Complex Claims Advisor | Remote **This job will support workers' compensation for… more
- Sedgwick (St. Paul, MN)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... claims supervisor experience. Must have at a minimum 5 years handling bodily injury claims at the adjuster and/or team lead level. **Skills & Knowledge** +… more
- Marriott (St. Paul, MN)
- …UNM on utilization review issues. + Refer catastrophic cases in coordination with claims adjuster to outside rehabilitation or field case management and closely ... Available to assist claims on informal review of litigated or lifetime medical claims to suggest course of action to move case forward. + Maintain case load… more