- Sedgwick (Madison, WI)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and… more
- Molina Healthcare (Milwaukee, WI)
- …value hypothesis, and measurable success criteria (eg, first-pass resolution, auto- adjudication rate, claims cycle time, audit findings, cost-to-serve). ... + 5-7 years of project/program management with direct impact on Claims Operations ( adjudication , configuration, appeals/grievances, payment integrity, provider… more
- Sedgwick (Madison, WI)
- …general auto claims to determine scope of damages; to ensure ongoing adjudication of claims within company standards and industry best practices; and to ... Fortune Best Workplaces in Financial Services & Insurance Auto Claims Adjuster **PRIMARY PURPOSE** **:** To analyze mid- and...identify subrogation of claims and negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** +… more
- Sedgwick (Madison, WI)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote...the same assisting our public entity clients with their claims ! If you are an agile multi-line examiner with… more
- Sedgwick (Madison, WI)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Bodily Injury **PRIMARY PURPOSE** : To analyze...: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high… more
- Sedgwick (Madison, WI)
- …behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... Fortune Best Workplaces in Financial Services & Insurance (Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Sedgwick (Madison, WI)
- …workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation (Remote - Southeast State exp needed) Are you… more
- Sedgwick (Wausau, WI)
- …compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. **ESSENTIAL ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Workers Compensation - Wausau, WI Are...RESPONSIBILITIES MAY INCLUDE:** + Adjusts medical-only claims and minor lost-time workers compensation claims … more
- Sedgwick (Wausau, WI)
- …workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation - Wausau, WI -...to identify subrogation of claims and negotiate settlements. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE:** +… more
- Molina Healthcare (Kenosha, WI)
- …audit results and makes recommendations as necessary. * Helps to evaluate the adjudication of claims using standard principles and state specific policies and ... accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure… more
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