- Sedgwick (Fayetteville, NC)
- …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... and commercial line auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge… more
- Sedgwick (Charlotte, NC)
- … action/processing with claimant, client and appropriate medical contact. * Ensures claim files are properly documented and claims coding is correct. * May ... process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims **ADDITIONAL FUNCTIONS and… more
- Sedgwick (Raleigh, NC)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | OH Jurisdictional Knowledge Are you looking for an… more
- Sedgwick (Raleigh, NC)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... offering including medical , dental vision, 401K on day one. \#claimsexaminer # claims _As required by law, Sedgwick provides a reasonable range of compensation… more
- NTT DATA North America (Charlotte, NC)
- …here. NTT DATA is seeking to hire a **Remote (Anywhere in US besides CA) Claims Processing Associate** to work for our end client and their team. **NOTE** : This ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- GuideOne Insurance (Charlotte, NC)
- As a Commercial Casualty Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...coverage and reservation of rights letters. + Maintains effective claim file documentation and diary system. Monitor diary to… more
- BCA Financial Services, Inc. (Charlotte, NC)
- …detail-oriented full-time Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: ... determine the cause of denial or non-payment of a claim . + Initiate appropriate action required to prepare and...insurance follow up, medical billing, insurance billing, medical insurance billing, medical insurance claims… more
- Lincoln Financial (Raleigh, NC)
- …for conducting initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations. You'll ... excited to bring on highly motivated STAT / PFL Claims Specialists to staff our ever-growing claims ...managers and consulting physicians to make appropriate and timely claim determinations. + Reviewing complex medical records… more
- CRC Insurance Services, Inc. (Raleigh, NC)
- …accuracy in reporting. Audit invoices for accuracy. 5. Process incoming and outgoing claims and vendor payments. 6. Perform claim status requests and updates. ... following job description:** Responsible for managing and resolving complex insurance claims involving litigation, coverage disputes, and high exposure. This role… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …notice. Primary Responsibilities + Research and document pertinent information on claims requiring adjudication. Apply medical policy, contractual provisions, ... inquiry within the specified timeframes. Essential Qualifications + Knowledge of contracts, medical terminology, and claims processing and procedures. + 1+ year… more