- Ascension Health (Austin, TX)
- …health-care claims adjudication required. + Expertise in the Facets platform preferred . + Experience working with Texas Medicaid claims and Medicaid ... offer._ **Responsibilities** Responsible for reviewing, investigating and resolving health-care claim payment appeals and communicating resolution/determination in accordance with… more
- Zurich NA (Des Moines, IA)
- RCIS Crop Senior Claims Specialist 127968 Zurich is currently looking for a Claims Crop Field Adjuster II to join our Rural Community Insurance Services (RCIS) ... this role you will be responsible for: + Completes high dollar/quality assurance type claim reviews for Crop Hail/Named Peril with $250K and above approval limits. +… more
- Zurich NA (Schaumburg, IL)
- … claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful ... experience Preferred Qualifications: + Member of the Bar + Claims handling experience including Private/Non-Profit D&O, EPL, Fiduciary and/or insurance coverage… more
- Zurich NA (New York, NY)
- … claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful ... rights and coverage denial letters + Notify Underwriter of claim issues + Draft case summary reports in connection...Preferred Qualifications: + Member of the Bar + Claims handling experience with at least 5 or more… more
- Penske (Reading, PA)
- …*Bachelor's degree preferred * 5-7 years of experience in insurance claim handling required * Independent, ability to work on your own, and self-starter ... Examiners are responsible for the processing of Penske and customer/insured litigated claims as well as some of the major/serious accidents and incidents involving… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring… more
- Zurich NA (Little Rock, AR)
- AVP, Complex Construction Claims - NY Labor Law 126105 Zurich North America is looking for a dynamic and experienced leader to join our Complex Liability Claims ... role, you'll take charge of managing intricate, high-exposure construction and litigation claims while playing a key role in supporting our New York Labor… more
- Zurich NA (Schaumburg, IL)
- …or more years' experience in the product management or product development area Preferred Qualifications: + P&C - Commercial Insurance, Claims system experience ... Claims IT Development - Subject Matter Expert (SME)...AI and machine learning technologies to automated and streamline claim system processes + Drives the execution of a… more
- Blue KC (Workman, MN)
- …and external customer resource for interpretation of transplant benefits and transplant-related claim adjudication. Serves as a company expert on current and future ... network. + Ensures proper payment of pre-transplant, transplant, and post-transplant claims . Sets up transplant pre-pay review for each individual claim… more
- Montrose Memorial Hospital (Montrose, CO)
- …of healthcare. All About You : + High school diploma or equivalent; Associate degree preferred . + AAHAM (American Association of Hospital Administrative ... Management) CRCS (Certified Revenue Cycle Specialist) preferred . + 2 years hospital PFS department experience with a broad knowledge of hospital billing, collections… more