- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …to prevent fraud and ensure compliance with policy terms. + Resolve Rejected Claims : + Calculate benefit payments and approve claim settlements based on ... SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing and maximum payer reimbursement. They prioritize… more
- 7-Eleven (Enon, OH)
- …and other claims related parties. + Determine objectives for quarterly claim reviews with a focus on results. Conduct ongoing post-review progress monitoring. + ... administration of designated Third-Party Administrator (TPA) for workers' compensation claims which includes claims reporting, investigating, reserving,… more
- The Hartford (Hartford, CT)
- …We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... the future. Sr. Performance Analytics Consultant, Auto & Property Claims Performance Analytics, The Hartford Reporting to the Director...labor and material costs, impact of storm intensity on claim severity, etc.) . Work as a thought-partner to… more
- ICW Group (Sacramento, CA)
- …impact. It's our people who make us an employer of choice and the vibrant company we are today.** **Job Category:** ** Claims ** **Job Type:** **Full time** **Req ... offering the stability of a large, profitable and growing company combined with a focus on all things people....is to oversee payment recovery efforts arising out of claims payments made on ICW Group claims .… more
- Robert Half Accountemps (Tampa, FL)
- …collection of signatures and necessary documents from funeral home partners to expedite claim processing. * Investigate delays in insurance claims and provide ... skills, combining compassion and attentiveness in interactions. * Familiarity with claims -related systems and processes, such as claim adjudication or… more
- Access Dubuque (Dubuque, IA)
- …Sr **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Access Dubuque (Dubuque, IA)
- …system documentation.** **Coordinates investigative efforts to ensure thorough and appropriate claim reviews.** **Identifies when claims require external support ... : **At Sedgwick,** **caring counts** **. We're a global leader in claims management, and we're looking for experienced, compassionate professionals to join us… more
- Kemper (Henderson, NV)
- …promises._ **Position Summary:** Responsible for resolution of all activities on assigned claims identified as potential Total Losses. Review claim details, ... associated charges to confirm Total Loss Evaluation. Controls associated claims for Rental/Loss of Use as well as any... in a timely and cost-effective manner based on company guidelines. Works within established authority level commensurate with… more
- Covenant Health Inc. (Knoxville, TN)
- …time management. + Review patient accounts for resolution- check status with insurance company for billed claims that have not processed & determine what ... quality standards. + Responsible for facilitating communication between insurance company and the patient to resolve issues holding up...departments in order to correct any issues with billed claims to ensure correct billing and proper claim… more
- TevisHR (CA)
- …This position is NOT remote. Job Summary: A Loss Consultant for insurance claims is responsible for evaluating the extent of damage to residential properties caused ... with policyholders, contractors, and other relevant parties to ensure fair and timely claim settlements. Overall, an estimator for a claim plays a critical… more