- AmeriHealth Caritas (Washington, DC)
- …by AMC and Plan. + Ensures provider contracting is consistent with claim payment methodologies. + Maintains familiarity with State Medicaid fee schedules and ... of electronic strategies for provider network to include increasing electronic claims submission and implementation of improved processes that result in increased… more
- BrightSpring Health Services (Valdosta, GA)
- …report out. + Complete follow up process to ensure full adjudication of claims . + Identifies adjustments throughout the month for assigned Operations. + Timely ... follow up on insurance claim denials, exceptions, or exclusions. + Maintain open communication...private insurance and/or federally funded programs, researching aging and claims . + Experience in reading and understanding remits for… more
- Travelers Insurance Company (Overland Park, KS)
- …equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements ... recommending corrective actions. Work cooperatively with Boiler and Machinery underwriting and claim groups, in support of helping them make informed decisions to… more
- Marriott (Anaheim, CA)
- …pre-employment screening, benefit and retirement plan administration, worker's compensation claim management, file management, New Hire Orientation, FMLA/CFRA leave ... regular reviews and identifying trends. * Oversee Worker's Compensation claim management while promoting a strong culture of workplace...promoting a strong culture of workplace safety to reduce claims . * Participate in HR audits and contribute to… more
- MAPFRE Insurance (Webster, MA)
- …operations of Total Loss and Salvage teams, ensuring timely and accurate claim resolution and salvage recovery. + Manage relationships with salvage vendors, auction ... to reduce cycle time and improve accuracy. + Collaborate with IT and Claims Innovation teams to implement digital tools and integrations with salvage platforms and… more
- Philadelphia Insurance Companies (Chicago, IL)
- …staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work ... control technical support to Tokio Marine departments such as underwriting, claims and coordination. Coordinate loss control activities on select accounts ensuring… more
- USAA (Tampa, FL)
- …injury liability claims . + Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts. + Experience determining auto liability ... sets you apart:** + Bachelor's degree + Active Adjuster's License + 1-2 years recent multi-vehicle claims ...Adjuster's License + 1-2 years recent multi-vehicle claims liability to include comparative negligence + Guidewire … more
- BrightSpring Health Services (Wilkes Barre, PA)
- …diversity and improve the communities where we work and live. Pharmacy Technician License Fees, we've got your covered! New hire and current employees are eligible ... re reimbursement for license fees (as required). If your passion is service...resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current… more
- Walmart (Fort Walton Beach, FL)
- …area in accordance with Company policies and procedures by properly handling claims and returns zoning the area arranging and organizing merchandise and identifying ... shrink and damages Receives and stocks merchandise in the Optical area and organizes and maintains the Optical area by following Company procedures utilizing equipment appropriately merchandising and completing paperwork logs and other required documentation… more
- Walmart (Bluffton, SC)
- …area in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... identifying shrink and damages. Receives and stocks merchandise in the Optical area, and organizes and maintains the Optical area by following Company procedures, utilizing equipment appropriately, merchandising, and completing paperwork, logs, and other… more