- AIG (Jersey City, NJ)
- …to work with the AIG office or a TPA in the claim location. + Conduct claim reviews of foreign claims and will be required to present these claims in ... customers to manage risk. Join us as a Senior Claims Examiner - International Casualty Home Office to play...twist? Have you wondered what is a wrongful death claim worth in New Zealand? Can the plaintiff recover… more
- Sedgwick (Riverside, CA)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead (Supervisor) | Riverside, CA | SIP Required Are you… more
- FM (Alpharetta, GA)
- …within the Operations geographical area, or as otherwise directed by the Operations Claims Manager. + Consults with the insureds and offers FM assistance ... identifying legal needs, and with the approval of the Operations Claims Manager also recommends engagement of...claim with their recommendations for payment to the Operations office where the account is written for final… more
- AIG (Atlanta, GA)
- … claims performance against standards and goals. + In depth knowledge of claim handling procedures, claims performance strategies, and claim best ... need to know: The Complex Director is Senior Adjuster role in Primary Claims responsible for investigating, evaluating, and negotiating General and Auto Liability … more
- Apex Health Solutions (Houston, TX)
- Job Title: Claims Processor Department: Operations Supervisor: Manager, Claims Operations Summary: Position is responsible for the timely and accurate ... of paper/electronic claims for inpatient, outpatient and professional medical claims Resolve claim edits, review history records and determine benefit… more
- ENFRA (Metairie, LA)
- …Liability, and Worker's Compensation). Works closely within the Risk Management team ( Claims , Legal, and Operations Senior Leadership) to mitigate losses and ... are the pillars of our continued success. **Overview** The Claims Specialist II is responsible for the overall administration...projections, final cost, and the anticipated impact of the claim to the Team. + Provide outstanding customer service… more
- Commonwealth Care Alliance (Boston, MA)
- …Knowledge, Skills & Abilities (must have):** + Knowledge and experience of claim operations , health care reimbursement, public health care programs and ... claims management, coding rules and guidelines, and evaluating/analyzing claim outcome results for accurate industry standard coding logic and policies… more
- Brink's (Philadelphia, PA)
- …The Claims Analyst will investigate reconciliation discrepancies to reduce claim settlements and increase customer satisfaction at the direction of the Regional ... institutions, retailers, government agencies, mints, jewelers, and other commercial operations . Our network of operations in 52...an armed environment. Key Responsibilities: + Monitor case and claim data for branches in your region + Drive… more
- Insight Global (Brookfield, WI)
- …ensure successful deployment, adoption, and sustained optimization of the product across claims operations . * Provide expert guidance on medical management, ... implementation for our clients. We are seeking a seasoned claims professional to serve as the claim 's...or related areas is highly desirable. * Experience leading claims operations at a national carrier or… more
- TEKsystems (Harrisburg, PA)
- …Verify supporting documents such as medical records, police reports, or receipts. Determining Claim Validity - Assess whether claims meet criteria for approval ... TekSystems is currently hiring for a FULLY REMOTE Claims examiner contract position! THIS POSITION CAN START...information. - Provide timely updates and clear explanations regarding claim decisions. Maintaining Records - Document all actions taken… more