- AIG (Atlanta, GA)
- …+ Drive a strong control framework working in close collaboration with the Technical Business lines, Operations and Claim Legal. + Align and strengthen ... specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven...and business partners, develop and maintain Global Claim policies, standards, and controls ensuring Claims … 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 ... an innovator in crop insurance since the crop insurance business was privatized by the federal government in 1980....be responsible for: + Completes high dollar/quality assurance type claim reviews for Crop Hail/Named Peril with $250K and… 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
- TEKsystems (Earth City, MO)
- Job Title: Mechanical Claims Specialist Start Date: December 1st Location: Remote/Hybrid (Initial training in Deerfield Beach, FL or St. Louis, MO) Are you a ... repairs using provided guidelines. + Customer Questions - Explain claim decisions and guide customers through the claims...our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range… more
- Pilgrim's (Greeley, CO)
- **Description** Claims /Deductions Specialist Purpose and Scope/General Summary: We are looking for a Claims /Deductions Specialist for Pilgrim's who ... involved have provided the required information to process a claim and have fulfilled their contractual requirements. + Gather...Intermediate data analysis, find trends and develop conclusions on claims . + Work and learn new business … more
- Zurich NA (St. Paul, MN)
- RCIS Crop Claims Specialist (West or Central MN)... in the facilitation of general day to day operations and claims management. In addition, the ... is currently looking for a or an experienced Crop Claims Specialist to join our Rural Community...Management Agency initiated reviews and referrals for sake of operations integrity and quality assurance. + Protect Zurich's reputation… more
- Healthfirst (NY)
- …Diploma or GED equivalent + Direct experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, ... hospital partners_** including but not limited to roster maintenance and claim issue root cause analysis + **_Managing education/training regarding company-wide… more
- Public Consulting Group (Chula Vista, CA)
- …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies… more
- AIG (Atlanta, GA)
- …processes + Contribute to maintenance of best practice procedures for Line of Business (LoB) Complex claims , consistent with global best practice + Demonstrate ... interpretation What you will need to succeed + Basic specialist knowledge in LoB technical claims topics...Experience in effectively following up on recommendations from technical claims audits and continuous claim handling improvement… more
- AIG (Jeffersonville, IN)
- …+ Provide detailed written feedback to managers for agent development and business operations . + Participate in calibration sessions to ensure process/agent ... they turn to us. About the role As an Operations Oversight & Process Specialist your job...customer experience, and/or identify opportunities in system functionality. A Claims Assessment Specialist should be able to… more