- Sedgwick (Rancho Cucamonga, CA)
- …+ This role will be primarily responsible for **_Large Complex Property_** claims . **PRIMARY PURPOSE** **:** To investigate losses or claims internationally ... including handling accounting-based losses (business interruption and stock). + Examines claim forms and other records to determine insurance coverage. + Interviews,… more
- Molina Healthcare (San Diego, CA)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Sedgwick (St. Paul, MN)
- …General Adjuster - Midwest Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address most ... and non-complex National Accounts. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines claim forms and other records to determine insurance coverage. +… more
- Sedgwick (Elgin, IL)
- …information and claim status either by phone, written correspondence and/or claims system. + Participates in and maintains a quality service culture within the ... assist customer service representatives in expediting the application by providing claims general information; to track trends; to investigate client feedback both… more
- Kemper (Chatsworth, CA)
- …**Position Qualifications** : + High School Diploma or GED required + College Degree preferred + 3 plus years of claims adjusting experience handling complexand ... negotiation skills? Kemper is looking for experienced Represented Bodily Injury Claims Adjusters for our growing teams! This specialized position focuses solely… more
- UTMB Health (Galveston, TX)
- …**Licenses, Registrations, or Certifications:** High School Diploma or equivalent. ** Preferred Qualifications:** These are agreed upon during the creation of ... Specialist will be responsible for billing all third party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital … more
- Lowe's (Mooresville, NC)
- **Your Impact** The Sr Analyst-Workers Compensation Claims will provide insight and support to drive the operational excellence of the Workers Compensation Program. ... Will Do** + Evaluates monthly, quarterly, and annual performance of claims administrator and subcontracted vendors through analyses such as cost-benefit,… more
- M. C. Dean (Vienna, VA)
- …Driver evaluations, Drug program monitoring, and manage routine to moderately complex claims from the investigation of an event through resolution. This includes ... about liability/compensability, evaluating losses, managing relationship with the carrier claims adjuster, nurse case managers and stakeholders within MC Dean,… more
- Boston University (Boston, MA)
- …the Clinic Finance Manager with all insurance operations such as submission of claims , posting payment, claim research and insurance verification. They will also ... payment of invoices, benefit accrual tracking, and collections policy. Assist with all claim submission and posting of payments of PPA/PDA, research and resolve … more
- Nuvance Health (Danbury, CT)
- *Description* Summary: Maintains accurate and timely claim submission for designated groups of accounts by payer. Insures that all claims are compliant with ... insure an effective billing system. Responsibilities: 1. Accurate, timely and compliant claim submission. 2. Confirmation of electronic and hard-copy billing of any… more