- AUI Partners (TX)
- …and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety ... + Assist the Safety Supervisor/Safety Team on Worker Compensation claims and other claims involving the public,...as guidelines. Accident and Incident Investigations + Conduct Utility Claim Investigations within 24 hours and provide a report… more
- MTA (New York, NY)
- …for the overall management of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. + Responsible for the management ... and assess loss picks, ensuring accuracy in estimating future claims costs. Oversees OCIP claims and settlements...cost, accuracy and best practices. + Monitors and manages claim reserves, working with TPAs and insurers to adjust… more
- Sedgwick (Columbus, OH)
- …support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues ... recovery. + Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes client… more
- Actalent (Fort Lauderdale, FL)
- …telephonic interaction with provider offices, as well as performing research on internal claims systems. You will work under the supervision of internal staff and ... telephonic interactions with provider offices. + Perform research on internal claims systems to gather necessary information. + Demonstrate flexibility and develop… more
- MetLife (Oriskany, NY)
- …of MetLife. The customers who call into our call center call to file their claims , or to service their active claims . Call types include callers with disability, ... needs. * Research requests regarding various product aspects, policy provisions, claim status, basic procedures, etc. * Efficiently process transactions and refer… more
- HUB International (Rockville, MD)
- …compliance requirements with client and provide timely legislative updates. + Obtain claim reports for monthly, quarterly and/or semi-annual claims analysis, ... management of assigned client accounts, including but not limited to, claims questions, administrative issues, client requests, and technology needs. Work… more
- Sedgwick (Dubuque, IA)
- …+ Ensures data integrity by accurately interpreting the leave and disability claims data coding hierarchy and applying the correct leave and disability codes ... into the payroll and time and attendance system. + Review reports for claim accuracy; processes and balances colleague time card file based on client's paid time off… more
- Independent Health (Buffalo, NY)
- …experience in Medicare operations (enrollment, benefit administration, and/or claims payment/reimbursement methodology) required. EGWP PDP administration ... work may be required. **Qualifications** + Associate's degree required. Bachelor's degree preferred . An additional two (2) years of experience will be considered in… more
- Sedgwick (Miami, FL)
- …demands, wages and benefits, and availability. + Thoroughly reviews contested claims . + Assists as needed with submission of accommodation recommendations to ... case suggesting changes in rehabilitation plans. + Documents contacts in claim notes; prepares reports and/or forms documenting the results of research/negotiations… more
- Amergis (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... Specialist I reviews branch sales for appropriate documentation, generate and bill claims and/or invoices, follows up on unpaid accounts, and provides support and… more