- Emanate Health (Covina, CA)
- …customer service, compliant billing and collections, correspondence management, claim follow-up, accurate payment and adjustment reconciliation, correspondence ... review within departmental standards. Provide training support to individuals as needed with new processes, or new implementations. Assist with projects as necessary to help assist with staying within Business Office standards. **Job Requirements** a. Minimum… more
- NJM Insurance (Parsippany, NJ)
- …a top-rated insurance company, is looking for a Personal Injury Protection Representative who has excellent communication skills as well as strong organizational and ... as to coverage and course of action. + Evaluate claims for fraud indicators and potential underwriting issues and...communication with involved parties during the course of the claim , via written and/or verbal communication, to provide relevant… more
- University of Rochester (Rochester, NY)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for ... routine action to resolve unpaid claims . The Claims Resolution Representative II reports..., identifies problems, and takes appropriate action to assure claim resolution. 20% + Responds to all billing-related inquiries… more
- Elevance Health (West Des Moines, IA)
- **Utilization Management Representative II ** **Location:** The selected candidate for this position must reside in Iowa. **_Virtual:_** This role enables ... an accommodation is granted as required by law._ The **Utilization Management Representative II ** is responsible for managing incoming calls, including triage,… more
- Conduent (Guaynabo, PR)
- …per month. **Great Benefits and Paid Training!** **Summary:** As a **Customer Service Representative II ,** you will be responsible for the resolution of ... noticed and valued every day. **Remote Fraud Call Center Representative - Puerto Rico** **Must be proficient in English.**...tools; escalate complex cases as needed. + Process fraud claims and disputes per client guidelines. + Clearly explain… more
- Covenant Health Inc. (Knoxville, TN)
- …All work shall be completed in a timely and accurate manner. The Patient Account Representative (PAR) Level II position serves as a resource to PAR Level I ... Overview Patient Account Representative , Business Office Full Time , 80 Hours...training and assistance in solving complex issues. A Level II has the ability to handle and resolve complex… more
- Southland Holdings (Grapevine, TX)
- …and maintaining a working relationship with the owner or the owner's representative ; ( ii ) understanding and planning according to the work specifications ... serving as customer liaison; (viii) managing change orders, budget schedule, claims , safety, and staff; (ix) developing comprehensive project plans; (x) translating… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …responsible for investigating, evaluating, negotiating, and resolving personal lines property claims . Responsible for adjusting major and complex losses in their ... 2. Responsible for providing exceptional customer service and handles claims in accordance with prescribed authority and best ...determine cause of loss, and document activity on each claim to come to a resolution quickly and accurately.… more
- Mass Markets (Killeen, TX)
- …globally expanding, industry-leading organization. We are looking forCall Center Claims Representativesto support inbound customer service, help desk, and ... account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts,...Must be willing to submit up to a LEVEL II background and/or security investigation with a fingerprint. Job… more
- JB Hunt Transport (Lowell, AR)
- …to obtain a full picture of exposure and documentation of all findings for each claim within the claims matter management system for management review as well as ... investigations to determine liability exposure of each assigned claim . This investigation includes analysis of state and federal...path to resolution. + Provide training and mentoring to Claims Examiner I and II roles within… more
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