- Healthfirst (NY)
- …hospital partners_** including but not limited to roster maintenance and claim issue root cause analysis + **_Managing education/training regarding company-wide ... experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, system set-up, etc + Strong communication… more
- C&S Wholesale Grocers, Inc. (Lathrop, CA)
- **Position Overview** As a Claims Investigator, you will be researching shortage claims based on calls received from our customer locations. These investigations ... Description** **Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation… more
- Allied Solutions (Plano, TX)
- …except in the following circumstances: + Internal insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...years highly preferred; + Preference given to those with Claim Processor or Claim Specialist … more
- AIG (Atlanta, GA)
- …This will include, but not be limited to, providing direction to Fast Track Claim Specialist , performing claim file reviews, ensure compliance with operation ... Claim Specialists handling first and third-party auto liability claims , minor injury claims and low complexity...will report to an Assistant Vice President of Casualty Claims and will work closely with other Claim… more
- AIG (Jersey City, NJ)
- …for timely and accurate reporting of individually handled significant US Trade Credit claims to US Trade Credit Claim leadership. + Establish and maintain ... the best possible loss outcomes through Total Cost of Claim management and initiatives. + Be proactive in adjusting...guidelines. What you will need to succeed + Good specialist knowledge in trade credit insurance ( claims … more
- Allied Universal (Albany, NY)
- …a career with us and make a difference. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
- Baylor Scott & White Health (Dallas, TX)
- …of lost wages for payroll and for all approvals of medical bills per claim file.Pay and process claims within designated authority levelPerforms other position ... SUMMARY** Under the direct supervision of the Safe Choice Claims Manager the Claims Adjuster is responsible...medical and loss wages, conduct thorough investigation of the claim through contact with witnesses. Provide status reports to… more
- AIG (Atlanta, GA)
- …Accurate and consistent policy interpretation What you will need to succeed + Basic specialist knowledge in LoB technical claims topics + Policy language skills ... business + Experience in effectively following up on recommendations from technical claims audits and continuous claim handling improvement + Good communication… more
- Commonwealth of Pennsylvania (PA)
- Crime Victim Compensation Specialist (Criminal Justice System Specialist 1) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5147085) Apply ... Crime Victim Compensation Specialist (Criminal Justice System Specialist 1) Salary...crime, their families, and other claimants. You will conduct claim investigations, determine dispositions, and prepare reimbursements for victims… more
- CDPHP (Latham, NY)
- …The specialist will address and resolve service-related issues including claim adjustment requests, appeals and complaints, eligibility determination and other ... you to be a part of that experience. The Claims Representative shall assume full responsibility and ownership for...advising the customer of their rights and responsibilities. The specialist will also respond to inquiries received via written… more