- Percepta (Melbourne, FL)
- …Be Doing** * Review claims received in assigned sort groups via Company's claim payment system (OWS) to determine if claim meetspolicy guidelines. o If all ... Percepta, we bring first-class service across each market we support . As a **_Technical Service Representative 2_** in **_Melbourne,...policy guidelines are met, the Claims Analyst is responsible for paying the … more
- USAA (Hickory, NC)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... for handling, if applicable. + Maintain accurate and current claim file documentation throughout the claims process...mapping of repair plan and timeline for repair in support of fast and accurate claims adjudication.… more
- American Family Insurance - Corporate (Thornton, CO)
- …between 25% - 75%. You will work in the field and report to the Property Claim Manager and handle homeowner property field claims from Thornton, CO to Johnstown, ... a property field adjuster, you will investigate and maintain property/ claims . Determine liability, secure information, reviews coverages, arranges appraisals, and… more
- AIG (Wilton, CT)
- …of Reinsurance Claims and Collections. The individual should have solid claim and ceded reinsurance experience for all insurance lines. The candidate should also ... Reinsurance Specialist This role is responsible for managing reinsurance claims and collections within Reinsurance Finance and reports to...possess claim and ceded reinsurance experience managing, collecting and reporting… more
- WellSpan Health (Chambersburg, PA)
- …tasks. Assists in the completion of submitting electronic and/or manual insurance claims , resolves claim edits, performs insurance account follow-up, researches ... companies via electronic or manual processes and facilitates special billing for split claims , ancillary charges, interim bills, etc.- Resolves Claim edits to… more
- Sedgwick (Dubuque, IA)
- …exposure claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Makes independent claim determinations, based on the information received, to approve complex ... Enters and adjusts payments and evaluates file interface to support payment research and resolution. + Communicates clearly and...with claimant and client on all aspects of the claims process including claim approval, decision authority… more
- ICW Group (Pleasanton, CA)
- …best interest of all parties and providing benefits as prescribed by law. + Ensures claim files are properly documented and claims coding is correct. + Refers ... and further education as required. _California Only:_ California Workers' Compensation Claims Administration (WCCA) and Workers' Compensation Claim Professional… more
- Covenant Health Inc. (Knoxville, TN)
- …Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This position is responsible ... coordinating daily workflow for accurate submission of insurance claims to payers to ensure timely reimbursement for services provided. Provides support and… more
- UNC Health Care (Rocky Mount, NC)
- …a variety of complex duties, including but not limited to, working outstanding insurance claims having no response from payers, having claim edits, and/or having ... charge corrections, payment corrections, writeoffs, refunds or other methods. 3. Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope… more
- UNC Health Care (Chapel Hill, NC)
- …a variety of complex duties, including but not limited to, working outstanding insurance claims having no response from payors, having claim edits, and/or having ... through charge corrections, payment corrections, write-offs, refunds or other methods. Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope… more