- CACI International (Chantilly, VA)
- …Claims Examiners + Accurately code injuries or illnesses in the claims system + Maintain workers' compensation claim log Perform data entry in the ... claim forms + Support claimants in explaining their claims Assist management with complex cases + Prepare reports...Workers' Compensation system **Qualifications:** _Required_ + Active TS/SCI clearance with Polygraph… more
- NTT America, Inc. (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role Responsibilities** ... -Processing of Professional claim forms files by provider -Reviewing the policies and...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- Carnival Cruise Line (Miami, FL)
- …of liability by party and financial impact estimation. + Oversees and sets claim handling procedures for 5 direct report claims adjusters, 1 coordinator ... for IRM to achieve best terms to end a claim and control the costs that multiply with litigation....systems and litigation support. Ensures compliance of all claims management policies and procedures, ensuring adherence to all… more
- Southern California Edison (Rosemead, CA)
- …help us build the future? **Responsibilities** + Manages a complex workers' compensation claim caseload. May handle catastrophic claims as assigned + May conduct ... reserves based on the ultimate probable cost of the claim and in accordance with the state of California...Party Recovery. + Demonstrated proficiency in a variety of Claims Management computer programs and systems . Strong… more
- New York State Civil Service (Albany, NY)
- …Cost Control Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on ... of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC...project documents and contractor records to determine if the claim has merit and the value of the … more
- Sedgwick (Syracuse, NY)
- …payment timelines, and compliance with statutory requirements. + Negotiate settlements of claims within designated authority to reach claim resolution. + Provide ... and timely manner. + Maintain accurate and comprehensive records in the claims management system , documenting all actions, decisions, and correspondence related… more
- State of Minnesota (St. Paul, MN)
- …claims management for a self-insured employer, third party claim administrator, an insurance carrier, occupational/rehabilitation provider, governmental employer, ... **Working Title: Workers' Compensation Claims Management Specialist Senior** **Job Class: Workers' Compensation...adjust reserves to reflect the potential exposure of each claim ; provide assistance and information to all parties and… more
- Travelers Insurance Company (Hartford, CT)
- …training, and mentoring on accounting and controls to business partners and Claim Finance. + Compile, review, and analyze complex financial data for variance ... skills with the ability to evaluate and understand current data and systems , find opportunities, recommend changes, and translate into business impacts. +… more
- TEKsystems (Brookfield, WI)
- …PM or 8:30 AM-5:00 PM About the Role Seeking a detail-oriented and experienced Claim Processor to join our growing team. This role is critical to our Medicaid ... line of business expansion and involves processing healthcare claims with accuracy and efficiency. If you have a...and quality standards while ensuring confidentiality. + Use internal systems (eg, QNXT (TM) ) and external re-pricing tools… more
- MetLife (San Juan, PR)
- …* Effectively and independently manages an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews * Provides ... timely, balanced and accurate claims reviews, documentation and recommended decisions in a time...while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These… more