- NJM Insurance (Trenton, NJ)
- …the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all internal ... guidance and collaborative engagement during the life of a claim . The WC Claims Department takes pride...sound decision-making capabilities + Working knowledge utilizing an automated claim processing system and Microsoft Office tools… more
- Mount Sinai Health System (New York, NY)
- …schedule that is assigned. + Prepares all downloads of billing files from Mainframe System to Clearing House. Transmits all clean claims daily to Clearing House ... preferred) + Edits unbilled/unprocessed accounts (billing) using PFS HIS Systems , Clearing House Claim Scrubber and/or any...Claim Scrubber and/or any payer websites available for claim correction of billed accounts. + Bill claims… more
- Travelers Insurance Company (Riverside, CA)
- … claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of high severity ... **What Will You Do?** + Handles 1st party property claims of high severity and complexity as assigned. +...in accordance with the Knowledge Guides. + Maintains diary system , capturing all required data and documents claim… more
- AIG (Atlanta, GA)
- …customers on claims and account issues. + Maintain and manage a diary system to efficiently manage and resolve assigned claim inventory. + Effectively manage ... Join us as a Claims Analyst IV to grow your experience in...follow up to complete timely and accurate reserves and claim resolution. + Prompt contact and follow up to… more
- BJs Wholesale Club (Marlborough, MA)
- …severity and costs. Major Tasks, Responsibilities, and Key Accountabilities: + Performs claims oversight of a third-party claim administrator (TPA). This ... and litigation tasks are completed timely. Utilize risk information system to track claims progress. + Provides...benefits, HR, LOA, defense counsel and TPA. + Identifies claim trends and provides recommendations to the Claims… more
- AIG (Salida, CO)
- …responsible for designing and implementing new solutions. Fully involved in Claims Systems Transformation program, the Claims System Lead Developer will ... according to business initiatives and requirements. Job Details Job Title The Claims System Lead Developer Division Systems Department Department IT Grade 22… more
- The Coca-Cola Company (Atlanta, GA)
- The Risk Claims Consultant is an integral part of the...Ensure accuracy of data in RMIS databases and utilize systems to perform analysis of claim trends ... Risk Management Claims Team participating in management and resolution of ...vendors. **What You'll Do for Us:** + **Manage Insurance Claim Process** + Conduct initial analysis to determine applicable… more
- First Horizon Bank (Knoxville, TN)
- …the best at serving their customers one opportunity at a time. Our Claim Resolution Specialists are dedicated to putting clients first and consistently delivering ... for First Horizon clients navigating credit and debit card fraud or dispute claims , ensuring a seamless and supportive experience. + Thoroughly review, research, and… more
- TYLin (Philadelphia, PA)
- …and complexity. Together, we enhance conventional designs with smarter, more resilient systems . We provide people with better mobility. We steward precious resources ... Our Construction Management team is seeking an experienced Senior Delay and Claims Analyst to support various infrastructure, rail, water, airport, and transit… more
- Public Storage (Plano, TX)
- …administrators to create a structured action plan to reach cost effective resolution of claims + Monitor claim activity and proper reserve practices by the TPA ... with claims adjusters, medical providers and various internal departments to reach claim resolution + Assist in developing systems to track, monitor, audit… more