- Allied Universal (Crossville, TN)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... is hiring a SIU / Surveillance Investigator. SIU / Surveillance Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an… more
- Avera (Sioux Falls, SD)
- …module, which manages health plan administration, benefits, fee schedules, claims , enrollment, care coordination, clinical/authorizations and provider data. This ... recommendations, where appropriate, to maintain acceptable levels of automation in claims adjudication and member enrollment, workflows and accurate claims … more
- AnMed Health (Anderson, SC)
- …and Safety Operations Manager in forecasting and mitigating potentially catastrophic claims , and in modifying the program to support AnMed's migrating interests. ... and other departments whose interaction is essential to comprehensive management of claims . * Maintains a system of communication with Department Directors and… more
- CCMS & Associates (North Augusta, SC)
- …costs, and delivering high-quality appraisals for auto and heavy equipment claims . Job Responsibilities: + Conduct field inspections and appraisals of automobiles, ... with adjusters, insurers, and repair facilities to ensure seamless claims processing. + Maintain professional, customer-focused interactions with policyholders and… more
- Polk County Public Schools (Bartow, FL)
- …Reviews and audits all policies and invoices for payment of premiums/ claims . Investigates and reviews accidents involving School Board personnel, students, and ... administrative meetings to review loss information. Reviews litigation management of claims and attends legal proceedings as needed. Pursues recovery of damages… more
- Spire Energy (St. Louis, MO)
- …of preventive measures with functional areas, including EH&S, Work Comp, Claims , Safety Management Systems, Damage Prevention, Business Continuity, etc. + Work ... with Legal on significant claims that may reach our excess layer, including initial...notification, discussion of appropriate reserve levels, and filing of claims for recovery of costs + Assess and as… more
- Sedgwick (Irving, TX)
- …and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and ... policies. + Communicates claims status and current claim activity with client and...about jurisdiction- and claim-specific issues. + Enters data into claims system(s) and ensures claim files are properly documented… more
- Principal Financial Group (Des Moines, IA)
- …excellent analytical, communication and customer service skills to assist with our client's disability claims - all during a time in which they may be facing major ... manage, and make appropriate and accurate decisions on Life and/or Disability claims in accordance to policy and state/federal law and regulations. Mentor, counsel,… more
- Cardinal Health (Sacramento, CA)
- …II is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid and ... data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software… more
- MAPFRE Insurance (Webster, MA)
- …leader to serve as **Assistant Vice President (AVP), National Material Damage Claims ** . This role is responsible for driving strategic and operational excellence ... across our multi-state Material Damage claims function. You will lead transformation initiatives, champion a...and execute the strategic vision for National Material Damage Claims operations in alignment with corporate goals. + Oversee… more