- Molina Healthcare (Salt Lake City, UT)
- …business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage amount and benefit interpretation within the ... to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of...days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and… more
- Wounded Warrior Project (Colorado Springs, CO)
- …the office, two days' work from home) . Full medical, dental, and vision coverage for both teammates AND family members . Competitive pay and performance incentives ... WWP National Service Officers in the development of warriors' claims . DUTIES & RESPONSIBILITIES + Educate and assist warriors...standards set forth by the VA Office of General Counsel (OGC) and complete assigned training courses. + Provide… more
- AIG (Atlanta, GA)
- …documentation, as well as, resolution action plans based upon the applicable law, coverage and supporting evidence. Assigned claims typically consists of medium ... investigate, evaluate and resolve Commercial General Liability and Auto Liability claims . Provides exceptional customer service and commitment to bring assigned… more
- MAPFRE Insurance (Webster, MA)
- …claims and litigation potentially in multiple lines of coverage (eg Personal/Commercial, Homeowner liability, Environmental). **Responsibilities:** + Responsible ... for all components of the adjustment process including multi-jurisdictional coverage analysis, liability and damage investigation, claim evaluation, negotiation and… more
- Sharp HealthCare (San Diego, CA)
- …and training. + 3 Years in a health insurance product implementation, benefit/ coverage policy development, benefit configuration, or claims role. **Other ... for translating plan designs and policies (ie, Certificates of Coverage ) into detailed business requirements, ensuring benefits are implemented accurately… more
- University of Colorado (Denver, CO)
- …activities + Student Life activities + Healthcare, life sciences, research operations, coverage , and loss control process support + Analyze and provide appropriate ... risk transfer techniques, including, but not limited to, legal counsel contracts, memorandums of understanding, affiliation agreements, procurement contracting,… more
- Donegal Insurance Group (Marietta, PA)
- …Summary Donegal Insurance Group has an opening for a Claim Representative on our Auto Claims team. As a member of our Claims team, this position is responsible ... for handling auto claims , with a focus on non-injury general liability, in...handling being performed by Independent Adjusters, Appraisers, and Defense Counsel + Report all pertinent information to the Underwriting… more
- Washington Suburban Sanitary Commission (WSSC) (Laurel, MD)
- …to complete insurance applications * Advises on the filing of property and casualty claims with the General Counsel 's Office * Coordinates policies, bids, and ... and regulations * Solicits bids from brokers for insurance coverage and respond to questions and provide input for...retention levels and stop loss limits, etc. * Monitors claims activity and reviews claims reserves for… more
- Travelers Insurance Company (Walnut Creek, CA)
- …Compensation Claim Professional Trainee, you will handle all aspects of a workers compensation claims . In this role, you will learn how to help our customers and ... needed for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim… more
- State of Indiana (Madison, IN)
- …Case Managers to prepare for court hearings and may serve as legal counsel for internal employment issues. This position provides immediate trial experience and does ... liaison to the Attorney General on litigation and tort claims matters. + Drafts and reviews legislation and administrative...Provides general legal support for the Office of General Counsel . + Oversees contract process for local office attorneys.… more