- University of Rochester (Rochester, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working ... and taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative ...services. 25% + Follows up on denied accounts through review of remittances (EOBs), insurance correspondence, rejections received thru… more
- USAA (San Diego, CA)
- …to field provider method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members ... responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate… more
- University of Rochester (Rochester, NY)
- …Website link (EPIC Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not paid. + Determines steps necessary ... follow up activity. + Research and calculate under or overpaid claims ; determine final resolution + Review and determine correct follow up. + Contact payer on… more
- Cognizant (Dallas, TX)
- …primary focus will be supporting traditional risk management functions such as claims management, insurance, renewal process, safety, contract review and ... between CTS entities, brokers and insurers around the world 2.Manage certain claims arising under these policies by: a)Working with internal stakeholders (finance,… more
- State of Colorado (Pueblo, CO)
- …Coloradans. What we do: Retail Operations provides the sale of Lottery products, claims processing, redemption of prizes, and customer service at the Pueblo, Denver, ... Grand Junction, and Ft. Collins Claims Counters, including providing customer service support to retailers,...Minimum Qualification Screening A Human Resources Analyst will only review the work experience/job duties sections of the online… more
- OhioHealth (Columbus, OH)
- …OGC addressing concerns impacting OhioHealth's liability with respect to professional liability claims and incidents and the review and oversight of practitioner ... claim trends from the organization's claims /incidence database. In partnering with System Quality, this role...expertise to the Quality and Patient Safety and Peer Review staff and leadership to help manage risk and… more
- State of Massachusetts (Boston, MA)
- …work, available for work and looking for a job. The Job Service Representative I performs customer service and issue resolution by assisting employers or claimants ... information by conducting research and verifying information in order to mitigate fraud. Review and complete not 30x weekly benefit amount determinations. Review … more
- Lithia & Driveway (West Palm Beach, FL)
- …track each claim until its final resolution. + Contact the appropriate warranty claims representative regarding any claims requiring additional authorization ... review , and process all returned, rejected, or adjusted claims until final resolution. + Communicate with manufacturer warranty...to avoid processing duplicate claims or submitting claims forshop comebacks. + Review and process… more
- Travelers Insurance Company (Overland Park, KS)
- …consistent service quality and streamlined processes to add value for our customers. + Review new notices, ensuring claims are assigned to staff with appropriate ... claim team handling serious and complex commercial lines and personal liability claims . Provide direction and technical guidance through a continuous process of… more
- Amentum (Washington, DC)
- …review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation, ... **VCF Position Title: Claim Review Assessor Position Description** **AMENTUM Job Title: Senior...created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm… more