- Providence (Mission Hills, CA)
- …Monitor check run process for accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client ... **Description** Manage the claims internal audit functions, which includes audit process...hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New… more
- AIG (Atlanta, GA)
- …your skills and experience as a valued member of the team. Make your mark in Claims Stewardship Our Claims team are the proven problem solvers of choice for ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Sedgwick (Virginia Beach, VA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process low to ... mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses… more
- TEKsystems (Phoenix, AZ)
- …expertise and in-depth knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace, allowing you to ... in-depth knowledge of vehicle mechanics to evaluate, investigate, and process mechanical claims with accuracy and efficiency. * Communicate via telephone and email… more
- Sedgwick (San Diego, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Assistant | San Diego or Roseville, CA (In-office) Are you looking ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... and compliance with appropriate policies, procedures, and regulations + ** Health , Dental, Vision, and Life Insurance as well as...medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits… more
- TEKsystems (Myrtle Beach, SC)
- …Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and ... adjudicates claims and/or non-medical appeals. Determines whether to return, deny...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
- AIG (Jersey City, NJ)
- Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our ... service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more
- American Family Insurance - Corporate (Detroit, MI)
- …and report to the Property Claim Manager and handle homeowner property field claims typically within the Detroit, Michigan area. You must be located within that ... Accountabilities** + You will investigatethe origin and cause of claims by contacting the appropriate parties including insureds, claimants,...benefits that enable you to take care of your health . We also offer a competitive 401(k) contribution, a… more
- TYLin (Overland Park, KS)
- …global insurance program experience. TYLin is seeking a Senior Analyst, Insurance & Claims Administration to support the execution of our global insurance and risk ... Developing and maintaining processes, documentation, and reporting for insurance and claims management. + Responding to internal and external inquiries on… more