- CVS Health (Franklin, TN)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...beneficiaries and family members, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** Under the direct supervision of the Safe Choice Claims Manager the Claims Adjuster is responsible for the review, analysis and processing of ... assigned claims within their authority limits and consistent with policy...to benefits.Confirm applicable coverage; maintain compliance w/ERISA plan document, insurance policies and procedure manuals. Take recorded statements, establish… more
- American Family Insurance - Corporate (Phoenix, AZ)
- …candidate(s) selected for this role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of American Family Mutual ... the Property Claim Manager and handle homeowner property field claims typically within the Phoenix metro area. You must...Insurance Company, SI We provide benefits that support your… more
- American Family Insurance - Corporate (Tampa, FL)
- …candidate(s) selected for this role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of American Family Mutual ... the Property Claim Manager, and handle homeowner property field claims in the Tampa area. You must be located...Insurance Company, SI \#LI-Remote We provide benefits that support… more
- Novant Health (Winston Salem, NC)
- …ten years health care experience with five years professional liability claims experience, required. + Medical malpractice claims experience., required. + ... Graduate Degree, preferred. JD, MBA, MS in Nursing Allied Health or MHA preferred. + Experience: + Minimum of...of hire, required. + Additional Skills (required): Knowledge of claims adjusting, insurance and medical malpractice defense… more
- American Family Insurance - Corporate (Cincinnati, OH)
- As a property field adjuster, you will investigate and maintain property/ claims . Determine liability, secure information, reviews coverages, arranges appraisals, and ... settle claims . Travel may vary between 25% - 75%. You...benefits that enable you to take care of your health . We also offer a competitive 401(k) contribution, a… more
- LA Care Health Plan (Los Angeles, CA)
- …major issues, and regulatory considerations and trendsetters. Knowledge of health insurance products, market segments, and marketplaces. Licenses/Certifications ... auditing procedures under minimal supervision during the audits of PPGs, hospitals and health plans. Conducts sub-delegation claims oversight audits of the PPGs,… more
- Catholic Health Services (Melville, NY)
- … Analyst is responsible for monitoring, analyzing, and reporting on professional liability claims and legal expenses for the health system. This role supports ... Overview Catholic Health is one of Long Island's finest ...claims . + Strong understanding of legal billing practices, claims processes, and insurance principles. + Experience… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …responsible for investigating, evaluating, negotiating, and resolving personal lines property claims . Responsible for adjusting major and complex losses in their ... entirety, including high dollar claims . May also adjust standard losses. **ESSENTIAL DUTIES AND...practices. 3. Develop relationships with customers via telephone, investigate insurance policy coverage, determine cause of loss, and document… more
- Swedish Health Services (Seattle, WA)
- **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers, and ensure accurate billing information is submitted. ... Re-submit claims to government agencies, medical service bureaus, and insurance companies. Submit claims appeals with supporting documentation as necessary… more