- Manulife (NH)
- …process all aspects of auditing, formal appeal reviews and contestable claim review. + Audit applications underwritten to ensure underwriting decisions, ... assist management with book of business reviews. + Review contestable claims for potential misrepresentation during underwriting. + Maintain good relationships… more
- Quality Technology Services, LLC (Overland Park, KS)
- …project goals. + Provide support in construction-related disputes and claims , including documentation, timeline analysis, and document preparation. + Maintain ... benefits package that includes: medical, dental, vision, life, and disability insurance ; 401(k) retirement plan; flexible spending and HSA accounts; paid holidays;… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating patient accounts, ... correspondence. Answering incoming phone calls from patients pertaining to billing, insurance , and payments. Minimum Qualifications: High School degree or equivalent… more
- Health Care Service Corporation (Tulsa, OK)
- …contacts. JOB REQUIREMENTS: *High School Diploma or GED. *2 years experience in claim administration, claims auditing, customer service or membership. *1 year ... savings plan, pension plan, paid time off, paid parental leave, disability insurance , supplemental life insurance , employee assistance program, paid holidays,… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …and peer review. Participates in clinical review process such as tort claims , peer reviews, management reviews and administrative activities, as directed by the ... and federal 401K with up to 5% in contributions by VA. Insurance : Federal health/vision/dental/term life/long-term care (many federal insurance programs can… more
- D&D Commodities (Stephen, MN)
- …and map orders, address shortages, and create additional orders as necessary. Handle claims for lost or damaged products, ensuring timely resolution. Serve as a ... transportation scheduling systems. Familiarity with standard shipping documentation and claim resolution processes. WORKING CONDITIONS Primarily office-based, with frequent… more
- Unum Group (Charlotte, NC)
- …+ Develops high level actions through risk and H&P analysis and claim consultation + Utilizes expertise in Unum services and solutions (implementation, contracts, ... planning and prepares for pre-renewal face to face visit to review claim trend analysis and Integrated Disability Management models to discuss any issues… more
- Sedgwick (Houston, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Field Appraiser- Houston, TX **PRIMARY PURPOSE** : To handle field appraisal ... assignments for our corporate fleets and insurance clients with an emphasis on Auto's. **ESSENTIAL FUNCTIONS...regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair… more
- USAA (San Antonio, TX)
- …knowledge of P&C insurance industry products, services, to include P&C insurance policy contracts, coverages and internal claims handling process and ... evaluates, and settles high volume and low complexity auto claims with repairable vehicles. + Resolves claims ...more of military experience. + Acquisition and maintenance of insurance adjuster license within week 2 of training and… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more