- The Hartford (Lake Mary, FL)
- …- LM07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... the state. The selected individual will be required to work closely with our claim centers and insureds to deliver the best possible result in pending litigation.… more
- TEKsystems (Jacksonville, FL)
- …or claim investigations. + Escalate unresolved grievances, appeals, or claims to the appropriate department. + Maintain accurate and detailed records of ... healthcare providers with essential questions related to eligibility, benefits, claims , and service authorizations. Your work directly supports individuals… more
- Elevance Health (Lake Mary, FL)
- …correct forms are provided to assist members enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or ... functionality on every Coordination of Benefits(COB) function including reconciliation of claim , membership and accounting. **How you will make an impact:** +… more
- The Hartford (Alpharetta, GA)
- …- C409AN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... helping people? Then you belong here. We currently have an excellent claims professional career opportunity available. Join our Short-Term Disability and Absence… more
- Insight Global (Washington, DC)
- …experience in risk or claims analysis. The ideal candidate will have claim scoring experience in some capacity ( insurance , medical, manufacturing, etc.) They ... will be leveraging a claims scoring system that they have developed and working...to build, validate, and evolve a scoring algorithm (specifically claim scoring and broader risk scoring). Deep understanding of… more
- Nuvance Health (Danbury, CT)
- …referrals, pre- certification letters etc. 5. Advises other areas of updated insurance information and claim denials; ie, registration. 6. Follows through ... *Description* Summary: Maintains accurate and timely claim submission for designated groups of accounts by...designated groups of accounts by payer. Insures that all claims are compliant with State and Federal billing regulations… more
- AON (St. Peter, MN)
- …toward achieving both Aon Impact Model and client goals + Day to day insurance administration and assistance with underwriting and claims functions of a range ... Impact Model and client goals + Day to day insurance administration and assistance with underwriting and claims functions of a range of insurance licensed… more
- AIG (Parsippany, NJ)
- …customers (clients, brokers) for the delivery and use of the IntelliRisk claim and risk management information system. As the digital technology platforms and ... conjunction with AIG service delivery teams, including distribution, underwriting, and claims . Functional responsibilities for this role include: + Ongoing customer… more
- Sedgwick (Raleigh, NC)
- …and relatively complex National Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine ... insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant(s) and witnesses… more
- Henry Ford Health System (Detroit, MI)
- …viability, and addressing affordability concerns throughout the care journey. * Claims Authorization Support: Efficiently validate insurance coverage and ... medication prior authorization is required, ensuring accuracy and compliance with insurance guidelines to support timely and appropriate reimbursement. * Product… more