- The Hartford (Seattle, WA)
- …and execute the investigation, valuation, disposition and settlement of large Commercial Insurance property claims in a manner consistent with corporate claim ... . They will report to a Property Major Case Manager and operate in a team environment that will...the investigation, valuation, disposition and settlement of large commercial insurance property claims in a manner consistent… more
- Kemper (Doral, FL)
- …Summary:** The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special ... of all investigations and makes recommendations to the responsible manager or other designee in a timely manner to...Degree or equivalent work experience. + Three years of insurance claims investigation experience or professional investigation… more
- The Hartford (VA)
- …thorough, timely, efficient and impartial investigations to support the accurate resolution of insurance claims by the Company. Key responsibilities of the role ... - CF08BE 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… more
- Polk County Public Schools (Bartow, FL)
- …for all phases of School Board operations, using a combination of conventional insurance and self- insurance programs, as appropriate. Programs to be maintained ... student accident, employee group health and life, dental, vision, disability , flexible benefit plans, other employer-sponsored benefit deductions, etc. Prepares… more
- Elevance Health (Plano, TX)
- …Medicare Local Coverage Determination is strongly preferred. + Knowledge of insurance verification, pre-authorization, and claims submission process is strongly ... long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- UPMC (Pittsburgh, PA)
- …(NCD) or Local Coverage Determination (LCD). + Evaluate referrals from Pharmacy Benefit Manager (PBM) by analyzing medical and pharmacy claims and associated ... prescribing and utilization to identify potential clinical care issues; prepayment review of claims , and prepayment review of unlisted codes. Claims analysis and… more
- Genesis Healthcare (MA)
- …to obtain payment for pending or rejected claims 11. Referring problem or unpaid claims to Manager in accordance with policy and procedures for follow up and ... insurances such as: *Pet Insurance *Term and Whole Life Insurance *Short-term Disability *Hospital Indemnity *Personal Accident *Critical Illness *Cancer… more
- Atlantic Health System (Morristown, NJ)
- …provide defense counsel signed discovery responses and documents after consultation with the assigned claims manager . * Entering Claims into Origami with all ... The Paralegal in the Claims Department supports the management of professional liability...full-time and part-time team members) + Life & AD&D Insurance . + Short-Term and Long-Term Disability (with… more
- Boston University (Boston, MA)
- …by Dentaquest and Skygen/Scion. The incumbent will assist the Billing and Claims Manager with effectively managing the BUGSDM Accounts Receivable, in ... appropriate. In addition, provide reporting on denials to the Manager and Senior Manager , ie frequency of...minimum of three years of direct experience in processing insurance and billing claims , posting receipts, investigating… more
- TEKsystems (Troy, MI)
- Please see details for the opening: Job Title: Customer Claims Specialist Category: Mortgage, Insurance Pay Range: 17$/hour Location: Office - 700 Tower Drive, ... dual authentication + 1-2 years of call center experience, preferably in escalations, claims , or insurance + Strong resilience and ability to manage difficult… more