- Prime Healthcare (Farmers Branch, TX)
- …identify opportunities for process improvement and reimbursement optimization. Complex Claims Management:identifies, trends, and owns portfolios of complex claims ... denial trends, including coordination with other departments as required. Patient Liability Collections:including programs to drive up patient liability … more
- DATAMAXIS (Springfield, IL)
- …to make determinations relating to complex processes involving claims processing/adjudication, recipient/provider eligibility, and third-party liability . ... claims processing, Medicaid program eligibility, provider enrollment, third-party liability . * Understanding of fee-for-service, managed care claim/encounter adjudication… more
- Sumitomo Pharma (Little Rock, AR)
- …and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with FDA-approved labeling + ... of advisory comments and any other interactions regarding use of promotional claims for assigned products, including pre-clearance of launch materials. + Direct and… more
- AIG (Atlanta, GA)
- …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an ... Risk Management (AIGRM) provides Commercial Casualty Insurance coverage (Auto, General Liability & Workers Compensation) to large national companies. We are seeking… more
- Philadelphia Insurance Companies (Ewing, NJ)
- …Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in ... new and existing insurance product development projects for Property, General Liability , Auto, Inland Marine, Crime, Farm, Businessowners and Professional … more
- Louisiana Department of State Civil Service (New Orleans, LA)
- …legal services and advices in matters that may involve the Federal Employers Liability Act ("FELA"), the Federal Railroad Safety Act ("FRSA") and other rules and ... Railroad Administration ("FRA"), as well as labor disputes, time claims and disciplinary matters involving varying crafts and multiple...and regulatory bodies on matters such as Jones Act claims and other maritime personal injury, FELA claims… more
- Sedgwick (Detroit, MI)
- …& Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... and inspects property damage to determine extent of company's liability and varying methods of investigation according to type...Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in… more
- The Hartford (Philadelphia, PA)
- …an in-house, remote position that will handle a designated caseload of Tort/ Liability defense matters which requires extensive experience with and strong working ... business environment where you will have direct interaction with Claims Partners and insureds, we want to speak with...of defense strategies with autonomy. + Partner with our Claims Partners to achieve the best results for our… more
- Conifer Realty LLC (Rochester, NY)
- …business units and external stakeholders, and maintaining oversight of litigation and claims reporting for the organization. Position Details + Full-Time + Exempt + ... Governance and Entity Management + Form, maintain, and dissolve limited liability companies, limited partnerships, and other corporate entities across multiple… more
- Sedgwick (Seattle, WA)
- …Financial Services & Insurance General Adjuster **PRIMARY PURPOSE:** To investigate claims against insurance or other companies for personal, casualty, or property ... and inspects property damage to determine extent of company's liability and varying methods of investigation according to type...Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in… more