- Robert Half Accountemps (Los Angeles, CA)
- …thorough investigations to gather facts, obtain statements, and assess compensability of claims . * Administer statutory medical and indemnity benefits promptly ... Description We are looking for an experienced Workers' Compensation Senior Claim Representative to join our team in Los Angeles, California. In this role, you will… more
- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Medical Malpractice | Professional Liability | California **PRIMARY ... PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- Sedgwick (Tallahassee, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist | Medical Malpractice (PL) | Remote, Florida **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- CVS Health (Des Moines, IA)
- …Excel and Microsoft Word **Preferred Qualifications** -2-4 years experience as a medical assistant, office assistant or claim processor -MedCompass, CEC, or ... Summary** **Position Summary** Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower-level staff. **LOCATION**...problem and initiatives corrective action through reviews of electronic medical records. + Works to confer with external agencies.… more
- Donegal Insurance Group (Marietta, PA)
- …when it matters most. Job Summary Donegal Insurance Group has an opening for a Claim Representative on our Casualty Claims team handling Bodily Injury Claims ... Claims team, this position is responsible for the handling casualty claims in compliance with established company standards and guidelines. Ideal candidate will… more
- UPMC (Pittsburgh, PA)
- …coverage analysis, investigation, evaluation, communication, and disposition of assigned medical claims within the WorkPartners Workers' Compensation business ... UPMC WorkPartners is hiring a full-time Medical Only Claims Specialist II to...as necessary. + Determine validity and compensability of the claim independently. + Manage non-complex and non-problematic medical… more
- University of Washington (Seattle, WA)
- … Specialist (Patient Account Representative 2).** This position is responsible for claims review, clearing claim edits, and timely and accurate submission ... updating patient registration information, posting rejections, or forwarding the claim to a medical coding specialist for...websites and/or confer with payers by phone. + Process claim attachments and secondary claims . + Review… more
- Sedgwick (Lansing, MI)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim settlement up to… more
- Axis (Short Hills, NJ)
- …is hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role involves managing primary claims for AXIS US Primary Casualty ... area to determine coverage, liability, and settlement value. Evaluating coverage and claim exposure, determining appropriate actions, and pursuing claims until… more