- Sedgwick (Fort Worth, TX)
- … 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
- Sedgwick (Miami, FL)
- …asbestos) by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate ... + Calculates and assigns timely and appropriate reserves to claims ; monitors reserve adequacy throughout claim life....benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- CVS Health (CA)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... and external stakeholders and the stop loss administrators. Managing stop loss claim filings, you will reconcile and resolve discrepancies between the amount… more
- Axis (Alpharetta, GA)
- …request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims Specialist to join ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...Third-Party Administrators to ensure reserve adequacy. + Handling oversight claim files involving complex and severe loss as defined… more
- AIG (Dallas, TX)
- …and management of indemnity, medical and legal aspects of highest valued, complex claims . + Reviews and analyzes TPA claim financials to ensure payments are ... closure. Provides settlement authority to TPAs and oversees negotiations to achieve claim settlements within authority limits. + Reviews claims for subrogation… more
- Adecco US, Inc. (Phoenix, AZ)
- … action/processing with claimant, client and appropriate medical contact. . Ensures claim files are properly documented and claims coding is correct. . May ... routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical...claim handling or applicable transferable skills in the claims industry. As a reminder, this role is being… more
- Cognizant (Lincoln, NE)
- …High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...Responsibilities** + Responsible for reviewing the data in the claim processing system (Facets) and comparing it with the… more
- Axis (Red Bank, NJ)
- …insurance claim management experience required, including substantial experience with medical claims and cost containment. + Prior experience auditing and ... candidates taking part in the selection process. Job Title: Accident and Health Claims Specialist Level: "I" Division: A&H Position Summary: This position provides … more
- Sedgwick (Roseville, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
- Rising Medical Solutions (Tampa, FL)
- …With offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, ... to verify if the amounts are related to the claim + Develop and maintain a working knowledge of...2-4 years of insurance or healthcare experience, preferably in claims or medical billing-related position(s) Skills/Competencies +… more