- Molina Healthcare (Bothell, WA)
- …* Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims ... denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. * Customer service experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines. *… more
- Travelers Insurance Company (Redlands, CA)
- …+ Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. + Identifies and refers claims with Major Case Unit exposure to ... the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as required. + Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers… more
- NJM Insurance (Parsippany, NJ)
- …all process and regulatory knowledge associated with arbitration and subrogation . Effectively utilizes all applications and manages time and responsibilities. ... Required Qualifications: + Excellent verbal and written communication skills, knowledge of Microsoft suite + Strong interpersonal and customer service skills + Good organizational, time-management, and data entry skills + Decision-making and multi-tasking… more
- The Walt Disney Company (Celebration, FL)
- …crew medical sign off claims, liability of bodily injury, property damage, and subrogation claims + Review of claim files in accordance with department operating ... guidelines, with focus for timeliness, accuracy, and action-planning that will bring files to successful and cost-effective resolution + Partner with the Legal Department in review of lawsuits / arbitration + Chair specific project teams which focus on the… more
- Travelers Insurance Company (Charlotte, NC)
- …resources for specific activities required to properly investigate claims such as Subrogation , Risk Control, nurse consultants, and fire or fraud investigators and ... to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings. + Continuously provide timely and professional communication and claim status updates to customers, claimants, and internal stakeholders. + Maintain… more
- Travelers Insurance Company (Charlotte, NC)
- …office workflow. + Determine proper location for return of closed file, eg, subrogation , AD handler, closed file storage or appraiser. + Complete First Notice of ... Loss as needed; resolve or transfer claim. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Associate's Degree or Bachelor's Degree with 2 years of work and/or customer service related experience. + Ability to work in a high… more
- Adecco US, Inc. (Syracuse, NY)
- …Prepare and submit required NY state filings; manage claim recoveries including subrogation , Second Injury Fund, SSD, and Medicare offsets. . Maintain clear ... communication with claimants, clients, excess carriers, and internal stakeholders while ensuring accurate documentation, coding, and reporting. Candidates for Claims Examiner must meet the following requirements to be considered: . 4+ years of experience… more
- State of Colorado (Denver, CO)
- …and medical benefits, penalty allegations, petitions to review, and cases with subrogation issues. The Unit provides formal training and day-to-day advice to the ... state Risk Management's Workers' Compensation Division, state agencies, and the State's third party-claims administrator, regarding workers' compensation law, liability exposure, and settlements. The DOL is currently offering a sign-on bonus for new paralegal… more
- The Walt Disney Company (Celebration, FL)
- …individual to oversee liability investigations involving maritime illness, bodily injury, and subrogation claims. This role will partner with a team of Claims ... Representatives across varying levels of experience, analyze claims volume and identify claim file exposure, collaborate with the Legal Department in the review of lawsuits, and contribute to initiatives that support the department's goals and objectives. This… more
- Sedgwick (Coralville, IA)
- …cost for our clients. + Identifies and investigates for possible fraud, subrogation , contribution, recovery, and case management opportunities to reduce total claim ... cost. + Represents Company in depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. + Ensures claim files are properly documented and claims coding is… more
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