- City of New York (New York, NY)
- …on the claim submission and, issuing verification letters to claimants and medical providers; 2) Review and disallow claims for improper service or for ... are made; 5) Send delay or verification letter to medical providers as per the required rules prior to...to gather information relevant to the investigation of the claim ; 13) Investigate, identify, and report fraudulent claims… more
- Travelers Insurance Company (Diamond Bar, CA)
- …time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical ... is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical...possible outcome. Work in collaboration with specialty resources (ie medical and legal) to proactively pursue claim … more
- Travelers Insurance Company (Reading, PA)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
- Travelers Insurance Company (Morristown, NJ)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- Sedgwick (Trenton, NJ)
- … 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
- Axis (Alpharetta, GA)
- …taking part in the selection process. **Job Description** AXIS is seeking a **Senior Claims Specialist** to join our North America Claims team reporting to the ... Head of Property Program 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
- CVS Health (Atlanta, GA)
- …improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims . You will be a key link in providing our ... with heart, each and every day. Reviews and adjudicates claims in accordance with claim processing guidelines....willingly to change, and a positive, willing attitude. Prior medical claim processing experience is a plus.… more
- Travelers Insurance Company (Diamond Bar, CA)
- …for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim ... if a claim is compensable under Workers Compensation including evaluating claims for potential fraud. + Achieve a positive result by returning an injured… more
- UNUM (Chattanooga, TN)
- …all inquiries within service guidelines. + Responsible for timely and accurate claims review, initiation and completion of appropriate claim validation ... Benefits product knowledge and apply a best-in-class service experience + Medical background, voluntary benefits claims and/or disability management experience… more
- CVS Health (Franklin, TN)
- …+ Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. + Documents claim information in the ... timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and… more
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