- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that ... / provider** **associates researching the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies,… more
- Wells Fargo (Charlotte, NC)
- **About this role:** Wells Fargo is seeking a **Fraud & Claims Operation Representative ** in **New Account Fraud Originations** as part of **Deposit Specialty ... wellsfargojobs.com. **In this role, you will:** + Support fraud and claims functional area by proactively identifying opportunities to improve customer experience,… more
- UPMC (Pittsburgh, PA)
- …software to assess and monitor for potential FWA. + Review and analyze claims , medical records and associated processes related to the appropriateness of ... substances, prescribing of controlled substances, or medically appropriate services. + Query medical and/or pharmacy claims and conduct a risk assessment by… more
- Humana (Madison, WI)
- …initiative and judgment. May apply intermediate mathematical skills. The Claims Research & Resolution Representative 3 works with insurance companies, ... caring community and help us put health first** The Claims Research & Resolution Representative 3 manages...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Travelers Insurance Company (Irvine, CA)
- …Determination - Advanced. + Settlement Techniques - Intermediate . + Legal Knowledge - Intermediate . + Medical Knowledge - Intermediate . **What is a Must ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Charlotte, NC)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...rules and regulations applicable to the insurance industry. + Medical knowledge: Intermediate knowledge of the nature… more
- Travelers Insurance Company (Overland Park, KS)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...rules and regulations applicable to the insurance industry. + Medical knowledge: Intermediate knowledge of the nature… more
- Travelers Insurance Company (San Diego, CA)
- …- Advanced. + Settlement Techniques - Advanced. + Legal Knowledge - Advanced. + Medical Knowledge - Intermediate . **What is a Must Have?** + High School ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions ... area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and… more
- LATICRETE International (Dallas, TX)
- …waiting for? Join the family and expand your horizons! Just some of our benefits: + Medical + Dental + Vision + 401k + Tuition reimbursement + 13 paid holidays in ... products and system! In this role, a Technical Sales Representative 's primary responsibility is to achieve sales goals by...RSM. + Investigate, document and report all complaints and claims for service in territory and coordinate same with… more
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