- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Milwaukee, WI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability **PRIMARY PURPOSE** : To process low level ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Madison, WI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Humana (Milwaukee, WI)
- …put health first** Are you ready to make a meaningful impact in the world of healthcare claims ? As a Claims Representative 2, you will play a vital role in ... for adjustments + Cross trained in multiple areas within the Claims Department + Review and update internal policies and procedures as needed + Provide… more
- Sedgwick (Sun Prairie, WI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative , Total Loss | Remote **PRIMARY PURPOSE** : To analyze ... and process low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury … more
- Ryder System (Madison, WI)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- SSM Health (Madison, WI)
- …or more of the following: processing insurance payments, following up on denied claims , and resolving credit balances. May work in multiple functional areas. **Job ... component of a patient's obligation using the third party claims processing and payment rules. Bills claims ...+ Works on special projects as needed. + May review the work of others. + Performs other duties… more
- Molina Healthcare (Kenosha, WI)
- …requirements and expectations, setting provider goals and plans for regular review , identifying knowledge and service gaps, and offering support for resolution. ... monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with...3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+… more
- Highmark Health (Madison, WI)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Festival Foods (WI)
- …available programs related to various lines of insurance are fully utilized. + Review company policies and emerging trends within claims to determine coverage ... to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist. Prepares and delivers direct reports'… more
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