- AIG (Atlanta, GA)
- … by investigating and gathering information to determine the exposure on the claim ; ensure proactive claims handling aimed at the prompt and cost-effective ... timely and appropriate reserves; monitor reserve accuracy throughout the life of the claim . + Refer case as appropriate to supervisor and management. Respond… more
- University of Rochester (Rochester, NY)
- …to insurance companies to determine reason for claim denial, or reason for unpaid claim . Address unpaid claims , and solicit a payment date from the payer. + ... Research and calculate under or overpaid claims ; determine final resolution + Re-calculate claim ...supervisor or manager on trends of incorrectly paid claims from specific payers + Work with supervisor… more
- Travelers Insurance Company (Diamond Bar, CA)
- …negotiating and resolving assigned General 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...**What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file… more
- Travelers Insurance Company (Las Vegas, NV)
- …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...staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
- Sedgwick (Columbus, OH)
- …+ Provide technical guidance to less experienced team members on complex cyber claims Reporting and Analytics: + Prepare detailed claim reports and analyses ... for insurance company + Calculates and assigns timely and appropriate reserves to claims ; monitors reserve adequacy throughout claim life. + Refers cases as… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** Lost Time and Medical Only Claim Adjuster for Work Comp Claims . Investigation and determination of liability for Fairview employee lost time and ... position! **Responsibilities Job Description** + Responsible for completion of claim investigation (interview manager/ supervisor , injured employee, witnesses,… more
- Amentum (Washington, DC)
- …communicate expectations of priorities to team members. This involves monitoring various claim statuses or queues and identifying claims assignable within the ... The CRST Project Supervisor - specific duties and responsibilities include: +... Claim Review Team Leads on weekly Eligibility-Only claim review assignments to SMO's for claims … more
- City of New York (New York, NY)
- …York employees serving in a permanent (not provisional) civil service title of Claim Specialist. Please clearly state your permanent civil service title on your ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...variety of matters. Under the direction of the division supervisor , with latitude for independent judgment and initiative, the… more
- ICW Group (Austin, TX)
- …effective activity within technical units assigned to produce professional and optimal claim results through aggressive claim management. This position exists to ... oversee, lead, and guide a unit of Claims staff while working in compliance with Company philosophies,...reserve authority of no greater than $175,000. + Recommends claim settlements on those exceeding authority, to ensure reserve… more
- Crawford & Company (Folsom, CA)
- …CAREER OPPORTUNITY! + Seeking candidates with experience managing California Workers Compensation claims ! + SIP is a requirement! + Bonus Opportunities! + Multiple ... Employee Discounts! Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND ... change from time to time. 1. Manage the supervision and coordination of the claims department and staff. 2. Organize and disseminate information that affects the … more
- Providence (Mission Hills, CA)
- …medical claims related field. + 5 years experience in medical/institutional claims examining within a medical group/IPA setting claim processing experience. ... **Description** Working under the direction of the Manager, Claims , this position has direct responsible for the...staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities… more
- LA Care Health Plan (Los Angeles, CA)
- …and to support the safety net required to achieve that purpose. Job Summary The Claims Supervisor works with the Claims Manager to oversee the daily ... Supervisor , Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11739… more
- Insight Global (Phoenix, AZ)
- Job Description A leading insurance company has an exciting opening for a Supervisor in our Commercial Property and Casualty Claims Department. The Supervisor ... inland marine claims in Alaska and the Southwest Region. The Supervisor will also collaborate with internal stakeholders, external partners, and policyholders to… more
- Sedgwick (Columbus, OH)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors others.… more
- CommuniCare Health Services Corporate (Akron, OH)
- …to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing Office team. PURPOSE/BELIEF ... STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and...others for all aspects of the UB04 and 1500 claim forms. WHAT WE OFFER As a CommuniCare employee… more
- NJM Insurance (Hammonton, NJ)
- …+ Prepare, attend, and participate in Claim Reviews as needed with the Claims Supervisor + Participate in training programs to keep current on relevant ... NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist. This is a full-time position and offers a hybrid schedule after training. The … more
- Integra Partners (Troy, MI)
- …and external partners. Salary: $55,000/Annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The Claims Inquiry Supervisor 's responsibilities include but are ... Integra Partners seeks a results-oriented supervisor , capable of managing and leading a team...to success. This individual should be knowledgeable in medical claims - possessing the skills needed to support the… more
- Sedgwick (Columbus, OH)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... + Calculates and assigns timely and appropriate reserves to claims ; monitors reserve adequacy throughout claim life....coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- City of New York (New York, NY)
- …is seeking a Childcare Claims Analyst who will report to the Childcare Claims Supervisor and will be responsible for assisting with preparing and submitting ... staff work collaboratively to manage the ACS budget, submit monthly revenue claims , process payments to provider agencies/vendors, monitor the financial health of… more