- 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
- 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...position is hybrid (3 days in office, 2 days remote ) in any of the following office locations: -… more
- Sedgwick (King Of Prussia, PA)
- …Workplace(R) Forbes Best-in-State Employer LIability Complex Claims Examiner | Commercial Claims Experience | Remote **PRIMARY PURPOSE** : To analyze complex ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Sedgwick (Austin, TX)
- … + **6 years liability claims experience to include 2 claims supervisor experience** + **License required; P&C preferred. Reciprocation assistance provided ... claim status; and provides written resumes of specific claims as requested by client. + Assures that direct...education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** +… more
- Sedgwick (Pasadena, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **TAKING CARE OF YOU** + Flexible work ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead Workers Compensation REMOTE (MUST...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work from home!** The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all FHA ... home retention claims timely and accurately according to investor/insurer guidelines. Perform...and requirements. + Follow up semi-daily on all outstanding claim proceeds. + Perform a loan level reconciliation for… more
- Trinity Health (Farmington Hills, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $18.4663-$27.6994) Performs the day-to-day billing and ... problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and… more
- Integra Partners (Troy, MI)
- …'s responsibilities include but are not limited to: + Lead a team of 10+ remote claims inquiry representatives. + Handle all aspects of supervising the team ... 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 (Long Beach, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...change the duties of the position at any time. \# Claims #Claimsexaminer # Remote \#LI-DV1 Sedgwick is an… more
- AIG (Charleston, WV)
- … by investigating and gathering information to determine the exposure on the claim ; ensure proactive claims handling aimed at the prompt and cost-effective ... customers to manage risk. Join us as a Casualty Claims Specialist III to play your part in that...reserves; monitor reserve accuracy throughout the life of the claim . + Refer case as appropriate to supervisor… more
- ManpowerGroup (CA)
- **Job Title:** Claims Adjuster- Workers Compensation **Location:** Remote (Must reside in California) **Duration:** 14-Oct-2024 - 11-Jan-2025 (Potential to ... (3+ years of California WC experience)** + **Work location: Remote in CA.** + **Must have SIP Certification** **Primary...and gathering information to determine the exposure on the claim ; manage claims through well-developed action plans… more
- Sedgwick (Phoenix, AZ)
- …timely resolution by investigating and gathering information to determine the exposure on the claim . + Reporting claims to the excess carrier and responding to ... AZ - Hybrid/Onsite Within the state of CO - Remote **This posting is a pipeline to include several...claim recoveries if applicable. + Negotiating settlement of claims within designated authority. + Referring cases as appropriate… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- Overview The Claims Specialist, under the direction of the Supervisor (with guidance from a Team Lead), is responsible for processing medical claims received ... of business rules external to the systems. Consult with the Team Lead or Supervisor for complex claims or clarification of business rules. Obtains missing… more
- Veterans Affairs, Veterans Health Administration (Denver, CO)
- …Integrated External Networks, Integrated Veterans Care, Department of Veterans Affairs. The Claims Examiner reports to the Supervisor of the Beneficiary ... 6:00a.m - 4:30p.m. or at the discretion of the supervisor and the needs of the agency Telework: VA...of complicated transactions to analyze and resolve issues involving claim submission utilizing automated healthcare claims processing… more
- Crawford & Company (Phoenix, AZ)
- …+ At least 5 years of experience as an Adjuster, Adjuster in Charge, Claims Supervisor or Claims Manager. + Previous supervisory experience desirable. ... Touch Position Summary Supervises and mentors a unit of claim adjusters and other staff and oversee the analysis,...staff and oversee the analysis, review and validation of claims under the direction of the Managing Director. Ensures… more
- MD Anderson Cancer Center (Houston, TX)
- …The primary purpose of the PBS Associate position is to follow-up on billed claims within regulatory guidelines. The PBS Associate must ensure that all claims ... calls in order to ensure prompt payment of medical claims . 2. Responds to requests made by third party...from customer service. 4. Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further… 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 underpaid 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
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …the 11:30-8 shift. Under the direction of the department leader, the Supervisor , Patient Support is responsible for ensuring that their team provides extraordinary ... This includes call center services (inbound and outbound) and claims processing operations. They are part of a highly...for a degree. + Minimum three years leading a claim /customer service or related team in a production or… more
- State of Colorado (Denver, CO)
- DWR - Water Supply Team Supervisor (PE II) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730428) Apply DWR - Water Supply Team ... Supervisor (PE II) Salary $8,748.00 - $12,922.00 Monthly Location...and sick leave + Flexible work schedule options and remote -work options + Career advancement opportunities throughout the State… more