- Travelers Insurance Company (West Bridgewater, MA)
- …This position is intended to develop skills for investigating, evaluating, negotiating and resolving First Party Medical claims on losses of lesser ... level position that requires satisfactory completion of a formal training program to advance to Claim Representative - Auto First Party Medical position.… more
- Travelers Insurance Company (Houston, TX)
- …Auto Damage claims as well as low complexity Bodily Injury Liability claims from the first notice of loss through resolution/settlement and payment process. ... process and ensures appropriate expense handling. + On specified claims , evaluates medical treatment based on the...received or anticipated. May need to verify wage loss claims . Ensure proper payment of third party … 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...issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical… more
- Travelers Insurance Company (Wyomissing, PA)
- …time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical ... in the current position. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical...issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical… more
- Travelers Insurance Company (West Bridgewater, MA)
- …position is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and ... include interpreting and applying laws and statutes for multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims . Provides… more
- Travelers Insurance Company (Melville, NY)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims , or first party business property claims ... 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
- Travelers Insurance Company (Rancho Cordova, 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
- Orlando Utilities Commission (Orlando, FL)
- …. **Primary Functions:** + Investigate, negotiate, and settle routine first party and third- party property damage claims ; perform field investigations ... accurate reporting of on-the-job injury claims to third- party adjusters, and coordinating medical care for...third party administer; + Review workers compensation claim medical care provider notes and diagnostic… more
- Metropolitan Council (St. Paul, MN)
- …to our organization and the Twin Cities region: TheWorkers' Compensation Claims Representativewill administer Minnesota lost time and medical -only Workers' ... leave. + Investigate and pursue subrogation, as appropriate. + Participate in bi-annual claims meetings with internal departments. + Review medical , legal, and… more
- NextEra Energy (North Palm Beach, FL)
- …insurers, reinsurers, Managing General Agents, brokers, underwriters, attorneys, third party claims administrators, Independent Adjusters, and other vendors. ... claim and provide recommended action plans to manage assigned claims claim . Provides excellent communication with policyholders, underwriters, brokers, or… more
- Walmart (Bentonville, AR)
- …must reside within commuting distance of the primary job location** + Leads claim investigations by conducting ongoing medical and legal reviews; commissioning ... approval or guidance. + Manages negotiations with customer, customer's attorney, or third party to resolve claims by sharing investigative results and rationale;… more
- Robert Half Legal (Media, PA)
- …and attend claim review meetings on selected accounts. * Monitor claims professionals, Third Party Administrators, and defense counsel, addressing service ... casualty and specialty coverages. Responsibilities: * Take responsibility for first reporting of claims across all lines...issues, valuation, and claims negotiation. * Oversee claims handlers, Third Party Administrators, vendors, and… more
- Concord Group Insurance (Westborough, MA)
- … Adjuster handles Personal Injury Protection (PIP), Med Pay, First and Third- Party Auto Physical Damage (PD) claims arising out of personal and commercial ... third- party liability claims + Experience handling litigated and/or multi- party claims involving risk transfer + Ability to analyze coverage and… more
- Select Medical (Camp Hill, PA)
- …Equivalent + One year of experience (2+ years for remote candidates) within a medical billing, medical collecting or claims processing role. **Preferred:** + ... discretion and secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist:** Select Medical strives to provide our… more
- Select Medical (Canonsburg, PA)
- **Overview** **Patient Account Representative (Managed Care Medicaid Claims )** **_Starting at $16.50 per hour_** **_C_** **_ommensurate with experience_** **Monday - ... may be a phenomenal career for you within Select Medical ! Our dynamic team has the responsibility of resolving...dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. We… more
- USAA (Tampa, FL)
- …of the end-to-end claims process. This role will work with our third- party supplier and key business partners supporting our Medicare Supplement Claims . As ... and allowed and denied services. + Knowledge and experience working Medicare Exhausted claims , and other categories of Medicare claim settlements + Knowledge of… more
- USAA (San Antonio, TX)
- …. The ideal candidate will have strong experience with direct litigation for 3rd Party bodily injury and experience leading claims and/or litigation teams. In ... + 2+ years directly leading litigation strategy for 3rd party injury to include: auto large loss bodily injury...team + Experience applying advanced knowledge to partner with Claims Operations and provide guidance for complex claim… more
- Sedgwick (Columbus, OH)
- …assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total ... not required. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage claims ; assesses damage, makes payments, and ensures claim files are… more
- HCA Healthcare (Nashville, TN)
- …invests in you as a Claims Examiner? At Work from Home, you come first . HCA Healthcare has committed up to $300 million in programs to support our incredible ... claims which lack prior authorization. + Adjudicate third party liability and coordination of benefit claims ...CPT, HCPC, and Revenue Coding + Ability to analyze claim issues and "trouble shoot" claims problems… more
- St. Luke's University Health Network (Allentown, PA)
- …for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of ... Utilizes provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review process. JOB… more