- The Hartford (Scottsdale, AZ)
- …our team as we help shape the future. The Claim Representative is a claim handling role within Complex Claims Unit - Bodily Injury (CCU-BI). CCU is a ... Claims Representative - CH09CN We're determined...manage and can involve higher exposures. RESPONSIBILITIES : The Claim Representative will learn to timely manage… more
- Sedgwick (Columbus, OH)
- …as a Great Place to Work 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 RESPONSIBILITIES Processes auto property damage and lower-level injury claims ; assesses damage, makes payments, and ensures claim… more
- Sedgwick (Boston, MA)
- …Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you looking ... of minimal disability duration under close supervision. Documenting claims files and properly coding claim activity....and claims supervisors with larger or more complex claims as assigned. Participates in rotational… more
- Wells Fargo (Charlotte, NC)
- About this role: Wells Fargo is seeking a Fraud & Claims Operations Representative supporting check fraud in Detection Operations as part of Fraud & Claims ... . In this role, you will: Support fraud and claims functional area by proactively identifying opportunities to improve customer… more
- Travelers Insurance Company (Charlotte, NC)
- …appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of ... unlikely to return to position. Employer is unable to accommodate the restrictions. The claim involves moderate to complex litigation issues IW has returned to… more
- Travelers Insurance Company (St. Paul, MN)
- …of claim files and transactions. Identify and escalate potential fraud or complex claims for further investigation. Coordinate with internal teams such as ... policies. Strong analytical and problem-solving skills. Proven ability to handle complex claims and negotiate settlements. Exceptional customer service skills… more
- Zurich NA (Boston, MA)
- …business prospects with brokers and customers by communicating and selling the claims value proposition to mid-size,moderately complex non- complex accounts ... service needs of prospective and current customers by developing and delivering claims services marketing presentations and Claim Service Proposal responses that… more
- Ryder System (Harrisburg, PA)
- … claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... timely resolution, and adherence to service standards. ESSENTIAL FUNCTIONS Investigates and resolves complex and high exposure claims , as well as directs outside… more
- Sedgwick (Phoenix, AZ)
- …Eden Prairie, MN 55344 PRIMARY PURPOSE : Provides disability case management and complex claim determinations based on medical documentation and the applicable ... Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr Our teams connect! We collaborate onsite and...defined by the disability plan. Oversees additional facets of complex claims including but not limited to… more
- Sedgwick (Columbus, OH)
- …to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to ... specifications in assisting with questions and solving problems related to the claims application and servicing processes. Educates and informs the customer via… more
- Sedgwick (Southfield, MI)
- …ESSENTIAL RESPONSIBLITIES MAY INCLUDE Makes claim determinations to approve non- complex disability claims or makes a recommendation to team lead ... to Work Fortune Best Workplaces in Financial Services & Insurance Disability Representative Disability Representative Our teams connect! We collaborate in office… more
- WellSpan Health (York, PA)
- …tasks. Assists in the completion of submitting electronic and/or manual insurance claims , resolves claim edits, performs insurance account follow-up, researches ... companies via electronic or manual processes and facilitates special billing for split claims , ancillary charges, interim bills, etc.- Resolves Claim edits to… more
- Sedgwick (Detroit, MI)
- …to Work Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Representative - bilingual French Must be bilingual- French speaking and able to work ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . Facilitates return-to-work (RTW) and accommodation efforts through negotiation… more
- Cardinal Health (Columbus, OH)
- …Manages billing queue as assigned in the appropriate system. Manages and resolves complex insurance claims , including appeals and denials, to ensure timely and ... things done. The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as… more
- USAA (St. Louis, MO)
- …if applicable. Maintain accurate and current claim file documentation throughout the claims process for complex claims . Maintain high standards of ... What you'll do: With the use of digital tools, evaluates and appraises highly complex auto physical damage claims in accordance with the terms and conditions… more
- Intermountain Health (Oklahoma City, OK)
- …handling processes, extraordinary interpersonal skills, and the ability to resolve complex issues in a timely and accurate manner. Essential Functions Identify ... service behavior standards Perform other duties as assigned Skills Insurance Claims Medical Billing Explanation of Benefits (EOB) Translations Reading Billing… more
- Molina Healthcare (Cleveland, OH)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- UPMC (Pittsburgh, PA)
- Customer Service Representative - Bilingual- Spanish and/or Nepali Speaker- Must be in the Pittsburgh or Surrounding Area Are you passionate about helping others and ... and chats from members and providers Help members understand their health plan, claims , and benefits Solve problems quickly and accurately to avoid repeat calls… more
- Humana (Raleigh, NC)
- …& Appeals Representative , you'll be a go-to problem solver, turning complex challenges into clear resolutions. In this role, you'll dive deep into clinical ... 4 years of grievance and/or appeals experience. Previous experience processing medical claims . Additional Information Workstyle: remote, work from home or in office.… more
- Wells Fargo (Charlotte, NC)
- …us! About this role: Wells Fargo is seeking an Associate Customer Service Representative in Everyday Banking Find out why we're the #1 financial services company ... Services include deposits, payments and ATM operations, global fraud and claims , account reconciliation, cash vault services, mail and courier solutions, print… more
