- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Phoenix, AZ Are you looking for an ... be required to obtain Arizona Adjuster License. Experience Two ( 2 ) years of claims management experience or...combination of education and experience or successful completion of Claims Representative training required. TAKING CARE OF… more
- The Hartford (Scottsdale, AZ)
- Claims Representative - CH09CN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... Representative is a claim handling role within Complex Claims Unit - Bodily Injury (CCU-BI). CCU is a...with customers and business partners in the management of claims ; Review and analyze policies and coverage… more
- Humana (Raleigh, NC)
- …where your expertise truly makes an impact! As a Grievances & Appeals Representative , you'll be a go-to problem solver, turning complex challenges into clear ... that information is accurate. Forwards appeals to CMS entity for further review . Investigates and resolves member and practitioner issues. Works within broad… more
- UnitedHealth Group (Phoenix, AZ)
- …including researching, analyzing, and resolving unpaid Home Delivery Pharmacy medical claims . Positions in this function contact payers to determine reason for ... training will be aligned with your schedule. Primary Responsibilities: Review open AR and prioritize medical claim activities Develop...and accurate follow up activity is performed on all claims that are not paid within 45 days of… more
- USAA (St. Louis, MO)
- …processes/systems/procedures to ensure compliance with laws, regulations, and policy provisions. Review claims /suppliers for fraud indicators and refers to ... May require face-to-face interactions with members and third parties. Review facts of loss and vehicle damage to determine...of inspection. May serve as a subject matter expert representative for disputed claims or trials. Serves… more
- Travelers Insurance Company (Buzzards Bay, MA)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. This position requires ... and information gathered to accurately determine physical claim value of claims using company recognized resources, estimating and evaluation software. Establishes… more
- CVS Health (Harrisburg, PA)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. Additional responsibilities of the Accounts Receivable Supervisor include: Oversee… more
- Kaiser Permanente (Hillsboro, OR)
- …which impact sources of revenue. Major monetary decisions are subject to review and approval beyond predetermined limits. This position requires the following: 1) ... added to the patient account in a timely manner, 2 ) Accurate and timely assessment of payer and patient...current services. Understands the work processes of Patient Access Representative with abilities to perform such that they are… more
- Sunrise Senior Living (Troy, MI)
- …internal business controls. Process and manage unemployment and worker's compensation claims and update claim activity as necessary. Clearly communicate and convey ... Monitoring, Process, and Systems Set up ongoing procedures to collect and review information needed to assist in billing and accounting support services to… more
- Fresenius Medical Care North America (Malvern, PA)
- …Support the maintenance of appropriate billing systems within the assigned function(s). Review , investigate and resolve outstanding claims in coordination with ... location within the United States PURPOSE AND SCOPE The Insurance Representative provides general administrative support in the insurance collections process within… more
- Sevita (Phoenix, AZ)
- …compliance while validating and reconciling vehicle and facility data for accuracy. Review repairs, respond to field questions, and ensure all registration and ... Knowledge and Skills required for the Job The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job.… more
- Allied Universal (Tucson, AZ)
- Company Overview Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation ... at least one year of driving experience Pay Rate: $ 2 3 - $ 28 / hr . RESPONSIBILITIES:...and timely workload management to meet assignment time completion. Review and verify credentials, including education, training, licensure, and… more
- RTX Corporation (Marlborough, MA)
- …States of America Location: MA801: Marlborough, MA 1001 Boston Post Road Building 2 , Marlborough, MA, 01752 USA Position Role Type: Onsite US Citizen, US Person, ... customer communications and building a robust customer relationship Supplier Claims /Request for Economical Adjustments (REA's) and mediation management Conduct pre… more
- Humana (Milwaukee, WI)
- …ready to make a meaningful impact in the world of healthcare claims ? As a Claims Representative 2 , you will play a vital role in collaborating with ... for adjustments + Cross trained in multiple areas within the Claims Department + Review and update internal policies and procedures as needed + Provide… more
- Dragonfly Health (Mesa, AZ)
- …supervisor or manager._ 1. Assist pharmacies with real-time and retrospective claims adjudication. Adjust and correct authorizations in dispensing and PBM systems ... to ensure timely claims submission. Research and resolve rejected claims ... by contacting hospices for approvals or updated authorizations. 2 . Maintain accuracy of patient profiles, involving authorization status… more
- New York State Civil Service (Albany, NY)
- …State NY Zip Code 12206 Duties Description Under the general supervision of a Claims Services Representative 2 responsibilities include, but are not limited ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/ 2...settlements * Issue payments and request for reimbursement where claims for supplemental benefits are involved * Review… more
- EquipmentShare (St. Louis, MO)
- Future Claims Representative Opportunities at EquipmentShare! EquipmentShare is accepting applications for a future Claims Representative in the St. ... that truly cares. We're accepting applications for a future Claims Representative role at our rental facility...on claim trends, outcomes, and customer feedback for management review . + Team Collaboration: Work closely with other departments,… more
- Sedgwick (West Des Moines, IA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability and Bodily Injury | Hybrid Are you looking ... equivalent combination of education and experience or successful completion of Claims Representative training required. Bodily Injury experience preferred.… more
- Sedgwick (Fayetteville, NC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation (REMOTE- State License Required)) Are ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **TAKING CARE OF YOU** + Flexible… 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
