- Aequor (Piscataway, NJ)
- …for payment of administrative fees for all group plans.Allocate group health and dental claims monthly and review quarterly.Perform plan audits. Prepare, collect ... operations of internal and external group benefit programs (group health, dental , vision, short-term and long-term disability, worker's compensation, life … more
- CVS Health (Columbus, OH)
- …in training / graduate in good standing will move to $18.50. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit ... and retention by providing accurate and timely resolution in processing medical claims . You will be a...Ability to use multiple computer applications at one time. Claim processing experience. **Desired qualifications** We are… more
- Sedgwick (Columbus, OH)
- …while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing : + Handle a diverse portfolio of ... Professional Liability claims for various insurance company clients +...the vendor panel Reporting and Analytics: + Prepare detailed claim reports and analyses for insurance company… more
- Providence (Mission Hills, CA)
- …in medical/institutional claims examining within a medical group/IPA setting claim processing experience. + 2 years experience in a medical/institutional ... staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units....Savings Plan with employer matching, health care benefits (medical, dental , vision), life insurance , disability insurance… more
- System One (Cincinnati, OH)
- …job Education, Experience, Location and Availability: + High school diploma is required + Related claims set up, claims processing or claims operations ... ClaimCenter, OpsNow, Maven, Outlook, and FNOL to track workload, finalize claims , manage activities, confirm claim information, and remain organized… more
- Sedgwick (Pasadena, CA)
- …under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/ processing with claimant and ... only claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… more
- Sedgwick (Houston, TX)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Samsung SDS America (Plano, TX)
- …all available carriers. + Communicate and build relationships with partner carriers to streamline claim processing . + Monitor claims sent to Cello to ensure ... preferred (High School Diploma Required) + 2+ years of Logistics Freight Claims Processing experience required. + Excellent verbal and written communication… more
- CVS Health (Scottsdale, AZ)
- …-Working within turnaround times to meet client performance guarantees for claims processing . -Meeting productivity and accuracy standards **Required ... include: -Outbound calls to Members and/or Providers for verification of information - Processing and adjudicating paper claims . -Maintaining integrity of … more
- CVS Health (Phoenix, AZ)
- … processing guidelines. May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works to research and ... issues and any other irregularities. **Required Qualifications** 2 years Medical Claims processing experience (Commercial, Medicaid, Medicare, etc.) Experience… more
- Sedgwick (Columbus, OH)
- …and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- AON (IL)
- …Hotels, Vendors on any disputes/issues, updates, escalations, or discrepancies. + Ensure all claims processing adheres to internal policies, as well as local, ... Hotels, Vendors on any disputes/issues, updates, escalations, or discrepancies. + Ensure all claims processing adheres to internal policies, as well as local,… 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 legal actions. + Analyzes applicable complex liability insurance coverage and policies + Negotiates claim ...+ Calculates and assigns timely and appropriate reserves to claims ; monitors reserve adequacy throughout claim life.… more
- Adecco US, Inc. (Pasadena, CA)
- …understanding of insurance principles and their application to workers' compensation claims . . Expertise in areas like recoveries, offsets, deductions, claim ... 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 (Brea, CA)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- GuideOne Insurance (Dallas, TX)
- … Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life's work without ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...basic life and AD&D, long-term disability and short-term disability insurance + Medical, dental and vision plans… more
- Sedgwick (Columbus, OH)
- …members on complex cyber claims Reporting and Analytics: + Prepare detailed claim reports and analyses for insurance company + Calculates and assigns timely ... high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing : + Handle a...of cyber claims , including various Professional Liability claims , for various insurance company clients +… more
- Sedgwick (West Hills, 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 ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Sedgwick (Roseville, 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 ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Adecco US, Inc. (Ontario, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
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