- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Medical Malpractice | Professional Liability | California **PRIMARY ... PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims… more
- New York State Civil Service (Albany, NY)
- …include, but are not limited to:* Oversee all aspects of workers compensation claims processing from inception to closing* Initially determine the compensability ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 - NYHELPS Occupational Category Other Professional Careers Salary Grade… more
- Humana (San Juan, PR)
- …+ High School Diploma or equivalent. + Minimum of two years' proven experience in processing and adjudicating medical claims , with a track record of accurate ... documentation and communications. + Exceptional attention to detail and accuracy in reviewing and processing claims . + Ability to quickly adapt to and learn new… more
- Trinity Health (Livonia, MI)
- …behavior. **MINIMUM QUALIFICATIONS** Must possess a comprehensive knowledge of liability claims processing and administration. High school diploma plus a ... claim process activities, opening and closing claim files, securing medical records for claims and incidents, tracking...work completion, and effective communication. Coordinates all aspects of travel arrangements for ACMs or WC Claims … more
- Sedgwick (Long Beach, CA)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… more
- Highmark Health (Harrisburg, PA)
- …the department. + Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special ... including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must… more
- Sedgwick (Long Beach, CA)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Workplaces in Financial Services & Insurance Workers Compensation | Claims Examiner | Hybrid - Long Beach, CA Are... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Sedgwick (Charleston, WV)
- …total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to join… more
- Sedgwick (Las Vegas, NV)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… more
- JB Hunt Transport (Lowell, AR)
- …is responsible for the management of the company's risk mitigation programs, including claims processing , as well as the structure, design, and procurement of ... **Job Title:** Vice President Insurance, Risk Management, and Claims **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas… more
- Adecco US, Inc. (Jacksonville, FL)
- Adecco is assisting a local client recruiting for ** Claims Examiner** opportunities **Remote** . This is an excellent opportunity to join a winning culture and get ... the door with a Company that acts as a claims administrator or claims adjuster. If **...professional and timely manner. . Communicates claim activity and processing with the claimant and the client; maintains professional… more
- Humana (San Juan, PR)
- …and third-party collection services to facilitate timely and accurate resolution of complex medical claims . + Utilizes in-depth knowledge of claims processes ... See _Additional Information_ on testing. **Preferred Qualifications** + Prior claims processing experience. + Knowledge of healthcare...as quickly as possible and to keep you informed. Travel : While this is a remote position, occasional … more
- Highmark Health (Topeka, KS)
- … + 3 years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Sedgwick (Springfield, IL)
- …expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims processing + Ability to obtain ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Manager | Staff Attorney | Public Entity Pooling | Hybrid Are you ... days' work at home. The role will require (~5%) travel for in person board meetings in SF Bay...8+ years of experience collaborating with outside counsel and claims examiners to oversee litigated claims ? Have… more
- Sedgwick (Miami, FL)
- …to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Professional Liability | E&O, D&O, EPL | Remote Will handle complex… more
- NJM Insurance (NJ)
- …with various aspects of claims handling and/or process including advanced knowledge of medical terminology and WC regulations for PA, MD and/or DE claims . + ... NJM's WC Claims Department is seeking an experienced Claims...parties + Determine compensability and coverage issues by gathering medical and factual evidence + Administer the delivery of… more
- Sedgwick (Nashville, TN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Auto NF, PIP, MP | Remote Are you looking for an opportunity ... professional needs. **ARE YOU AN IDEAL CANDIDATE?** As a Claims Examiner, you will primarily handle auto-related liability ...Liability, No Fault (NF), Personal Injury Protection (PIP), and Medical Payments (MP). No two days are the same… more
- MyFlorida (Tallahassee, FL)
- …years of relevant clerical or administrative experience in the areas of: accounting; claims processing ; claims or benefits eligibility determination; social ... or victim services; disability examiner; claims adjuster; insurance adjuster; or case manager processing eligibility and benefit payments. A bachelor's degree… more
- Sedgwick (Roseville, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Roseville, CA (2 Days Remote) Are you looking for an ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more