- CRC Insurance Services, Inc. (MI)
- …job description:** This role is focused on technical claim handling of complex general liability claims , both litigated and non-litigated. This role requires ... affecting primary and excess policies in a fast-paced E&S Claim remote environment 2. Independently evaluating information...and underwriters in the handling and adjudication of all claims 10. Handling complex claims … more
- GuideOne Insurance (Chicago, IL)
- As the Casualty Claims Manager , you will be responsible for independently analyzing and comparing data to formulate goals and reports. You will be required to ... have 3 or more years of Commercial Claims leadership experience. In addition, this is a work...this is a work from home position leading a remote team. Accountabilities: + Provides direction to claim… more
- Trinity Health (Albany, NY)
- …to Supervisor and Regional Manager on a routine basis. Assists with denials, complex coding cases, claim edits and errors, and may perform coding duties as ... Day Shift **Description:** **POSITION PURPOSE** At the direction of the Regional Manager and Supervisor, Coding, this position is responsible for implementation and… more
- ADP (San Dimas, CA)
- ADP is hiring a Claims Lead Examiner. _RESPONSIBILITIES:_ + Assist Claims Manager in monitoring the workers compensation program within the ADPTS/PEO ... that could be problematic and take steps along with Claims Manager to take steps to develop...department and company goals. + Monitor and ensure qualitative claim handling through TPA and other vendor partners. +… more
- FM (Waltham, MA)
- …of auditors, consultants, and attorneys; works with them to develop solutions to complex claim disputes. + Leads or participates in special projects as ... Runoff Operations in supervising and directing the Runoff Operations claims function and to assist the manager ...workflow to ensure that all deadlines are met; assigns claim loads to claims examiners. Assists in… more
- ManpowerGroup (CA)
- **Job Title:** ** Claims Examiner - Workers Compensation** **Location:** ** Remote (Must reside in California)** **Duration:** **30-Dec-2024 - 29-Mar-2025** ... **Target Pay: $50** ** ** **Primary Purpose** The Workers' Compensation Claims Analyst is responsible for analyzing complex or technically challenging workers'… more
- Wells Fargo (Chandler, AZ)
- **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Senior Manager in Consumer & Small Business Banking providing coverage for the Claims ... **In this role, you will:** + Oversee call center activity for the Claims Assistance Center for multiple contact centers + Manage and develop teams or… more
- Sedgwick (Syracuse, NY)
- …75 claims & supervise 2 examiners** **PRIMARY PURPOSE:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; ... the office. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult workers' compensation claims by investigating… more
- ManpowerGroup (CA)
- …Title:** Claims Examiner - Workers Compensation **Duration:** 2-months **Location:** Remote (Must reside in CA) **Target Pay: $45** **Primary Purpose** To ... analyze complex or technically difficult workers' compensation claims ...service requirements. Additionally, the position requires identifying subrogation of claims and negotiating settlements. ** Manager 's note:** Workers… more
- American Family Insurance - Corporate (Fargo, ND)
- …events. Relocation support offered for eligible candidates. You will report to the Property Claim Manager . A company fleet vehicle is provided with the position ... in this market). You will also occasionally handle desk claims . This is a fully remote /work from...or service. + Demonstrated experience handling 1st party moderately complex claims , or other equivalent experience. +… more
- Zurich NA (Topeka, KS)
- …the lower level adjusting staff by completing and/or providing training and assistance with complex claims . Travel required at least 50% of the time for 2 ... of work and ability to serve as an interim manager in Area Claims Manager 's...assist with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care… more
- Zurich NA (Addison, TX)
- …+ Understands, analyzes, and applies the component parts of an insurance policy for complex claims . + Ability to follow reserving process for indemnity and ... of damages allowed by law. + Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available...expense in analyzing the potential exposure of complex claims . + Ability to determine the… more
- Zurich NA (Topeka, KS)
- …Claims Specialist, your primary accountabilitiles will include: + Work the most complex claims , involving multiple causes of loss, multiple quality issues, ... on specialty crops as designated by the local manager or area + Completes Crop Hail re-inspections when...assist with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care… more
- Zurich NA (Schaumburg, IL)
- Sr. Claims Coverage Counsel 118077 We are looking to add an experienced Coverage Attorney to our Claims Legal Department in our Schaumburg IL, Manhattan NY or ... The ideal person for this role will, under technical direction, manage complex coverage/extra contractual litigation of the highest degree of legal complexity and… more
- University of Rochester (Rochester, NY)
- … claims , submits appeals, and takes timely and routine action to resolve unpaid claims . Resolves complex claims . Acts as a resource for lower-level staff. ... calls to insurance companies to determine the reason for claim denial or the reason for unpaid claims...of credits - - Review and advise supervisor or manager on trends of incorrectly paid claims … more
- University of Rochester (Rochester, NY)
- …to insurance companies to determine reason for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a payment date from the payer. - - ... - Research and calculate underpaid or overpaid claims ; determine final resolution.- - - Re-calculate ...of credits - - Review and advise supervisor or manager on trends of incorrectly paid claims … more
- US Foods (Rosemont, IL)
- …stewardship, strategy, claim reviews and other meetings with third party claims administrators and outside defense counsel. + Perform quality review on claims ... (https://www.myworkday.com/usfoods/d/task/2998$47185.htmld) Join Our Community of Food People! The Risk Manager will assist in the day-to-day activities of the US… more
- Trinity Health (Livonia, MI)
- …and guidance for resolve of coding issues in charge router, charge review and claim edit WQs assigned to regional coding team to ensure coding compliance and ... software applications in assigned areas to resolve simple and complex issues and aligns action plans with local and...performance metrics and minimize Charge Router, Charge Review and Claim Edits dollars in Pre-AR and AR. Works with… more
- Stanford Health Care (Palo Alto, CA)
- …cash posting of all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and operational ... performance of the Hospital Revenue Cycle. The PFS Senior Manager acts as a liaison between PFS operations and...all payor accounts; direct the day-to-day activities of insurance claim editing and billing, insurance follow-up, denial and appeals… more
- Molina Healthcare (Columbus, OH)
- …+ Advanced knowledge of health care benefits. + Advanced knowledge of healthcare claims and claim processing from receipt through encounter submission. + Ability ... including accurate and timely implementation and maintenance of critical information on claims databases. Validate data to be housed on databases and ensure… more