- Publix (Lakeland, FL)
- **30338BR** **Position Title:** General Liability Attorney Rep Claims Specialist, Risk Mgmt - Lakeland **Department:** Risk Management **Location:** Lakeland, FL ... represented customer claims and attorney represented customer claims to a resolution . + evaluating and completing potential risk transfer referrals and… more
- Montana State University (Bozeman, MT)
- …programs including processing workers' compensation claims ; reporting; participating in claims meetings and associated claims resolution strategies; SAW ... ### Classification Title Occup Safety/Health Spec II Working Title Claims Coordinator/Insurance Specialist Brief Position Overview The Occupational Safety/Health… more
- BCA Financial Services, Inc. (Orlando, FL)
- … claims , insurance claims resolution , insurance collector, claims follow up, revenue cycle specialist, revenue cycle representative Powered by JazzHR ... Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: + Monday through Friday schedule +… more
- NJM Insurance (Trenton, NJ)
- …regulations and jurisdiction(s) to be able to formulate a Plan of Action to bring claims to resolution + Knowledge of and experience working Work with liens and ... NJM's Workers' Compensation Claims Team is seeking a Regional Claims...- 3-5 years' experience as a Workers' Comp Claim Representative , or comparable knowledge and experience with various aspects… more
- University of Rochester (Rochester, NY)
- …to ensure that the process conforms to federal and state regulations. The Claim Resolution Rep III will represent the department and Strong Memorial Hospital ... all times. **Supervision and Direction Exercised** **:** The Claim Resolution Rep III is responsible for self-monitoring...status on appropriate payer system or contact an insurance representative to obtain information as to why claims… more
- Sedgwick (Concord, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Workers Compensation (On-Site Concord, CA) **PRIMARY ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- University of Rochester (Rochester, NY)
- Responsibilities **General Purpose:** The Claims Resolution Representative III is responsible for working across the professional fee organization, handling ... and routine action to resolve unpaid claims . The Claims Resolution Representative III reports to Accounts Receivable Management. **Responsibilities:**… more
- University of Rochester (Rochester, NY)
- Responsibilities **Job Summary:** The claims resolution representative II is responsible for working across the professional fee organization, performing ... timely and routine action to resolve unpaid claims . The ** Claims Resolution Representative II** reports to Accounts Receivable Management. **Key… more
- NJM Insurance (Trenton, NJ)
- … Claims department in West Trenton, NJ is looking for a Subrogation Claims Representative candidate who has excellent communication skills, as well as strong ... and/or their insurance carriers. + Thoroughly review, evaluate and investigate subrogation claims to obtain necessary information for prompt resolution . +… more
- Elevance Health (Wichita, KS)
- …and medical policy, reimbursement and provider utilization patterns. + Coordinates prompt claims resolution through direct contact with providers, claims , ... **Network Relations Consultant, LTSS Provider Representative ** **Location:** Kansas. This position will work a...administrative and programmatic changes, and facilitating, education and the resolution of provider issues. Serving as a knowledge and… more
- Elevance Health (Mendota Heights, MN)
- …+ Researches and resolves the more complex provider issues and appeals for prompt resolution . + Coordinates prompt claims resolution through direct contact ... **JR128246 Dental Provider Network Management Rep II** Delivers comprehensive support to the dental...assistance with policy interpretation. + Researches, analyzes and recommends resolution of provider disputes, issues with billing, and other… more
- USAA (Concord, NC)
- …with vendors and internal business partners to facilitate the highest complexity claims resolution . May also involve external regulatory coordination to ensure ... method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members on escalated… more
- Access Dubuque (Dubuque, IA)
- …& Butler/ SISCO Claims Adjuster - Liability Sedgwick Commercial Auto Claims Representative - Liability Sedgwick Auto Liability Bodily Injury Claims ... authority, use independent judgment in the investigation, evaluation, negotiation, and resolution of assigned claims . **Strengths and skills necessary for… more
- Interstate Waste Services, Inc. (Teaneck, NJ)
- …invoices to determine if reasonable and related to the ongoing workers compensation claims . Negotiate any disputed bills for resolution . + Authorize and make ... in selection and supervision of defense attorneys. + Assess and monitor subrogation claims for resolution . + Prepare reports detailing claims , payments… more
- Randstad US (Syracuse, NY)
- …The company offers a collaborative environment that fosters development and growth. As an claims resolution specialist, you will play a vital role in Hanover's ... customer service representative - hybrid. + syracuse , new york +...and its customers. As a member of the Auto Claims team, you will work in a dynamic and fast… more
- Elevance Health (Topeka, KS)
- …guide external LTSS providers through customer service including training, contracting assistance, claims resolution and advocacy. **How you will make an ... **LTSS Network Education Representative Sr** **Location** : This position will work...KS** Elevance Health PulsePoint locations. The **LTSS Network Education Rep Sr** is responsible for enhancing and overseeing a… more
- Corewell Health (Kentwood, MI)
- …relaying certain member information to other departments as needed. + Facilitates claims resolution through follow-up on member calls and correspondence received ... to appropriate departments. + Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines. + Develops and maintains behaviors of productivity, availability to customers, and adherence to work… more
- Montana State University (Bozeman, MT)
- …programs, including processing workers' compensation claims , reporting, participating in claims meetings and associated claims resolution strategies, SAW ... liability for interns. + Ensure compliance with insurance, financial reporting and claims management rules and regulations. + Special event insurance program. +… more
- USAA (Dallas, TX)
- …Partner with vendors and internal business partners to facilitate highest complexity claims resolution . May also involve external regulatory coordination to ... method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members on escalated… more
- USAA (Jacksonville, NC)
- …Partners with vendors and internal business partners to facilitate highest complexity claims resolution . May also involve external regulatory coordination to ... method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members on escalated… more