- Sedgwick (Concord, NH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
- Concord Group Insurance (Bedford, NH)
- Branch Claims Representative II handles first party personal property and commercial property claims through the life-cycle including but not limited to: ... is to provide service to agents, insureds and others to ensure claims resolve accurately. Responsibilities + Investigate first party personal property and commercial… more
- Sedgwick (Concord, NH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Commercial Auto Claims Representative - Liability **PRIMARY PURPOSE** : To analyze and ... process low to mid-level auto physical damage claims . Commercial auto claims experience is preferred. Having a current New York adjuster's license is optimal but… more
- Concord Group Insurance (Bedford, NH)
- The Branch Claims Representative investigates, evaluates, and determines the appropriate disposition of all types of claims arising out of the Company's ... service to agents, insureds, and others in the course of handling those claims to their conclusion. Work is performed under general supervision. Responsibilities +… more
- HealthEdge Software Inc (Concord, NH)
- …and experienced Senior Manager of Product Management to lead our Claims Value Stream.Your responsibilities include creating a high-level vision, defining product ... and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream… more
- Carrington (Concord, NH)
- **Come join our amazing team and work remote from home!** The Default Claims and Loss Analysis Business Analysts function as an expert resource which consults with ... reports. + Using a strong background of Default MI Claims and/or Loss Analysis identify gaps, trends and build...+ Conceptualize and design dashboards and reports that are representative of the business unit's productivity. + Strong understanding… more
- Travelers Insurance Company (Bedford, NH)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... the following core assignments: + Handles 1st party property claims of moderate severity and complexity as assigned. +...as mandated. + In order to progress to Claim Representative , a Trainee must demonstrate proficiency in the skills… more
- CVS Health (Concord, NH)
- …working with insurance companies to resolve issues associated with our patients' insurance claims . In this role you will ensure timely follow-up on all patient ... accounts, identify and prepare adjustments and write-offs; correct and resubmit claims (subject to policy); follow-up on daily correspondence (denials, short-pays);… more
- Travelers Insurance Company (Concord, NH)
- …supervision, this position is responsible for handling first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal ... claim resolution for personal or business claims of moderate severity and complexity. This position is a dedicated Claim Professional who is a first responder to… more
- Guardian Life (Concord, NH)
- **Job Posting Title** **Team Leader, Absence Claims Management (STD)** **Job Description** The **Team Leader, Absence Claims Management (STD)** is responsible ... submit process improvement ideas to revise workflows and procedures. + Support claims initiatives by encouraging/providing relevant feedback and acting as a change… more
- Highmark Health (Concord, NH)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
- Guardian Life (Concord, NH)
- …The Vocational Rehabilitation Consultant provides assessment of LTD, STD and Life claims , to determine claimants' level of functionality and provide evaluation of ... of RTW. Serve as educational resource on vocational rehab aspect of claims . Educate parties involved in claim management regarding the extent of functional… more
- Sutherland Global Services (Concord, NH)
- …and distraction-free dedicated workspace **Duties & Responsibilities;** + Assist providers with claims and claims investigations + Status Inquiries + Denial ... working in a high-volume call center environment as a customer service representative + Effective verbal and written communication skills + Strong typing and… more
- HealthEdge Software Inc (Concord, NH)
- …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
- HealthEdge Software Inc (Concord, NH)
- …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
- Humana (Concord, NH)
- …PM Eastern Monda-Friday The Rx Clinical Programs ORM Pharmacy Technician Representative 2 assists in reviewing members pharmacy history for overutilization. Job ... & problem-solving skills **Preferred Qualifications** + Previous experience with pharmacy claims + Previous experience performing pharmacy data entry + Bachelor's… more
- Wolters Kluwer (Concord, NH)
- …in a resolution conference to be held with the law firm and client representative , when direct appeals mediation with the law firm does not successfully resolve the ... experience and accuracy. + Strong understanding of legal terminology and claims legal situations, including multijurisdictional exposure. + Self-motivated with an… more
- Cardinal Health (Concord, NH)
- …needs of the patient and/or program + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance ... insurance benefit practices, preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience preferred + 1-2 years experience with… more
- Cardinal Health (Concord, NH)
- …needs of the patient and/or program * Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance ... pharmacy insurance benefit practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 years experience with Prior… more
- HealthEdge Software Inc (Concord, NH)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... (USA Only):** Exempt **Work Environment:** The physical demands described here are representative of those that must be met by an employee to successfully… more