- Sentry Insurance (Nashville, TN)
- Investigate and maintains complex casualty claims . Determines liability, secures information, reviews coverages, arranges appraisals, and settles claims . This ... claims .Investigate and finalizes coverage and liability, develops damages and settles claims . This position will be seated in Sentry's Stevens Point, WI -… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Nashville, TN)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation (REMOTE- State License Required)) Are ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **TAKING CARE OF YOU** + Flexible… more
- Sedgwick (Nashville, TN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Ryder System (Nashville, TN)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- HUB International (Brentwood, TN)
- …under which our subsidiaries reside: + Avant Underwriters (AU + Avant Specialty Claims (ASC) + Avant Brokerage (AB) + Avant Supermarket Group (ASG) + SafeHerb ... source for insurance solutions **Job Summary** Investigate, evaluate, and adjudicate claims for workplace injuries that fall under an occupational accident policy,… more
- Sedgwick (Memphis, TN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr. **Senior Disability Representative - Make a Meaningful ... do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise,...your moment.** **WHAT YOU'LL DO** **As a Senior Disability Representative , you'll be the go-to guide for individuals navigating… more
- Sedgwick (Memphis, TN)
- … system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr **Our teams connect! We collaborate onsite and have a hybrid… more
- Mass Markets (TN)
- …staff and managerial for resolution as needed + Attend meetings and training and review all new training material to stay up to date on changes to program ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (TN)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... through problems solving and effective call handling + Attend meetings and training and review all new training material to stay up to date on changes to program… more
- Highmark Health (Nashville, TN)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Nashville, TN)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Highmark Health (Nashville, TN)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Account Representative - Insurance Claim Follow-Up Full Time , 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... communication skills, as well as excellent time management. + Review patient accounts for resolution- check status with insurance...for resolution- check status with insurance company for billed claims that have not processed & determine what may… more
- CVS Health (Nashville, TN)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Stantec (Nashville, TN)
- …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... Development and maintenance of the Project Risk Register, based on review of contract conditions, project-specific delivery requirements, client characteristics, and… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- Stantec (Memphis, TN)
- …community. Your Opportunity Stantec is seeking an individual to act as an Owner's Representative , Project Manager for the design and construction of a mix of higher ... or commercial expansion or renovation projects as an Owner's Representative . Managing the approved scope, budget and schedule are...and budget throughout all phases of the project. - Review and track all contracts, invoices, and payments to… more
- Prime Therapeutics (Nashville, TN)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in… more
- First Horizon Bank (Memphis, TN)
- …ensure complete, accurate documentation is obtained from clients * Collect and review entity due diligence, Know Your Customer (KYC), and beneficial ownership ... and policies; conduct account research, file and process fraud claims * Proactively identify cross-selling opportunities, recommending additional bank products… more
