- NJM Insurance (Trenton, NJ)
- NJM's Workers ' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule ... after training. The Complex Claim Specialist will be...may manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This… more
- Emory Healthcare/Emory University (Decatur, GA)
- …aspects of the role is essential for success. + HR issues can be complex , and the specialist should demonstrate strong problem-solving skills. This includes ... and excellence of our academic community. **Description** As a People and Culture Specialist , the primary focus of the role is to ensure the efficient administration… more
- Crawford & Company (Brea, CA)
- Excellence In Everything We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our awesome team! The purpose ... not a job post. Position Summary Administers and resolves non- complex short term claims of low monetary...adjusting reserves, as necessary, during the processing of the claim . + Identifies wage loss expenses and wage exposures… more
- Carle (Urbana, IL)
- …+ Must be able to perform essential job functions of Revenue Cycle Account Billing Specialist 1. + Handles complex edits and advanced level tasks such as but ... Rev Cycle Billing Specialist + Department: Revenue Cycle - CFH_10_19 +...Responsible for handling escalated account and payer disputes. Handles complex edits, appeals and account activities such as bankruptcies,… more
- MetLife (Tampa, FL)
- …impact in the lives of our customers and our communities. The Lead LTD Claims Specialist manages a caseload of long term disability insurance claims ... time service standards. In this role, the Lead LTD Claims Specialist will be a technical expert...* Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active… more
- Allied Universal (Charleston, WV)
- …(4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with a minimum of six (6) ... experience conducting complex insurance investigations or adjusting complex claims + Ability to be properly...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …desk examiners and claim adjusters in responding to insured commercial property claims * Review and determination of complex coverage issues * Maintains ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4534112) Apply Property Claims Manager… more
- Allied Universal (Boise, ID)
- … claims with red flags that suggest fraudulent behavior In relation to an Insurance claim . The Claims / SIU Specialist must use their extensive knowledge ... claims for a variety of coverage to include workers ' compensation, general liability, property and casualty and disability...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
- Southern Company (Atlanta, GA)
- …Georgia Workers ' Compensation Adjuster License. + Certified Leave Management Specialist . **Preferred:** + Associate In Claims (AIC) or equivalent Disability ... return to work and minimize the cost of each claim and settlement. The senior disability specialist ...+ Accountable for work product. + Able to handle complex claims from inception through trial when… more
- Sedgwick (Seattle, WA)
- …Employer Specialty Operations Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult workers compensation claims to ... specific requirements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult claims by investigating and… more
- Veterans Affairs, Veterans Health Administration (Tuskegee, AL)
- Summary The Local Recovery Coordinator (LRC) is a Social Worker assigned within the Mental Health- Recovery Programs Service Line, located at Central Alabama ... Careers - Social Work: https://youtube.com/embed/enRhz\_ua\_UU The Local Recovery Coordinator Social Worker will function to do the following: Implement policies &… more
- TEKsystems (Hanover, MD)
- … will also coordinate the employee post-incident management process and the workers ' compensation claims notification and administration program. This is ... achieved by ensuring timely processing of workers ' compensation claims ; evaluating accident reports to determine accuracy and completeness and to ensure adequate… more
- Atlas Oil (Birmingham, MI)
- …needs of the portfolio companies to provide optimum coverage, costs, and claim settlements. + Provide day-to-day claims managements services, including filing ... claims . + Extensive experience in Liability insurance handling ( Workers ' Compensation, Auto and General Liability) is a must!...and General Liability) is a must! Additional training in Worker 's Compensation claims management is a bonus.… more
- Access Dubuque (Dubuque, IA)
- …users and team members along with assistance in problem resolution. + Perform simple and complex analytical duties for claims , EDI and web tools upon request. + ... Insurance Configuration Specialist **Medical Associates** 1 Positions ID: oDo5sfwi Posted...Overview** **Description** Are you someone with a background in claims processing, medical billing or coding looking to advance… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 10945 ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of… more
- Finger Lakes Community Health (Geneva, NY)
- …in 1989 with an original mission of serving the region's agricultural workers by linking individuals to area resources and providing essential health services. ... to the Finger Lakes Region. Job Summary: The Billing Specialist is responsible for accurate and timely processing of...resolve billing questions every day. Medical billing can be complex and often raises many questions for patients. You… more
- Robert Half Office Team (Oregon City, OR)
- …with internal HR teams regarding risk management programs, job analyses, and worker 's comp claims . Responsibilities: * Assist in the administration of ... employee training and development programs * Maintain financial and claims data, perform moderately complex data entry...and RMIS systems * Assist in the management of Worker 's Compensation claims , determining acceptance or denial.… more
- CDM Smith (Springfield, MO)
- …37068BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Centers for Independence (Madison, WI)
- …mitigation strategies for long-term monitoring and corrective action. 9. Advise program workers victimized by identity theft or worker fraud. 10. Conduct ... **Program Integrity Specialist - ILIFE** **Job Details** **Job Location** iLIFE...functions.)_ 1. Identify, analyze, investigate and evaluate moderate to complex potential fraud, waste, or abuse, including pre-pay and/or… more
- Precise Systems, Inc. (Lexington Park, MD)
- …administrative procedures for assigned benefits processes. + Assist with the initial Worker 's Compensation documentation and submission of claims . + Provide ... and perfected our ability to manage the customer's needs, no matter how complex - offering exceptional service and the Precise solution. We are currently seeking… more