- CRC Insurance Services, Inc. (IA)
- …of exposure to the insured and all financial partners. 3. Determine where new loss claims should be reported 4. Manage all claim documentation. 5. Use discretion ... review the following job description:** Job Description Summary Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison… more
- CRC Insurance Services, Inc. (IN)
- …and makes recommendation for additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim documentation. 5. Use ... information and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with insurance carriers to ensure claims … more
- CVS Health (St. Paul, MN)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... affordable. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Fully Remote Position Summary The Senior Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or ... and integrity of medical record abstract data prior to billing interface and claims submission + Routinely code inpatient records to meet productivity and quality… more
- Molina Healthcare (Warren, MI)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals, ... negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business rules as… more
- Stryker (Philadelphia, PA)
- …Stryker Instruments is seeking a ** Senior C** **linical Evaluation Specialist ... and fosters alignment with adjacent processes (marketing strategy and claims , regulatory strategy, clinical research strategy, preclinical testing strategy). +… more
- Zurich NA (Addison, TX)
- Senior Claims Specialist Construction Professional Liability Claims 118830 Zurich North America is seeking a ** Senior Construction Professional ... Liability** ** Claims Specialist - Hybrid** to support Claims organization, with moderate direction, handles single and multi-party litigated and non-litigated… more
- Zurich NA (Addison, TX)
- Senior Claims Specialist , Workman's Compensation 119300 Zurich North America is looking for an exceptional Senior Workers' Compensation Claims ... Specialist to join our dynamic and dedicated claims team. This is an exciting opportunity to manage...of damages allowed by law. + Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available… more
- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... team as we help shape the future. This dynamic Claim Specialist role will be part of...initiatives + Prepare comprehensive reports and deliver presentations to senior claim leadership on: case developments, policy… more
- Zurich NA (Schaumburg, IL)
- Senior Claims Specialist , General Liability 119602 Zurich is seeking an individual interested in growing their claims career with our General Liability ... or Gold River, CA. As a General Liability (GL) Senior Claims Specialist on our...- Omaha, AM - Overland Park, AM - Schaumburg Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
- Axis (New York, NY)
- …course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals to senior members of the team where necessary ... request for candidates taking part in the selection process. Claim Specialist - Salary Grade I This...handling cyber primary and excess, firth or third-party liability claims Attain expert comfort level in remote … more
- Zurich NA (Las Vegas, NV)
- Sr. Workman's Comp Sr Claims Specialist 119898 Join Our Team: Senior Claims Specialist , Workers' Compensation - Hybrid Opportunity in Las Vegas, NV. ... Zurich North America is seeking a skilled and experienced Senior Claims Specialist in Workers'...play a key role in ensuring efficient and effective claim handling, with a strong emphasis on delivering exceptional,… more
- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist...initiatives. + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy… more
- Zurich NA (Phoenix, AZ)
- …open to fully remote applicants residing in California or Arizona. The Senior Workers' Compensation Claims Specialist will manage multi-party commercial ... Specialist , Workman's Compensation 119565 Zurich North America is seeking an experienced Senior Claims Specialist in Workers' Compensation to join our… more
- UTMB Health (Galveston, TX)
- Senior Patient Account Specialist - Revenue Cycle HB Billing & Denials (Hybrid/ Remote ) **Galveston, Texas, United States** **New** **Hot** Business, ... two years Epic Revenue Cycle experience **Job Description** The Sr. Patient Account Specialist will be responsible for billing all third-party payers through a … more
- Zurich NA (Topeka, KS)
- …lbs to 50 lbs, work outdoors in varying temperatures/weather conditions OR Crop CAT Senior Claims Specialist Basic Qualifications: + High School Diploma or ... Managers either as a CAT team member or local claims specialist in the facilitation of general...assist with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care… more
- Library of Congress (IN)
- …and Grants Directorate, Chief Operating Officer. Responsibilities The position is 100% remote eligible or onsite with the option for telework. The salary range ... geographic locale of the selected applicant. The incumbent serves as a contract specialist for the Library of Congress programs. This position will be utilized… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …checks to determine the reason for refund and validity. Identifies the appropriate claims to allocate, makes claim adjustments and/or applies refund against an ... integrity and accuracy. . Assist with disbursements related functions (ie, releasing of claims , direction of payment changes, claim adjustment projects, etc.). .… more
- Independent Health (Buffalo, NY)
- …and commitment to diversity and inclusion. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding and clinical decisions ... audit tips across the team. The Clinical & Coding Specialist - Senior will support the leadership in Hospital...Ability to ensure that clinical information translates correctly into claim coding compliance with requested data set. Ability to… more
- Zurich NA (Sacramento, CA)
- Senior Underwriting Specialist 119601 Zurich is currently looking for a Management Liability Underwriter, D&O to work out of our Denver or Seattle office! As a ... and well-prepared purpose. + Mentor team members. Basic Qualifications: Senior Level: + High School Diploma or Equivalent and...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more