- Elevait Solutions (Fountain Valley, CA)
- Job Description We are seeking an experienced Member Services Representative to support the frontline point of contact for members and providers, ensuring a ... via phone, email, and written correspondence Educate members on benefits, claims , appeals, grievances, and plan policies Process member grievances, appeals, and… more
- New York State Civil Service (White Plains, NY)
- …State NY Zip Code 10601 Duties Description Under the general supervision of a Claims Services Representative 2 responsibilities include, but are not limited ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/ 2...settlements * Issue payments and requests for reimbursement where claims for supplemental benefits are involved* Review … more
- EquipmentShare (St. Louis, MO)
- Future Claims Representative Opportunities at EquipmentShare! EquipmentShare is accepting applications for a future Claims Representative in the St. ... that truly cares. We're accepting applications for a future Claims Representative role at our rental facility...on claim trends, outcomes, and customer feedback for management review . + Team Collaboration: Work closely with other departments,… more
- Sedgwick (Cincinnati, OH)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability | Multi State Jurisdiction | TX License ... equivalent combination of education and experience or successful completion of Claims Representative training required. **Licensing:** **TX required** ****… more
- Sedgwick (Concord, CA)
- …Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Representative (Future Medical)| In-Office (Concord, CA) **ARE YOU AN ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Shreveport, LA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation | Jurisdiction: Multi State | ... or equivalent combination of education and experience or successful completion of Claims Representative training required. Jurisdiction: Multi State - 15 states… more
- Sedgwick (Milwaukee, WI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability **PRIMARY PURPOSE** : To process low level ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Phoenix, AZ Are you looking for an ... be required to obtain Arizona Adjuster License. **Experience** Two ( 2 ) years of claims management experience or...combination of education and experience or successful completion of Claims Representative training required. **TAKING CARE OF… more
- USAA (San Antonio, TX)
- …impactful. **The Opportunity** **It is all about learning and growing.** Our Customer Service Claims Representative role may be a new career for you. There's a ... months in-office, you'll have the opportunity to work offsite 2 days a week.** Military veterans and spouses are...in our San Antonio office** as a Customer Service Claims Representative . You will be part of… more
- New York State Civil Service (New York, NY)
- …Responsibilities include, but are not limited to:Under the general supervision of a Claims Services Representative 2 , the incumbent will oversee all ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative Trainee 1 (NY...sum settlements; issue payments and requests for reimbursement where claims for supplemental benefits are involved; review … more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*RCM Representative Senior*to join our Third-Party Claims -HB&PB team. This full-time role will primarily work remotely ... Knowledge of applicable federal and state regulations **Title:** *RCM Representative Senior, Third-Party Claims -HB&PB* **Location:** *MN-Minneapolis-Downtown Campus*… more
- NTT DATA North America (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative ** to join our team in **for a remote position** . This ... is a US based, W- 2 project. All candidates will be paid through NTT...compliance training of NTT Data/Client -Work independently to research, review and act on the claims -Prioritize… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …status of the issue. + Adjust claim(s) as warranted based on discussion and review of the provider's issue. + Deliver all information and questions in a positive, ... applicable state and federal regulations. Education and Experience : + HS Diploma + 2 years of college preferred About us: Centers Plan for Healthy Living (CPHL), is… more
- State of Massachusetts (Boston, MA)
- …within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review claims escalated by the Contact Center ... * Claims Examiner/Job Service Representative I| Department...(MGL Chapter 175M and 458 CMR 2 .00) 2 . Investigate, analyze, and respond to complex claims… more
- AECOM (Baltimore, MD)
- …change management activities, contract law, and project management. **Responsibilities:** + Review incoming change requests and/or claims and assign them ... and contract close out. + Prepare weekly updates on status of changes and claims , and other noteworthy communications. + Review project correspondence, and track… more
- CRC Insurance Services, Inc. (NY)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between ... 1. Bachelor's degree with a concentration in business or equivalent work experience 2 . Three years of Claims handling experience and commercial and multi-line… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …process ensuring proper documentation was created in the system and/or files. 7. Review claims and approve payments under the appropriate binding authorities. 8. ... **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Responsible for overseeing, managing...time. 1. Manage the supervision and coordination of the claims department and staff. 2 . Organize and… more
- CRC Insurance Services, Inc. (NC)
- …English (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Process claims , which includes ... Specific activities may change from time to time. 1. Review policy to determine if loss is covered. If...then hire attorney for coverage counsel for coverage analysis. 2 . Settle claims within settlement authority, where… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …English (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Process claims , which includes ... Specific activities may change from time to time. 1. Review policy to determine if loss is covered. If...then hire attorney for coverage counsel for coverage analysis. 2 . Settle claims within settlement authority, where… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …(Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** The incumbent is responsible for investigating, ... evaluating, negotiating, and resolving personal lines property claims . Responsible for adjusting major and complex losses in their entirety, but may also adjust… more
