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Resolves casualty claims of moderate to complex exposure by inveestigating losses and negotiating settlements. Responsibilities Examines claims forms, policies and endorsements. Conducts on site investigations, interviews claimants and witnesses and obtains official reports. Sets loss reserves and controls claim costs. Prepares reports by collecting and summarizing information required by client.
Posted 5 days ago
Change Healthcare
- Baltimore, MD / Lexington, KY / Cheyenne, WY / 47 more...
Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact. As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities. Here at Change Healthcare, we're using our influence to drive positive changes across t
Posted Today
Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact. As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities. Here at Change Healthcare, we're using our influence to drive positive changes across t
Posted Today
Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact. As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities. Here at Change Healthcare, we're using our influence to drive positive changes across t
Posted Today
Provides prompt, accurate, thorough and courteous responses to all complex customer inquiries. Inquiries are typically non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates complex or specialty claims and/or non medical appeals. Determines whether to return, deny or pay claims following organizati
Posted Today
Responsible for the timely filing, follow up, and claim adjudication, of patient accounts for the Non Government Team. Maintain current knowledge of institutional/departmental policies, third party payer regulations and all regulatory billing requirements, and standard institutional and physician billing forms and processes. Communicates with third party payers, patients, and hospital departments
Posted Today
Responsible for the timely filing, follow up, and claim adjudication, of patient accounts for the Non Government Team. Maintain current knowledge of institutional/departmental policies, third party payer regulations and all regulatory billing requirements, and standard institutional and physician billing forms and processes. Communicates with third party payers, patients, and hospital departments
Posted Today
Unum
- Portland, ME / Chattanooga, TN / Worcester, MA / 2 more...
Unum's Dedicated Legal Resource (DLR) team seeks an attorney who is solution oriented, consultative in approach, knowledgeable about life, health, disability and HIPAA accepted insurance products, familiar with federal and state laws that impact our products and services and is able to distill, summarize and communicate complex information effectively and efficiently to business partners and legal
Posted Today
Workforce Analyst II (1133891) Position Purpose Assist with maximizing the effectiveness of scheduling, systems, performance metrics, data analysis, reporting and overall operational functions for all lines of business and all locations. Evaluate staffing adjustments and re skilling of agents as necessary to provide adequate phone coverage. Oversee and monitor real time call activity at various ca
Posted 1 day ago
Ensures customer care and selling are #1 priority Monitors shrink; takes appropriate action to minimize waste Makes eye contact, smile and greet all customers that come within ten feet of you Assists store associates in receiving Distribution Center (DC) deliveries Ensures that food safety guidelines in storage and processing procedures are being adhered to as well as processes refrigerated goods
Posted 7 days ago
/OVERVIEW The Specialist, Claims is a key member of the Claims Team who is primarily responsible for providing administrative support for the Claims Team. The position will work closely with the Claims Team facilitating key team activities and projects and tracking deliverables. Responsibilities for this position will require that one thinks and plans ahead, prioritizes short and long term, and ma
Posted 9 days ago
Ability to work within the electronic claim file environment, taking claim reports, investigating, negotiating, and settling auto, home, marine and liability claims Professional telephone manner to establish and maintain effective relationships to gain trust and respect Ability to problem solve and use time effectively in order to multitask and prioritize work Works well with others in a team sett
Posted 22 days ago
Field Service Representative Critical Power Field Service Representative Critical Power (00558T) Schneider Electric creates connected technologies that reshape industries, transform cities and enrich lives. Our 144,000 employees thrive in more than 100 countries. From the simplest of switches to complex operational systems, our technology, software and services improve the way our customers manage
Posted 1 month ago
Program Coordinator I (1125293) Position Purpose Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. Perform tasks necessary to promote member compliance such as verify
Posted 2 months ago
Proactively manages the property/casualty claims programs for assigned clients. Monitors large and complex claims (typically those over $100,000). Reviews all new claims on designated clients and establishes a plan of action to achieve a favorable claim resolution. Attends and facilitates client meetings, claim reviews and vendor visits; review claim status, action plans, and reserves in considera
Posted 1 day ago
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