Manage the claims payment authorization process to include the review and process of all claims payments to ensure the payments and handling of the claim were within company guidelines. Auto Physical Damage Claim Representative. A minimum of 4-5 years of adjuster experience handling commercial autom...
A minimum of one year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program is required. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation ...
Commercial and/or Personal Lines Claims Representative positions. Prepare and submit First Report of Claims to carriers. Document, track, and facilitate claims assignments. Work in agency management system to document communications and track claims. ...
Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Investigates and evaluate...
A company is looking for a Medical Claims Research Representative. ...
Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Manages file inventory an...
Key Responsibilities:Handle higher exposure, complex claims within an assigned line of coverageMake complex coverage decisions and set reserves within authority levelInvestigate claims, analyze potential exposure, and negotiate directly with insured partiesRequired Qualifications:Five to seven years...
Provide claim information and status to existing open or pending claims. Are you ready to work for a growing and thriving company in Austin, Texas? Our client in Austin, TX is hiring a Mechanical Claims Examiner for their team. This person will work as a technical advisor to any claims being process...
A company is looking for a Medical Only Workers Compensation Claims Service Representative. ...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
The Inside Claims Representative II – Total Loss contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience through the fair and equitable adjustment of moderately complex auto total loss claims utilizing telephone and written correspondence, working directl...
Commercial and/or Personal Lines Claims Representative positions. Prepare and submit First Report of Claims to carriers. Document, track, and facilitate claims assignments. Work in agency management system to document communications and track claims. ...
Provide subject matter expertise on medical and prescription insurance coverage/ verification, claim billing, medication prior authorization and appeal filing, and alternate financial assistance opportunities. Relevant call center experience working with medical claims/authorizations (including appe...
Senior Customer Service Representative – Claims. In the role of Senior Customer Service Representative, you will be responsible for answering inbound calls from policyholders and their representatives that have questions regarding an existing Long Term Care policy. ...
Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejecte...
Manage the claims payment authorization process to include the review and process of all claims payments to ensure the payments and handling of the claim were within company guidelines. Auto Physical Damage Claim Representative. A minimum of 4-5 years of adjuster experience handling commercial autom...
ESIS is seeking an experienced, Auto, General & Liability (AGL) Claims representative. Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines. Informs claimants, insureds/customers or attorney of denial of cl...
Providence is calling a Claims Appeals Representative who will work remotely within our footprint states, AK, CA, OR, WA, TX, NM, or MT. The Claims Appeal Representative position is responsible for day-to-day review, coordination and management of technical denials requiring background and understan...
Are you interested in helping to train AI models to become better writers?</strong></p><p><strong>How it works:</strong></p><ul><li style="font-weight: 400;"><span style="font-weight: 400;">We have several open projects where ...
Are you interested in helping to train AI models to become better writers?</strong></p><p><strong>How it works:</strong></p><ul><li style="font-weight: 400;"><span style="font-weight: 400;">We have several open projects where ...
Key Responsibilities:Identify caller needs, answer questions, and resolve issuesCompile call center statistics and reportsMaintain call center processes, procedures, and client informationRequired Qualifications:2+ years of customer service experienceBachelor's DegreeCall center experienceBachelor's...
A company is looking for a Wind & Hail Property Claims Adjuster (Remote, US). ...
Key Responsibilities:Review coverage eligibility, policy status, and necessary proof of loss documentsEvaluate claim proofs, medical records, and determine benefit eligibilityHandle a caseload of Incontestable claimsRequired Qualifications:Minimum 2 years' experience adjudicating Life, Health, Medic...
A company is looking for a Property Claims Adjuster (Remote, US). ...
Key Responsibilities:Own end-to-end resolution of all claims within the vertical for optimal customer experienceLead training and mentoring of the team, including ongoing performance evaluationIdentify and implement new processes and improvements to enhance claims handlingRequired Qualifications:2+ ...