Claims Adjusters are required to remain in good standing to maintain active adjuster licenses. Openly is building an advanced claims organization leveraging technology and experienced property claims professionals to build a best-in-class end-to-end customer experience. Doing this requires a rapidly...
To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. Manages workers compensation claims determining comp...
Openly is building an advanced claims organization leveraging technology and experienced property claims professionals to build a best-in-class end-to-end customer experience. Current Claims Adjuster licenses in one or more states are preferred but must be able to obtain additional state licenses. C...
Commercial Property Desk Claims Adjuster. As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Inside Commercial Property Claims Adjuster. Alacrity Solutions is a full end-to-en...
Workers Compensation Claims Adjuster - Medical Only | NY License | Remote. To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific cli...
Our client is expanding their Workers' Compensation Department and seeking to add Workers' Compensation Claims Adjusters to their California operations. These positions would be responsible for handling California Workers' Compensation Indemnity claims from inception to close. Handle moderate to com...
Crown Roofing & Waterproofing is looking for a customer service representative to join our growing team. The target is to ensure excellent service standards, respond efficiently to customer inquiries and maintain high customer satisfaction. Proven customer support experience or experience as a clien...
Randstad is currently working with a reputable company in efforts to fill several Work from Home Customer Service positions. Resolving customers' needs related to clarification on customers' specific benefit plans or program options. Handling incoming complex calls or outbound appointments offering ...
Bring your heart to work at CVS Health! Our Caremark Member Operations division of CVS Health's Pharmacy Benefit Manager business is hiring hundreds of Customer Care Representatives in your area! Are you interested in a flexible work schedule and live within 75 miles of Knoxville, TN? An opportunity...
Join Our Team as a Remote Customer Service Agent – No Degree Required, Starting at $19/hr. Passionate about helping people and skilled at resolving issues? We're looking for proactive individuals to enhance our team of remote customer service agents. A deep-seated passion for customer service excell...
Display technical competency for development of cost estimates from drawing takeoffs.Concurrently manage review of OPCCs for multiple projects.Be responsible for time management and work product quality.Assist design staff with projecting required labor for building facilities in adherence to contra...
Supervisor - Claims Specialist Team. The Claims Supervisor is responsible for the coordination and control of the Claim Specialist Team, ensuring that effective operations run smoothly and staff-assigned work queues are maintained within the budgeted benchmarks. Effectively resolves problems and dis...
This positions is contingent upon CMS funding approval - Mid-level professional performs medical record and claims review for Medicare, Medicaid, and/or other claims data in order to ensure that proper guidelines have been followed. As a member of an investigative team, may act as a facilitator as w...
Technical Support / Customer Service Representative. This position provides customer service support and resolution of routine problems and questions regarding client's products and/or services. Technical Support / Customer Service Representative. Technical Support / Customer Service Representative....
A Homecare Billing and AR Specialist is responsible for handling the billing and accounts receivable processes within a homecare or healthcare organization. Key responsibilities of a Homecare Billing and AR Specialist may include:. Billing Cycle Management: Generating and submitting claims to insura...
Previous experience leading teams of estimators. ...
To analyze complex or technically difficult workers'' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service r...
As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, construction defect and construction related property damage claims from inception to final disposition. This is a visible and important role within our Complex Claims Unit (CCU) Hartford G...
The Claim Analyst is a key member of the claims team reporting to the Casualty Manager of the associated zone. This person will handle first and third-party claims in a quality manner and meet our high standards of accuracy, efficiency, quality customer service, and regulatory compliance. Resolve cl...
The Grievance team manages Cigna Healthcare - Medicare/Medicaid grievances that are presented by our member’s or their representatives pertaining to the authorization of or delivery of clinical and non-clinical services. Works collaboratively with the Claims, Customer Service, Appeals, and Medical M...
Azuria Water Solutions is seeking an experienced Estimator. ...
Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Technical claims in...
Customer Service Representative. This position provides customer service support and resolution of routine problems and questions regarding client's products and/or services. Customer Service Representative. Customer Service Representative. ...
The Senior Treasury Claim Analyst is responsible for supporting the claim payment process, completing regulatory requirements for pharmacy and member payments. This role is responsible for providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well a...
As a Claims Specialist, you will be responsible for handling a caseload of complex, high exposure, auto and general liability claims throughout the claim’s life cycle. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required. ...