National General Adjuster Inside Requisition ID 2024 25414 Job Locations US IL Chicago Position Type Regular Full Time Category Claims Business Unit GUS_GTS US Excellence In Everything We Touch Position Summary Resolves complex commercial property losses generally in excess of $250,000 by investigating damages, negotiating adjustment of losses with corporate management, b

Recovery Resolution Specialist Job Locations US Remote ID 2024 12756 Category Customer Service/Retrieval Operations Position Type Full Time Overview We are looking for an Recovery Resolution Specialist to join our Yield Management team! This role will facilitate the collection of funds for the client and maintains exceptional provider relations. Works closely with audit t

Responsible for performing all physician, hospital and ancillary provider orientation, training and ongoing educational activities for CCHP network providers and their staffs. Responsible for the tracking of concerns, complaints and issues raised by network providers, and results reporting. Facilitates resolution of all complaints/issues raised by network providers relate

Are you ready to unleash your full potential? We're looking for people who are passionate about payments to chart Worldpay's path to being the largest and most loved payments company in the world. About the team The Transformation team will actively manage a portfolio of strategic initiatives both cross functionally as well as focused in the business areas. What you will

Review investigation report to determine liability Review medical, legal, and miscellaneous invoices/demands related to a claim to determine whether reasonable and applicable to existing claim Negotiate any disputed bills for resolution within prescribed authority level Actively manage open claims files to ensure consistency and adequacy of reserves Establish initial loss

An independent Claims Handler role focused on low to mid value Employment Practices Liability claims with no significant coverage issues to help achieve the Beazley vision of being the highest performing specialist insurer. To contribute to the overall performance, development, and management of the Beazley claims function. To proactively manage claims, primarily at the i

To help achieve the Beazley vision of being the highest performing specialist insurer. This will be done through the proactive management of claims, at the individual and portfolio level, to optimise spend and achieve high levels of satisfaction for the insured and broker through high quality claim management, resolution and excellent client service. Individual Claims Lea

Provider Relations Representative is responsible for assisting in the full range of provider relations and service interactions for all lines of business within Prominence Health Plan. Will assist in the design and implementation of programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice

Claims Clerk Job Locations US OR Lake Oswego Requisition ID 2024 17806 # of Openings 1 Category (Portal Searching) Administrative/Clerical Position Type (Portal Searching) Regular Full Time Overview The Claims Clerk will review insurance claims forms and documents for accuracy and completion and obtain missing information as necessary. Determines claims coverage by examin

Mobile Examiner Representative Miami Lakes, FL Monday Friday 7 00AM 4 00PM (Rotational Weekends) Under the direction of the Branch Manager or Field Leader, Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and em

Our Claims Specialists are committed to helping our customers through the claims process while providing Remarkable service. This includes Investigating, evaluating, negotiating, and settling claims Applying knowledge of policies, and insurance regulations when determining coverage, liability, & damages Contacting customers by telephone, written correspondence and/or vari

T his position is for a Property Field Inspection Claim Specialist, handling accidental and weather related homeowners, commercial, and large loss claims. You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims process while providing Remarkable service. Where you'll work This position is locat

LOCATION Remote must live in North Carolina or within 40 miles of the NC border. GENERAL STATEMENT OF JOB The Healthcare Fraud Analyst works under the direct supervision of the Special Investigations Director in the Special Investigations Unit (SIU). The Healthcare Fraud Analyst is responsible for identification and detection of potential Healthcare fraud, waste and abuse

The Senior Claims Coverage Counsel will advise the business on general claims legal matters and support the Manager, Claims Coverage Counsel and internal clients across the enterprise on claims coverage involving matters of moderate to high complexity and/or financial consequence. The Senior Claims Coverage Counsel works independently and will act as a resource person and

The Claims Specialist will manage a caseload of pending insurance claims with minimal supervision. Job functions include the following Analyzing insurance claims to determine applicable coverage; Analyzing claims to determine the extent of the insured's or insurer's liability; Reviewing and evaluating damages and determining strategies for resolution; settling claims in a