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As a Claims Adjustment Specialist I, this individual will be responsible for analyzing standard to complex post paid healthcare claims that require in depth research to determine accuracy and mitigate payment errors. The Claims Adjustment Specialist I will also be responsible for adjusting medical claims that result in overpayment or underpayment due to claim processing s
Posted Today
Sentara
- Miami, FL / Gainesville, FL
Responsible for all areas of customer service as it pertains to the acquisition and/ or retention of members for Sentara Health Plan, Inc. This includes functions associated with the administration of all group information processing of claims, interaction with members, providers and employers. Special reports and projects to include initial review and analysis, recommend
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Cox
- Union City, GA / Belvedere Park, GA / Decatur, GA / 36 more...
It takes a special kind of talent and attention to detail to find solutions that are fair to everyone. That's how you can make an impact here at Cox. We're hiring an Automotive Claims Specialist II to join our vehicle operations team at Cox Automotive. In this role, you'll be at the forefront of resolving customer concerns in the fast paced world of vehicle purchases. You'
Posted 1 day ago
West Bend Mutual Insurance Company
- Des Moines, IA / Cedar Rapids, IA / Iowa City, IA
Sr. Property Adjuster Job Locations US IA Des Moines | US IA Cedar Rapids | US IA Iowa City ID 2024 2033 Category Claims Full Time Remote/Hybrid Remote Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our g
Posted 1 day ago
Associate Broker, Reinsurance This is a hybrid role with the flexibility to work both virtually and from our Atlanta office Aon is in the business of better decisions At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive, diverse team, and we are passionate abo
Posted 1 day ago
AmTrust Financial
- Dallas, TX / Boca Raton, FL / Maitland, FL / 3 more...
Establishes and executes controls to assure that the quality of the work meets or exceeds standards. Reviews and analyzes processes, procedures and workflows to identify opportunities for process improvement and efficiency. May recruit, hire and recommend or initiate promotions, transfers and disciplinary action. Manages personnel administration including employee evaluat
Posted 1 day ago
AmTrust Financial
- Dallas, TX / Boca Raton, FL / Maitland, FL / 3 more...
Claims Specialist II Construction Defect Job Locations US United States Requisition ID 2024 16848 Category Claims Specialty Lines Position Type Regular Full Time Overview Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Construction Defect Commercial Claims Adjuster II. This position can be located in one of our claims offices, with th
Posted 1 day ago
Digitech is seeking a Claims Resolution Specialist (Insurance Biller) to work claims after they've been submitted to commercial insurance carriers. This position requires an individual who demonstrates strong follow through, close attention to detail, and the ability to multi task. The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri anim He
Posted 1 day ago
(Primary function) The Sr Principal Biostatistician is responsible for providing statistical support to drug development programs. Essential Functions of the Job (Key responsibilities) Interact with members of the multidisciplinary project teams to establish project timelines. Provide statistical input to study protocols. Write statistical analysis plans. Monitor internal
Posted 1 day ago
Under limited direction of the System Title IX Coordinator, the System Investigator is responsible for conducting thorough and prompt Title IX investigations for the Portales, Roswell, and Ruidoso Campus. The System investigator may also conduct investigations that Title IX has referred to Human Resources or Student Affairs, or other investigations as assigned. Requiremen
Posted 1 day ago
Health Care Service Corporation
- Portland, ME / Houston, TX / Bozeman, MT / 11 more...
At Dearborn Group, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This Position Is Responsi
Posted 1 day ago
As a member of the Employee Relations & Legal Compliance Center of Excellence, the Compliance Specialist is responsible for ensuring the organization's employees adhere to legal standards and in house policies. The individual will perform regular audits of business procedures, processes and activities to ensure compliance as well as monitoring operations, reporting infrac
Posted 1 day ago
Position will report directly to the Claims Manager and will assist in the administration of the company's claims program to include the reporting, processing of claims as well as coordination with TPA on open active claims as needed. Will also assist with general duties within the Risk Management department as assigned. Essential Duties/Responsibilities Claim administrat
Posted 1 day ago
The Product Coverage Counsel is responsible for creating, reviewing, editing, and organizing the Company's policy forms and endorsements and maintaining the Company's insurance product catalog. Duties and Responsibilities Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service Draft new forms an
Posted 1 day ago
Company NICO National Indemnity Company As a member of the Berkshire Hathaway group of insurance companies, we offer outstanding opportunities for professionals interested in working with a successful company. We offer unparalleled financial strength, stability and "large company" benefits, in addition to an exciting, friendly, "small company" atmosphere. Want to work for
Posted 1 day ago
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