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Enter new claims into the system, attach policies, and other necessary documentation to facilitate the adjuster's ability to process claims.In addition, achieve turnaround and production requirements and meet quality expectations.Cross-train on at least one horizontal skill within HSB’s Customer ...

Desired - Prior experience with healthcare data analytics leveraging patient-level/longitudinal healthcare claims data, electronic medical records (EMR), or related data is highly desired. Building expertise in cross-platform applications of IQVIA assets with a specialization in longitudinal phar...

Responsible for providing support for all customer contact (i.Customer Solutions Skill including but not limited to: (Inspection Support, Operational Support, Policy Support, Special Products), as well as one VF non CS skill including but not limited to: (Claims Support, Prep Support, Processing ...

Our mission is to help fight the challenges of healthcare reimbursement for people who struggle ... Maintains active credentials to all assigned payor portals. * Assist with claims submission by ...

... claims. Additionally, the firm provides advice and guidance to corporate clients and Human Resources Personnel to ensure compliance with employment laws. Role Description This is a full-time hybrid ...

Workers' Comp Claim Representative, or comparable knowledge and experience with various aspects of claims handling and/or process including strong knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. Workers' Comp Claim Representative, or comparable ...

The SIU Supervisor will oversee the operation of a unit of SIU Investigators with varying levels of experience who handle investigations on suspect claim and underwriting matters.Experienced SIU field investigator will also be considered who meet qualifications listed.Essential Functions and Resp...

Provide General Claims staff with legal advice regarding coverage and various claims questions. Our General Claims Legal Department is seeking an attorney with a minimum of 4 years of experience with insurance defense work, principally related to auto accident and premises liability, and handling...

The Subrogation Director will report directly to the VP of Claims of the Independent Agent channel and will have oversight of our Subrogation Teams including both inbound and outbound Subrogation accountable for +$100M in annual Subrogation Recoveries and Adverse Subrogation estimate reviews. You...

At NJM, a top-rated insurance company, we are seeking an Attorney on our Workers' Compensation legal team to provide defense of formal claims on behalf of NJM and its assureds. Provide assertive and aggressive defense of formal claims in various Workers' Compensation venues on a regular basis.

Processing client claims with a focus on worker’s compensation claims. Worker's Compensation Claims Team. Analyzing claims through multiple channels.

This role is a year-round General Claims Associates Role. You will answer and respond to telephone calls and assists with claims related tasks. Assist with property damage claims by bringing a prompt and amicable resolution.

Adheres to privacy guidelines, law and regulations pertaining to claims handling. Property and casualty claims handling experience desired. The Total Loss Unit within our Claims Organization is responsible for identifying, negotiating and settling total losses with both insureds and claimants.

In-depth knowledge of litigation, arbitration and trial process, handle out of state claims, and/or Personal Injury Protection claims. Effectively manage workload while maintaining diary and focus on claims quality. The Casualty Claim Representative will be responsible for the handling of First a...

The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates. Resolve disputes and propose recommended amounts to be paid for h...

The candidate should possess the ability to lead and develop a sophisticated team of claims professionals handling and managing a wide variety of Construction-related General Liability claim functions, overseeing our claims team nationwide, Litigation, Professional Liability and Builders Risk cla...

The Claims Representative is responsible for the handling of Auto Property Claims in accordance with NJ Unfair Practices Act. Submit claims for approval to supervisor when over his/her authority or for guidance, review and/or referral when appropriate. Adhere to privacy guidelines, law and regula...

The Voluntary Benefits Claims Examiner will support a large Group Insurance Business contract is responsible for the calculation of Voluntary Benefits across limited products according to Plan Provisions. Minimum of 6 months experience in Medical Insurance Claims Processing. Group Life/Disability...

In-depth knowledge of litigation, arbitration and trial process, handle out of state claims, and/or Personal Injury Protection claims. Utilize all claims systems, Excel, Word and social media search engines. Effectively manage workload while maintaining diary and focus on claims quality.

The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates. Resolve disputes and propose recommended amounts to be paid for h...

Under the leadership of the Sr Director, Contractor & Technical Services, the Manager, Commercial Claims will be responsible to lead the day to day management of our commercial claims team and processes. Provide day to day oversight and performance management of the commercial claims team, consis...

Manage and oversee claims data in database including claims updates, running claims runs, analyzing claims information and preparing information for underwriting and/or client review. Attend and organize claims meetings with clients, carriers, legal counsel, and adjusters to review claim status, ...

A leading company is looking for a claims examiner to support their team with an influx of new claims. For claims involving injuries (if handled), learns how to review, evaluate, and negotiate basic injury claims. CLAIMS EXAMINER | INTERVIEWS HAPPENING THIS WEEK!!*.

Up to $22 per hour / Benefits - As a Claims Associate you'll: Evaluate claims to determine whether they qualify for reimbursement; Deliver exceptional service to members via phone, chat, and email, offering education and guidance to help them navigate the Garner claims process; Follow documented ...