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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
Posted 17 days ago
QBE Americas, Inc.
- New York, NY / Irvine, CA
Formulate and execute global catastrophe pricing strategies Strategically allocate Cat reinsurance and capital costs, enabling underwriters to effectively differentiate profitable accounts Collaborate with actuarial, reinsurance and underwriting teams to integrate insights into pricing frameworks Proactively identify opportunities for improvement and contribute to the dev
Posted 2 months ago
Overview San Joaquin Valley Rehabilitation Hospital is seeking Registered Nurses for its Fresno, California worksite. The Registered Nurses will be required to display an attitude of courtesy and respect for all residents, families, and staff; function as a team member with other staff in the performance of duties; assist residents with their activities of daily living, a
Posted 14 days ago
IMA's Private Equity and M&A Practice provides buyers and targets with a range of insurance, benefits and retirement products and services designed to assist them throughout the life cycle of the M&A transaction. For M&A activity, IMA's in house Transactional Liability Practice, Project Managers and Due Diligence Specialists bring depth and experience to address financial
Posted 1 month ago
Analyzes, configures, develops, tests, implements, supports and maintains Epic revenue cycle applications, solutions and business processes to meet operational and technical requirements. Obtains and maintains in depth knowledge of software functionality and acquires as well as utilizes knowledge of operational workflows to be implemented. Areas of responsibility may be H
Posted 8 days ago
Analyzes, configures, develops, tests, implements, supports and maintains Epic revenue cycle applications, solutions and business processes to meet operational and technical requirements. Obtains and maintains in depth knowledge of software functionality and acquires as well as utilizes knowledge of operational workflows to be implemented. Areas of responsibility may be H
Posted 15 days ago
Under the direction of the Branch Manager or Field Leader, the 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 employees, perform with confidence all aspects of an insurance exam, including specimen collect
Posted 19 days ago
Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer Processes all types of medical claims and adjusts medical disputed claims (Professional and Facility) according to department, contract, and regulatory requirements
Posted 4 days ago
Monitors and document all totals related to claims payment errors and examiner productivity for reporting purposes as established in the Compliance Department and Claims Policies and Procedures Develops materials, Trains claims examiners regarding the system and claim procedures and documents results Identifies and resolves various claims issues, documents, and reports re
Posted 4 days ago
Providence
- Los Angeles, CA / Portland, OR / Renton, WA / 6 more...
Providence caregivers are not simply valued they're invaluable. Join our team and thrive in our culture of patient focused, whole person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Providence is calling a Sr. Medical Malpractice Claims Manager Profes
Posted 3 days ago
The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and address non contracted provide
Posted 4 days ago
The Claims Auditor performs various audits of claims payments and denials to ensure accuracy based on the DOFR, internal policies and procedures and regulatory requirements. Providence caregivers are not simply valued they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient focused, whole person care built on understanding, c
Posted 10 days ago
The mission of the Study Abroad Center (SAC) is to foster a culture at UCI in which study abroad is expected and achievable for all students. The Center reports to the Office of Global Engagement (OGE) and assists students in participating in programs abroad that offer unique academic opportunities, international learning and personal development while making progress tow
Posted 22 days ago
Responsible for auditing and training claims staff on all Managed Care claims received from outside providers to ensure the Claims Examiners processed and adjudicated them accurately and consistently in accordance with outside Provider Contracts, State, Federal, CMS, DMHC and Health Plan contracts, internal departmental policies and procedures. Must maintain a productivit
Posted 30 days ago
Responsible for processing medical claims. Resolves complex, difficult or non routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Handles complex, difficult or non routine incoming and o
Posted 22 days ago
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