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Under general supervision and direction, resolves moderately complex residential and commercial property claims by investigating losses, negotiating settlements, and presenting evidence in legal proceedings while maintaining adequate production levels. Responsibilities Examines claims forms, policies and endorsements, client instructions, and other records to determine co
Posted Today
Processes claims accurately and efficiently. Reviews all incoming claims to verify necessary information. Determines that correct member and provider records are chosen and utilized to process claims. Enters claims data and information into the computerized Claims Processing System. Maintains all required documentation of claims processed and claims on hand. Adjudicates c
Posted 1 day ago
UST
- Aliso Viejo, CA
Claims Examiner Associate II BPM Who we are UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers and better outcomes for our communi
Posted 1 day ago
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 1 day ago
MAERSK INC.
- Los Angeles, CA
About Us As a company, we promote a culture of honesty and integrity and value the trust it allows us to build with customers and employees alike. Our focus on our people is what sets us apart and keeps our customers coming back to work with us! If you are seeking to be a part of a family, this is the place for you! Maersk Warehousing and Distribution USA LLC handles end t
Posted 1 day ago
The main function of a Claims Adjuster is to investigate, analyze, and determine the extent to which an insurance company is liable and to determine how much compensation is needed/required. Job Responsibilities Analyze first reports of injury to determine nature of injury and what benefits are owed based on the statute. promptly contact insureds, injured workers, and med
Posted 1 day ago
The following are exemplary essential job duties and responsibilities and are not intended to represent an all inclusive listing of related essential functions of the position Responsible for all aspects of quality assurance from a sample of random claims, check run reviews and Health Plan audits. Provide expertise and support by reviewing, researching, investigating, and
Posted 1 day ago
Serve as single point of contact to the physician network and is an accountable owner, responsive to physician needs. Knowledgeable about incentive programs, contract reimbursement, Optum's internal processes and priorities, and other Optum initiatives, as applicable Monitors performance of assigned PCPs, identifies low performing PCPs and works with IPA leadership to dev
Posted 1 day ago
Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners' (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer Uses, protects, and discloses HCP patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountabi
Posted 1 day 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 1 day ago
Axis Capital
- New York, NY / Chicago, IL / Alpharetta, GA / 3 more...
AXIS Insurance is a world leader in specialty lines insurance, including professional liability within the US market. We are seeking a talented and dynamic claims professional to join our Management Liability (ML) claims team as a Claims Specialist. This position will handle primary and excess claims involving Public and Private D&O, Financial Institutions and Private Equ
Posted 1 day 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 1 day ago
Crawford & Company
- Melbourne, FL / Chicago, IL / Atlanta, GA / 8 more...
Claims Issue Resolution Coordinator II Requisition ID 2024 25054 Job Locations US FL Melbourne | US IL Chicago | US GA Atlanta | US AZ Phoenix | US FL Jacksonville | US CA San Diego | US AL Birmingham | US MA Boston | US KY Louisville | US MD Baltimore | US MI Detroit | ... Position Type Regular Full Time Category Claims Business Unit XUS_CCC US Excellence In Everything W
Posted 2 days ago
UST
- Aliso Viejo, CA
Claims Team Lead Lead I BPM Who we are UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers and better outcomes for our communities.
Posted 2 days ago
UST
- Aliso Viejo, CA
Claims Examiner Associate II BPM Who we are UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers and better outcomes for our communi
Posted 2 days ago
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