At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities that will put customers at the center of what we do best protecting and restoring their dreams when they need us most. We're leveraging our expertise, technology and new ways of working to actively reinvent one of America's largest industries creating

Load, process, and summarize various data types and files using MATLAB or similar program. Further organize, clean, sort, and analyze data using SPSS, R, SAS, or related data analysis programs and interpret meaningful findings in tables, graphs, and written form. Conduct casualty assessment using currently available high rate blast data and published computational models.

Must have High school diploma, GED or equivalent required, Two year degree preferred. Minimum of 3 years previous experience working for a Health Plan, IPA, or other Managed Care Organization. Minimum of 2 years previous direct experience that included verifying and maintaining provider information and provider contract configuration in a managed care transaction system .

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Responsible for providing customer service and supporting Producers by servicing existing accounts and soliciting new business. Independent responsibility for managing medium and complex claims of assigned clients. ESSENTIAL DUTIES AND RESPONSIBILITIES Acts as an advocate and claims specialist to provide support to clients, claimants, Producers, and carriers; Provides ini

Commerical Property Claim Technical Field Adjuster II Job Locations US CA Oakland | US CA San Jose | US NY New York City | US GA Alpharetta Requisition ID 2024 16740 Category Claims Property Position Type Regular Full Time Overview AmTrust Financial Services, a fast growing commercial insurance company, is seeking a Property Claim Technical Field Adjuster to respond to th

Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compatibility, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdiction

Take on an important role within an award winning health organization. Help ensure the efficient operation of a complex health system. Take your career to the next level. You can do all this and more at UCLA Health. You will receive urgent, routine, pre service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness.

Under the direct supervision of the Claims Processing Supervisor and the general direction of the Manager, Claims Production, this position is responsible for the accurate review, entry and processing of all claims received for payment by AAH. Principal responsibilities include Research claims for completion and appropriateness. Review and handle rejected claims as necess

Authorization Coordinator ENT Clinic Full Time 8 Hour Days (Non Exempt) (Non Union) Keck Medicine of USC Hospital Los Angeles, California The Authorization Coordinator coordinates communication with admitting, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. He/She will f

Scheduled Salary Increases Step 6 effective 7/8/24 ($50,596 $64,558 Annually) 5% effective 11/25/24 ($53,118 $67,782 Annually) 3% effective 7/7/25 ($54,704 $69,810 Annually) APPLICATIONS MUST BE SUBMITTED ONLINE ONLY The Fresno County Assessor Recorder's Office is currently offering an exciting opportunity for dynamic, motivated professionals interested in pursuing a chal

Looking to work at a firm with an unbeatable culture? Withum is a forward thinking, technology driven advisory and accounting firm, helping clients to Be in a Position ofStrength SM in today's modern business landscape. Withum empowers clients with innovative tools and solutions to address their accounting, tax and overall business management needs. Withum is a place wher

Coding Compliance Auditor (HIM Inpatient) HIM Financial Full Time 8 Hour Days (Non Exempt) (Non Union) Keck Medicine of USC Hospital Alhambra, California In accordance with current federal & state coding compliance regulations and guidelines, the 'IP Coding Compliance Auditor" performs 2nd level reviews of previously coded inpatient accounts for MS DRG validation purposes

California Workers Compensation Claims Specialist Opportunities! Requisition ID 2023 23742 Job Locations US CA Brea Position Type Permanent Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our awesome team! The purpose of this posting is to

Drive implementation and consistent utilization of loss mitigation initiatives and practices. Review and investigate claims, assess losses and damages, and determine liability. Negotiate and process settlements and denials within assigned authority limits and in accordance with applicable policies, tariffs, contracts, bills of lading, and local regulations and conventions