- Providence (Mission Hills, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative… more
- MetLife (Cary, NC)
- …* Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. Provides timely, ... balanced and accurate claims reviews, documentation and recommended decisions in a time...information is needed to make a reasonable and logical claims determination based off the information available. Proficiently calculates… more
- Zurich NA (Topeka, KS)
- RCIS Crop Claims Specialist 116561 Zurich is looking...with claims that may require subrogation and/or claims that may lead to litigation + ... for an RCIS Crop Claims Specialist to work out of Kansas state. This incumbent will work from a home-based office. This position is scheduled to work 40 hours… more
- AIG (Atlanta, GA)
- Claims , QA Specialist - Worker's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and experience. Make your ... mark in Claims . Our Claims teams are the proven problem solvers of choice...+ Organize and execute Benchmark reviews as a Team Lead , including risk assessment, scheduling, sampling, GQA review team… more
- Axis (Alpharetta, GA)
- …Surety Claims . This role will be responsible for the handling of Surety Claims . The ideal candidate will ultimately grow, lead , and develop a team of ... and maintaining relationships with internal and external partners as their lead contact within the claims department for assigned claims and the claims… more
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. AXIS is seeking a Senior Claims Specialist - Excess Claims to join our North America ... maintaining relationships with internal and external partners as their lead contact within the claims department for assigned claims * Escalating coverage… more
- University of Washington (Seattle, WA)
- …Practice Plan Services (FPPS)** has an outstanding opportunity for a **full-time, day shift, CLAIMS SUPERVISOR.** **WORK SCHEDULE** + 40 hours per week + Day Shift + ... This position is Remote **POSITION HIGHLIGHTS** The Claims Supervisor is responsible for the coordination and control...responsible for the coordination and control of the Claim Specialist Team, ensuring that effective operations run smoothly and… more
- Northwell Health (Great Neck, NY)
- …Number** 134605 Job Description Serves as primary contact and project lead in the administration of non-clinical commercial insurance programs. Job Responsibility ... 3-5 years of relevant experience, required. HIGHLY PREFERRED + Medical malpractice claims handling *Additional Salary Detail The salary range and/or hourly rate… more
- AIG (Atlanta, GA)
- Join us as a Salvage Lead to grow your experience in Claims . Make your mark in Claims Our Claims teams are the proven problem solvers of choice for ... revise, and maintain appropriate Recovery Best Practices, including facilitating Salvage specialist recovery process training. + Collaborate with Claims to… more
- Guidehouse (Lewisville, TX)
- …can reach out to Chris Rivera (Recruiting Manager) at ###._** The **Credit Balance Specialist Team Lead ** will manage credit balance workloads and respond and ... years working knowledge can be of the following: credits, insurance claims , billing, coding, follow-up, finance, accounting or customer service related… more