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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
Posted 3 days ago
Evaluates new and on going claims to determine compensability, medical evidence. Investigates questionable claims. Determines need for additional medical information. Performs periodic follow ups to verify continued existence of a disabling condition. Responds to telephone and written inquiries from claimants, attorneys, physicians and policyholders. Identifies and forwar
Posted 13 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 13 days ago
Do you enjoy helping others? Can you see yourself being the face of State Farm helping our customers in their time of need? This position is for a Fire Team Manager, overseeing Claim Specialists who handle one or a combination of the following accidental and weather related homeowners, commercial, and large loss claims. Team Managers are committed to leading and developin
Posted 27 days ago
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 Senior Claims Insurance Manager Medical Profe
Posted 20 days ago
Process / operations experience strong and proven experience leading field, technical repair or manufacturing teams in a fast paced, technology driven environment with strong customer facing responsibilities Experience developing and operating complex processes using lean or other techniques Technical acumen is required you must develop a knowledge of all Tesla products,
Posted 20 days ago
This position focuses on all CMS submission related operations in support of Prominence Health Plan's Medicare Advantage business. Activities include creating submission files related to chart retrievals per vendor proprietary format, perform data analysis in support of optimizing risk adjusted revenue, maintain compliance with all CMS standards related to health plan sub
Posted 15 days ago
The Claims Resolution Specialist is a pivotal role in ensuring the efficient and accurate processing of healthcare claims. Primary responsibilities will be to analyze and resolve complex claims issues, ensuring timely reimbursement for healthcare services provided. This role demands a deep understanding of healthcare billing and insurance procedures, exceptional attention
Posted 21 days ago
The Claims Examiner is detail oriented and will be responsible for reviewing and adjudicating health insurance claims for all products and all lines of business, including but limited to Medicare, Self Funded, Fully Insured, ensuring accuracy compliance with policies and regulations and timely settlements. This role involves assessing claims, verifying information, and co
Posted 21 days ago
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