Claims Coordinator ServiceMaster Cleaning and Restoration ServicesClaims CoordinatorCarterville, IllinoisAs the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described / titled and uploaded in real time and Follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.
Field Property Claims Adjuster: St. Louis, MO Farmers Insurance GroupField Property Claims Adjuster: St. Louis, MOSaint Louis, MORemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Field Property Claims Adjuster: College Station, Madisonville, Lufkin, Or Huntsville, TX Farmers Insurance GroupField Property Claims Adjuster: College Station, Madisonville, Lufkin, Or Huntsville, TXCollege Station, TXRemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Field Property Claims Adjuster: Springfield, MO Farmers Insurance GroupField Property Claims Adjuster: Springfield, MOSpringfield, MORemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Field Property Claims Adjuster: Denton, Lewisville, Grapevine TX, Territory Farmers Insurance GroupField Property Claims Adjuster: Denton, Lewisville, Grapevine TX, TerritoryTX, TXRemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Field Property Claims Adjuster: Cape Girardeau, MO Farmers Insurance GroupField Property Claims Adjuster: Cape Girardeau, MOCape Girardeau, MORemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Field Property Claims Adjuster: Crosby, Dayton, & Liberty, TX Farmers Insurance GroupField Property Claims Adjuster: Crosby, Dayton, & Liberty, TXHouston, TXRemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Field Property Claims Adjuster: Fort Worth, Arlington, Euless, TX Territory Farmers Insurance GroupField Property Claims Adjuster: Fort Worth, Arlington, Euless, TX TerritoryFort Worth, TXRemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Candidates Must be Willing & Able to: Climb Ladders to inspect roofs, and be comfortable working on rooftops, multiple times per day, Work in small, confined spaces that have been damaged; such as attics and crawlspaces.
Field Property Claims Adjuster: Corpus Christi, TX Region Farmers Insurance GroupField Property Claims Adjuster: Corpus Christi, TX RegionCorpus Christi, TXRemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
NewField Property Claims Adjuster - El Paso, TX Farmers Group, Inc.Field Property Claims Adjuster - El Paso, TXEl Paso, TXRemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
NewSr Field Property Damage Claims Adjuster: San Diego Farmers Group, Inc.Sr Field Property Damage Claims Adjuster: San DiegoSan Diego, CA$27.73–$47.07 / hourExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Candidates must be willing and able to: Climb Ladders to inspect roofs, and be comfortable working on rooftops, multiple times per day, Work in small, confined spaces that have been damaged; such as attics and crawlspaces.
NewField Property Claims Adjuster: Iowa City, IA Farmers Insurance GroupField Property Claims Adjuster: Iowa City, IAIowa City, IARemote$24.70–$41.88 / hourExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Candidate must be willing and able to: Climb Ladders to inspect roofs, and be comfortable working on rooftops, multiple times per day, Work in small, confined spaces that have been damaged; such as attics and crawlspaces.
NewField Property Claims Adjuster: Green Bay And Appleton WI Area Farmers Insurance GroupField Property Claims Adjuster: Green Bay And Appleton WI AreaGreen Bay, WIRemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Case Manager I, Claims Management Walmart IncCase Manager I, Claims ManagementBentonville, AR$60,000–$110,000 / yearOur Claims Management team is dedicated to delivering fair, timely, and empathetic resolution of workers' compensation and general liability claims, ensuring compliance with all regulatory requirements. Establish timely and accurate reserves on claims; Escalate claims to the Claims Manager if claim value exceeds reserve authority.
Life & DI Claims Examiner I Renaissance Life & Health Insurance Company of AmericaLife & DI Claims Examiner IIndianapolis, IndianaAnswer verbal and written inquires and customer service queued calls on Group claims from insureds, group policy holders, agents, physicians, hospital attorneys, Workers' Compensation Board, Workers' Compensation carriers, State agencies, other insurance carriers, TPA's, Reinsurers and internal staff. Knowledge of ERISA regulations, statutory disability claims administration, required offsets and deductions, disability duration and medical management practices and Social Security application procedures strongly preferred.
Assistant Director, Claims Operations Impresiv HealthAssistant Director, Claims OperationsHuntington Beach, CA$95,000–$120,000 / yearThe Assistant Director will provide operational, analytical, administrative, and project support across claims processing, 837 file oversight, payment integrity, issue resolution, provider and IPA coordination, reporting, audit readiness, system initiatives, and process improvement. Track, document, escalate, and help resolve complex claims issues involving providers, IPAs, delegated entities, vendors, and internal departments.
Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required) Excellus BCBSPayment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required)Rochester, New YorkMinimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems.
Certified Clinical Coder - Texas Medicaid - Medical Billing/Coding Texas Health and Human Services CommissionCertified Clinical Coder - Texas Medicaid - Medical Billing/CodingAustin, TX$4,523.16–$7,253.83The Certified Clinical Coder Program Specialist V in this position must be proactive in seeking input from other staff in the Medicaid and CHIP Services Department and demonstrate the ability to work as an effective team member within Medical Benefits as well as other divisions and business areas within HHSC. Acts as the liaison with HHSC staff and other business areas and HHS agencies by providing complex technical assistance and guidance on medical benefit coding and billing related changes during workgroups and meetings.
PASRR Specialized Services Reviewer Texas Health and Human Services CommissionPASRR Specialized Services ReviewerAustin, TX$4,263.16–$5,521.16Provide technical assistance and policy clarification to external providers on PASRR procedures, policies, and rules, including requests for nursing facility specialized services submitted through the TMHP Long Term Care (LTC) Online Portal and IDD habilitative specialized services processed through manual procedures. This position performs highly complex senior-level work and is responsible for assisting the manager and the PASRR Specialized Services Lead with reviewing, adjudicating, and authorizing requests for specialized services under the PASRR program.
Service Rep OPL / OPEIU Highmark IncService Rep OPL / OPEIUNYProvides quality customer service in a high volume contact center to include providing complete, accurate and timely responses to inquires from subscribers, members, providers, internal and external customers; Processes and adjusts claims. Responds to and resolves inquires from subscribers, members, providers, facilities, groups, other plans and other departments: Communicates and interacts with internal and external customers in a clear, unambiguous, concise, professional and empathetic fashion.