Adjuster II Commercial P and C Claims CopperPoint Insurance CoAdjuster II Commercial P and C ClaimsAtlanta, GARemote5+ years of experience adjusting casualty claims (auto liability, general liability) is preferred, though candidates with exceptional large-loss or specialized casualty experience may be considered. With significant autonomy to evaluate coverage, assess liability, and negotiate resolutions, youll drive fair claim outcomes while protecting the interests of our insureds.
Claims Operations Associate W. R. Berkley CorpClaims Operations AssociateHigh Point, NCKey functions include but are not limited to the following: Maintain good lines of communication with employers, adjusters, and providers• Discuss with an employer, issues relative to an injured workers' return to work status• Request medical notes, proper billing format, and other written/verbal information from employers and medical providers to determine appropriateness of payment of medical bills and whether a claim is truly medical only• Timely and accurately reserve for medical only claims assigned• Document relevant written and oral communication received relative to medical-only claims in the log notes• Discuss with an employee, issues relative to whether a bill has been paid or whether travel or medical reimbursement has been issued• Assist in the management of communication of the unit with customers, providers and injured employees• Enter medical notes into claim log as required• Index images as neededIdentify potential subrogation claims and notify appropriate supervisor. Offering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers'' compensation exposures and deliver industry-leading results.
Operations Supervisor Chick-fil-AOperations SupervisorColumbia, SC$16–$18Cash Management: Ensure all systems are followed, finances are accurate and drawers are counted and “clean” for next shift; handle all back office cash and coupon management and end of day business management tasks. Store Communication: Proactively communicate via team text any pressing notes regarding team members, guests, or equipment/facilities; follow up on issues post-shift to ensure proper closure.
Sales Support Supervisor nVent Electric Inc.Sales Support SupervisorSan Diego, CAManagement of open orders; provide status update on orders to customers, communicate delays, revised due dates/delivery to customers, follow up on due and overdue orders internally with logistic and planning management. Ability to influence cross-functional teams and drive continuous improvement as part of fulfilling customer service excellence, including - but not limited to - technical support, engineering, sales, product management, finance, planning and logistics.
Senior Claims Adjuster, Specialty LotSolutions, Inc.Senior Claims Adjuster, SpecialtyJacksonville, FL$90,000–$150,000 / yearPart timeAs a direct report to the Manager of Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within Commercial Auto and General Liability lines of business. Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address.
Bilingual Supervisor - Flood Relief Call Center MCI CareersBilingual Supervisor - Flood Relief Call CenterWichita, KansasMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Forensic Accountant for Claims Preparation Aon CorporationForensic Accountant for Claims PreparationVirtual, New York$200,000–$250,000 / yearThis role is specifically seeking a Senior Claim Preparation Leader with particular knowledge and experience related to construction claims including Builders Risk with soft costs, delayed start up, and related business interruption claims. As part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions as part of our Aon Property & Risk Consulting business group within Aon Risk Solutions.
Supervisor, Claim Adjudication Operations Navitus Health Solutions LLCSupervisor, Claim Adjudication OperationsRemote$63,927.28–$76,900.12 / yearThe Supervisor, Claim Adjudication Operations (CAO) ensures efforts are in alignment with the CAO team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members and pharmacies by accurately administering benefits. ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.
APeX Claims Analyst UCSF Medical CenterAPeX Claims AnalystSan Francisco, CAYesWorks on complex initiatives to analyze patient care workflow in various clinical departments, and to develop and define information technology solutions for improved system integration and functionality. Ability to work with senior staff and managers, serving as a technical resource and providing advice and counsel on issues of functionality, efficiency, cost-effectiveness, policy, and performance.
Cash Claims Processor Global Channel ManagementCash Claims ProcessorCincinnati, OhioResearch insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges. High school degree required, Cash Claims Processor duties: Research and apply insurance payments from clients to the appropriate system invoice.
Senior Claims Adjuster, TPA Oversight LotSolutions, Inc.Senior Claims Adjuster, TPA OversightJacksonville, FL$100,000–$130,000 / yearPart timeThe Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.
Surgery Coding Supervisor Texas OncologySurgery Coding SupervisorRichardson, TexasRemoteScope of responsibilities includes appointment scheduling, insurance eligibility processes; charge processing; claim submission and processing; payment processing; collections and accounts receivable management; denial management; reporting of results and analysis; concurrent and retrospective auditing; proper coding; credentialing; customer services relative to revenue cycle; training and development relative to revenue cycle; analytics, and all other revenue cycle management activities. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby.
Account Manager II CCMSIAccount Manager IIReading, Massachusetts$90,000–$110,000 / yearAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.
Administrative Assistant II - Claims (Hybrid) Onebeacon Professional Insurance IncAdministrative Assistant II - Claims (Hybrid)Englewood, CO$59,000–$68,000 / yearIn return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society. For candidates located in San Francisco, CA; Washington DC; our Massachusetts based offices and the New York City metro area, the base salary range is $59,000 - $68,000.
Claims Specialist - Full Time FRONTIER HEALTHClaims Specialist - Full TimeGray, TNAll employees of the organization are expected to: Support the organization's mission, vision, and values of excellence and competence, collaboration, innovation, commitment to our community, and accountability and ownership. Demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed.
Customer Service Supervisor I MCI CareersCustomer Service Supervisor ILas Cruces, New MexicoFull timeMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Patient Account Representative - Medical Claims - A/R Follow-up Guidehouse IncPatient Account Representative - Medical Claims - A/R Follow-upMitchell, SDNote that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Meet with payer escalation representatives monthly (or as required) to review outstanding escalations and identified payer trends & issues.
Patient Account Representative - Physician Claims Guidehouse IncPatient Account Representative - Physician ClaimsLewisville, TXThe Patient Account Representative has an extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event.
Claims Cash Processor Global Channel ManagementClaims Cash ProcessorNew YorkIdentify and recommend systems and process modifications necessary to improve the efficiency and effectiveness of the Assignment processes. Cash Claims Processor requires: Working knowledge of mainframe computers and systems in general, ie: AS400.
Patient Account Representative - Medical Billing and Claims Guidehouse IncPatient Account Representative - Medical Billing and ClaimsBirmingham, ALDuties may include but are not limited to; timely and accurately processing of overpayment requests, post contractual adjustments, write offs, or transfers accordingly to resolve credit balances, resubmits claims and supporting documentation as needed, and communicates with third party payers in response to overpayment requests and/or to obtain insurance hierarchy information. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event.