director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management and the claims subcontractor...+ years of claims review experience Knowledge of all types of Medical claims review Preferred Claim coding experience...
of claim. Issues payments in a timely manner to claimants and vendors in accordance with all regulatory standards and laws... all claim file activities in accordance with established procedures. Prepares claims reports for internal and external...
options and a great culture. The Legal Claims Professional will under limited supervision handle public company Director... and coverage denial letters Notify Underwriter of claim issues Draft case summary reports in connection with significant reserve...
of claim professionals. Functions as a content specialist to assist in developing training curricula. Builds and maintains.... Maintains current knowledge of multiple coverage lines, venue-specific court decisions which may impact the claim function...
Excellence In Everything We Touch Position Summary Supervises and mentors a unit of claim adjusters and other staff... and oversee the analysis, review and validation of claims under the direction of the Managing Director. Ensures processes...
strategy is employed. This position reports to a line of Business Director. Responsibilities: Provides guidance, feedback... Assist in claim due diligence as part of the approval process for any new TPA or MGA/TPA partner Lead new TPA program...
, and to make an impact. This Claims Unit Manager I position reports directly to the Director of Claims and will oversee two..., while providing strong contributions to overall company and claims department success. Responsibilities: Produces standard claim...
, and to make an impact. This Claims Unit Manager I position reports directly to the Director of Claims and will oversee two... department success. Responsibilities: Produces standard claim outcomes by effectively managing 2-3 Claims Supervisors as direct...
Develops materials, Trains claims examiners regarding the system and claim procedures and documents results Identifies... Management and other business units on claim issues Contributes to a fair and positive work environment by treating peers...
Develops materials, Trains claims examiners regarding the system and claim procedures and documents results Identifies... Management and other business units on claim issues Contributes to a fair and positive work environment by treating peers...
for. Supports Director of Risk Management with reporting and analysis for annual budget process and insurance renewals. (25% time... a claim or suit against the company. Participates on the company's crisis management team to support venues with after hours...
Responsibilities: Claims Associate is responsible for assisting Wye River Insurance, a Bozzuto affiliate, with general claim... across all divisions of Bozzuto. They will manage the overall communication with claim adjusters and Third-Party Administrators (TPAâ...
. This position reports to a line of Business Director. Responsibilities Provides guidance, feedback, information to drive... results through Third Party Administrators Provide account management and oversight on assigned accounts Assist in claim due...
Division: Corporate Department : Claim Management Work Schedule: Mon. - Fri. 8 a.m. - 5 p.m. and occasional nights..., but not limited to, claim intake process, operates rapid response program, initial accident reporting and injury tracking, assigning...
Job description ServiceMaster Restore is looking for an outstanding full-time Claim Administrator to support the... will directly report to Senior Claim Administrator. On Commercial projects, the Claims Administrator will report to the Project...
on the claims process. Document claim activity in the claims management system and respond to claims issues, disputes... concerns and ensure timely claim resolution. Provide regular claim status reports to clients and review open/closed claims...
on outstanding claims and progress made to the Safety Director and HR Director Prepare monthly reports regarding claim status... teams to ensure a timely and accurate claim resolution Investigate claims as needed to determine validity and extent...
best-in-class claim service. We are seeking a dynamic self-starter to join our team as a Complex Claims Consultant... claim leadership and business partners to ensure the best possible outcome on every claim. Claims are handled...
is employed. This position reports to a line of business Director. Responsibilities: Provides guidance, feedback, information..., utilization of vendors and experts, litigation management, exposure mitigation and optimal claim resolution Effectively...
' Compensation, Property, Cargo and foreign liability claim to minimize the Company's financial exposure. Assists Director of Risk... for regulatory reporting and compliance. Primary Duties 30% Daily monitoring of claim reserves and case administration, including...