needed to determine the disposition of life, annuity, health and disability claims within authority limits. Benefit and coverage decisions... and evaluates claims submitted on the company's life, annuity, health and disability products. Determines the company...
managing California Workers Compensation claims! SIP is a requirement! Bonus Opportunities! Multiple Employee Discounts...! Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works...
same job classification. Processes medical claims payable for Pima County members/clients and provides research... and technical expertise to complex or problem claims. The first review of applications will be on 10/18/2024. Duties...
; and attendance. Responsible for resolving a high volume of claims edits for all lines of business. Thorough knowledge of Fallon.... Price claims using external vendor processing systems and manually apply rates in the core system. Resolution of complex...
you will manage Environmental claims, both litigated and non-litigated. This role requires an individual to be accountable for the... handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement...
: Proactively communicate and set accurate claims expectations with customers throughout the Claims process while providing high... quality customer service. Research, analyze, and interpret policy language and state law as it applies to submitted claims...
accurate and timely reserves. Recognize and pursue recovery. Adhere to all statutory and regulatory fair claims practices.... Recognize and identify potential fraudulent claims. Effectively manage the use, work product and expenses of outside vendors...
complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry...
Job Description: In this role, the person will be primarily responsible for handling Commercial Auto Claims... requirements. Recognize and identify potential fraudulent claims. Effectively manage the use, work product and expenses...
and guiding them through the claims process. · Assure coverage for each loss and all policy provisions before processing... and evaluate claims indicators of fraud and escalates as appropriate · Utilize all claims tools provided to properly evaluate...
Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims... promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews...
same job classification. Processes medical claims payable for Pima County members/clients and provides research... and technical expertise to complex or problem claims. The first review of applications will be on 10/18/2024. Duties...
Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims... promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews...
Job Description: In this role, the person will be primarily responsible for handling Commercial Auto Claims... requirements. Recognize and identify potential fraudulent claims. Effectively manage the use, work product and expenses...
Claims Analyst position responsible for adjusting medical, dental and vision claims. Review and adjust medical claims... Review claims for legitimacy and accuracy Meet production and quality standards set for adjusters Properly assign over...
Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims... promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews...
with experience managing California Workers Compensation claims! SIP is a requirement! Bonus Opportunities! Multiple Employee... Discounts! Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision...
and collaborates with claims staff to ensure complete investigation to support recovery pursuit or closure Ensures best business... to other claims staff and functional areas Maintains a pending file count in accordance with subrogation unit guidelines Analyzes...
. Essential Duties & Responsibilities Manage a caseload of Commercial claims by monitoring and providing direction and authority... as needed to the contracted third-party claims administrator with reference to coverage determination, reserving, settlement...
multiple senior level Claims Examiners/Adjusters before the end of the year and are specifically looking for a few select... individuals with Dispute Resolution experience. Slide's Claims team is responsible for executing our commitment to helping...