Assist in efforts to enhance ease of use of physician portal and future services enhancements Assist providers and members with basic inquiries about claims, authorizations, benefits, and other issues Fostering and maintaining proactive, positive relations throughout the provider network by communicating with provider offices through face to face visits, emails, telephone

Act as internal counsel on the No Surprises Act and its rulemaking Act as internal counsel on state law regarding out of network reimbursement Act as internal counsel on preemption issues associated with the No Surprise Act and out of network reimbursement Provide internal counsel across the organization on out of network reimbursement Provide internal counsel on the reso

Claims Clerk Job Locations US NY Mitchfield Requisition ID 2024 18000 # of Openings 1 Category (Portal Searching) Administrative/Clerical Position Type (Portal Searching) Regular Full Time Fixed Salary USD $33,637.50/Yr. Overview The Claims Clerk will review insurance claims forms and documents for accuracy and completion and obtain missing information as necessary. Deter

Safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc. Research analyze and interpret subrogation laws in various states Travel outside of assigned territory which may involve overnight stay Work evenings or weekends Strong negotiating skills Who We Are Become a part of something bigger. The Auto Club Group (ACG) provid

The Sr. Claims Auditor utilizes CPT and ICD 10 coding to review physician claims and medical records for coding accuracy. Internal auditing functions focus on "desktop reviews" of claims, design and quality control of future audits, and other auditing related functions. Review clinical notes and claims submitted to verify the appropriateness of codes billed based on servi

Title Customer Service Advocate I Location Columbia, SC, 29229 Time 8 00am 8 00pm Duration 9 months assignment Training is 8 00 4 30 Monday Friday, the assigned shift will be 8 hours between the hours of 8am and 8pm. Onsite training last about 6 8 weeks with the option to work remote based on performance. The candidates should live close enough to report to the office if

Provide executive level administrative support to the Internal Audit team. The position requires a dependable, detail oriented individual with the ability to work in a high paced environment while planning and scheduling tasks and ensuring efficient, accurate and timely completion. Will be required to Interact with all levels of management. Maintain the security of confid

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

Responsible for the receipt, investigation, and facility responses to grievances that are filed by detainees of the facility. Makes recommendations for corrective action when appropriate. Primary Duties and Responsibilities Upon request, assists inmates/detainees in filing grievances through informal communication procedures. Maintains accurate records of detainees grieva

TITLE Claims Consultant LOCATION Remote About Us Curi is a full service advisory firm that serves physicians and medical practices. Equal parts fierce physician advocates, smart business leaders, and thoughtful partners, Curi's advisory, capital, and insurance offerings deliver valued advice that is grounded in client priorities and elevated by their outcomes. From data d

Claims Adjuster I Job Locations US FL Maitland Requisition ID 2024 16356 Category Claims Workers Compensation Position Type Regular Full Time Overview The Workers' Compensation Adjuster I is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds,

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en