At Hortica, we believe people are our competitive advantage. We strive to attract, train and motivate our employees to keep Hortica as a market leader in our industry. We are committed to hiring people with the potential to excel. As a brand of the Sentry Insurance Group, we are the insurance specialists for the horticultural industry in America. What You'll Do The ideal R

Serve as single point of contact to the physician network and is an accountable owner, responsive to physician needs. Knowledgeable about incentive programs, contract reimbursement, Optum's internal processes and priorities, and other Optum initiatives, as applicable Monitors performance of assigned PCPs, identifies low performing PCPs and works with IPA leadership to dev

Designs and implements programs to build and nurture positive relationships between the health plan, providers (behavioral health clinicians, hospital, ancillary, etc.), and practice managers Onboards new providers who join the network Directs and implements strategies relating to the development and management of a provider network Identifies gaps in network composition

Direct handling of small to medium size Workers' Compensation claims Timely insured and claimant communication Coverage Analysis File documentation and diary management Claim entry and claim transaction Agent communication Other duties as assigned Some travel may be required Qualifications Excellent phone etiquette along with strong oral and written communicative skills (

The Patient Accounting Specialist is responsible for working directly with insurance companies, patients and families to verify proper benefits eligibility on admission inquiries, collecting co pays/deductibles from patients, assisting with establishing effective and timely payment plans with patients. This position requires individuals to have a thorough knowledge of cla

Job Posting Special Investigator (Non Peace Officer) Department of Cannabis Control JC 428119 Special Investigator (Non Peace Officer) SPECIAL INVESTIGATOR $5,314.00 $8,686.00 per Month Final Filing Date 5/1/2024 Job Description and Duties Under the supervision of the Supervising Special Investigator (SSI) I, the Special Investigator conducts inspections, investigations,

Job Posting Special Investigator (Non Peace Officer) Department of Cannabis Control JC 428101 Special Investigator (Non Peace Officer) SPECIAL INVESTIGATOR $5,314.00 $8,686.00 per Month Final Filing Date 5/1/2024 Job Description and Duties Under the supervision of the Supervising Special Investigator (SSI) I, the Special Investigator conducts inspections, investigations,

This position is for an Auto Estimator, handling claims resulting in property damage to vehicles. You may be the first point of contact to meet with our insureds, explain coverage, estimate vehicle damage, and help them through the claims process while providing Remarkable service. This includes Utilizing automated estimating systems to prepare repair estimates Providing

An independent Claims Handler role focused on low to mid value claims with no significant coverage issues to help achieve the Beazley vision of being the highest performing specialist insurer. To contribute to the overall performance, development, and management of the Beazley claims function. To proactively manage claims, primarily at the individual level while gaining e

The Claims Specialist will manage a caseload of pending insurance claims with minimal supervision. Job functions include the following Analyzing insurance claims to determine applicable coverage; Analyzing claims to determine the extent of the insured's or insurer's liability; Reviewing and evaluating damages and determining strategies for resolution; settling claims in a

The Medical Billing Payor Verification Commercial will work with payor portals and payors via phone communications to verify benefits, deductible and out of pocket amounts, primary, secondary, and tertiary payors. Problem solve and research and resolve coordination of benefits issues. Work as a team to meet team goals and deadlines. ESSENTIALFUNCTIONS/DUTIES Utilize payor

The Medical Billing Claim Prep and File Representative will be responsible for various areas within the Claim Prep and File Team. Duties can include Work with patients and patient families via telephone communication to verify demographics, insurance including health insurance, first party coverage and third party liability Update patient transport record when updated inf

Senior/Executive Claims Specialist Job Locations US NJ MORRISTOWN Job ID 2024 3775 Category Claims Type Regular Division Surplus & Specialty Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a fi

Title Customer Service Advocate II Location Columbia, SC, 29229 Duration 3 months assignment Shift Monday Friday 8Am 5Pm Note PREFERRED/NICE TO HAVE skill sets/qualities Call center experience and high volume call center experience, Workday experience. Duties Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed

The primary function of the MIR for Pre Arrival is to obtain, verify, and confirm patient demographic information as well as insurance eligibility using a variety of tools and resources. The primary function of the MIR for Non RSS is to create accurate patient accounts in the practice management system (PMS). This position aids in the efficient operations of change proces