Member Advocate In support of Indiana Medicaid member engagement for the Hoosier Care Connect and Indiana PathWays for Aging programs, the ideal candidate will be a currently certified Community Health Worker or willing to obtain certification during first month of service. Bilingual candidates are encouraged to apply. This role will represent UnitedHealthcare Community P

include, but are not limited to Opening, stamping, reviewing, and assigning mail to appropriate claim folders Reporting claims to insurers when appropriate Responding to TPA emails regarding intake inquiries Downloading video and putting in corresponding claim folders Fielding phone calls and voicemails and responding to accordingly or directing to the appropriate person t

Correspond and interview with agents, witnesses, or claimants to compile information Take accurate and detailed statements from all involved parties Calculate and approve payment of claims within a certain monetary limit Negotiate and settle property losses with little oversight Coordinate with legal counsel in handling cases correctly Negotiation and Settlement Negotiate

Job Title Medical Reviewer Length of Contract 12 Months Location/Site Remote Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital signs, cardiac, medications, medical history, and can communicate with Study Lead any findings. Provide review of safety re

The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends, patterns, aberrancies, and outliers in provider billing behavior. Serves as a subject matter expert for o

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

Job Description Summary You will investigate and maintain property claims. You will determine liability, secure information, review coverages, arrange appraisals, and settle claims. Job Summary The Claim Adjuster position supports the Claim Division goal of ensuring customer service industry leadership and partners with agency to deliver seamless claim service. An experien

Competitive Pay! Overflowing benefit package 33 Paid days off 1st year! Responsible for ensuring optimal and timely reimbursement by maintaining accurate client eligibility information, resolving errors before claims are filed, and following up on claims, denials, payer correspondence, and authorizations. Work closely with the Supervisor of Reimbursement Billing to improv

Join us on our mission to create a completely new, 100% digital bank that truly serves customers' best interests. We are a close knit and fun loving team of seasoned financial services professionals who came together for the challenge of building a bank from scratch and we are committed to doing it all the right way (from technology infrastructure to modern marketing to c

include Liability Incident Reporting Evaluation Coordinate with operations on accident reporting, video review and follow up investigation Manage escalation of Critical Incident Reports Claim Coordination and Operations Support Review TPA files for proper set up, coding and diary Conference calls with claim adjusters for ongoing strategies Reserve/settlement authority with

The salary range for this job posting is $53,787.00 $86,059.00 annually + bonus + benefits The above represents the salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, education, experience, and other job related factors. Your recruiter can share more information about the specific salary range during the hiring process

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

Attend virtual/in person meetings and corporate/court onsite meetings Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national

Under general supervision, of the section supervisor or designee, perform commercial and residential assessments and appraisals of land, real property, mobile home properties and business personal property utilizing accepted property appraisal methods and computer assisted mass appraisal (CAMA) format which requires detailed research, effective decision making, accurate a