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SIRVA
- Fort Wayne, IN
40% Verification Verify and investigate all aspects of the claim to ensure legal liability of the settlement is established and accountable parties are identified and notified Utilize all contract paperwork, contract agreements, repair firm assessments, hauler/agent/helper/account//customer communication in the assessment of liability and the investigation of the claim 40% Negotiation Determine th
Posted Today
include the following. Other duties may be assigned. Enters investigative information into the case tracking systems. Works with the team to prioritize complaints for investigations. Analyzes data for appropriateness of fraud, waste and abuse issues in accordance with pre established criteria, requesting additional documentation if necessary. Refers all potential adverse decisions to the Lead Inve
Posted Today
include the following. Other duties may be assigned. Enters investigative information into the case tracking systems. Works with the team to prioritize complaints for investigations. Analyzes data for appropriateness of fraud, waste and abuse issues in accordance with pre established criteria, requesting additional documentation if necessary. Refers all potential adverse decisions to the Lead Inve
Posted Today
Under direct supervision, reviews and codes claim data. Records and transmits complex claim data for processing of client risk management reports, according to client, broker and company specifications. Responsibilities • Reviews claim data on a daily basis for accuracy. • Selects proper codes for new claims, which describe cause of accident and body part for specific lines of insurance.
Posted Today
Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Description 60% Researches and responds to telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality a
Posted Today
Change Healthcare
- Charter Township of Clinton, MI
Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact. As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities. Here at Change Healthcare, we're using our influence to drive positive changes across t
Posted Today
Do you have a passion for working with people in the healthcare setting? Do you want to have an impact on scientific advancements in the medical field? If so, we are looking for someone like you to join our Reimbursement Hotline Team. About Smith & Nephew Smith & Nephew is committed to helping people regain their lives by repairing and healing the human body. At Smith & Nephew you will have the op
Posted 1 day ago
Full time Provider Relations Representative available for Long Beach and surrounding communities. 8 hours per day/5 days per week. This position is responsible for marketing and referral development activities geared toward specific market segments including, but not limited to; Medical Groups, Independent Practice Associations, Hospitals, Private Physicians, Mental Health Professionals, Insurance
Posted 1 day ago
This is an exciting time to join Portland General Electric. As Oregon's largest electric utility, Portland General Electric is leading an energy transformation that will harness the power of clean and renewable resources. Our vision for a clean energy future relies on three interrelated and overarching strategies de carbonize through investing in clean and reliable energy; modernize through a smar
Posted 1 day ago
To direct flow of auto liability claims in Risk Management; proper adjusting of casualty files from onset of loss through settlement to minimize and reduce exposures to company. Responsibilities 1. Receive first reports relating to coverage 2. Process claims to insure proper handling occurs to conclusion 3. Direct claims as required to outside adjuster and follow adjuster activities to conclusion
Posted 1 day ago
This ScrumMaster role supports Mesa's Engineering and Product Management team and is responsible for developing and guiding the team on Agile/Scrum practices and values. Essential Duties Core duties and responsibilities include, but are not limited to, the following Project and timeline management. Conduct the various stand ups and Agile ceremonies. Remove impediments and blockers to the t
Posted 1 day ago
Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate to difficult claims. Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Evaluates and sets reserves using independent judgmen
Posted 2 days ago
The Disability Benefit Specialist will be relied upon to obtain and evaluate information in order to determine eligibility of benefits. Must be able to demonstrate a general knowledge of disability contracts, policies, and products and continued understanding of medical and vocational issues. Uses disability claims system for timely and accurate claims review, and effective communication of ration
Posted 2 days ago
Responsible for the billing, collection, and resolution of Insurance related account balances to include the development of action plans to resolve delinquent accounts and respond to complaints as well as trending and reporting of results. Must be capable of assisting Physician Insurance Analyst I, Physician Insurance Analyst II and Physician Insurance Analyst III in performing day to day duties.
Posted 1 month ago
Reports claims to appropriate carriers / brokers and maintains accurate and up to date claim data in the agency management system in accordance with agency workflows. Investigates coverage questions and acts as a liaison between all parties to resolve claim related issues. Communicates escalated claims issues, legal notifications, and high reserve /payment information to the department manager, pr
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