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Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description 40% Responds to written and/or telephone inquiries according to desk proced
Posted 1 day ago
The success of any business relies upon its ability to match opportunities with the right resources and most importantly, the right people. BXS Insurance provides Commercial, Employee Benefits, and Personal insurance brokerage and consulting services throughout the United States. The Commercial Lines Insurance Sales Associate position is an excellent growth and career development opportunity. Thi
Posted 1 day ago
Be the person who becomes an expert on everything insurance policy related at our company. Help transfer that knowledge to others. We offer a complete benefit package including health, dental, life and LTD insurance, employee bonus plan and matching 401(k) plan. Responsibilities Monitors regulatory activity and knowledge of regulations, rules and laws that impact company products and corporate co
Posted 3 days ago
This professional level claim specialist conducts the review and investigation, liability determination, and management of short term and long term disability claims. This position acts independently and autonomously managing the claim by conducting a thorough review and investigation, determining what additional resources (medical consults, TSAs, IMEs, etc.) are appropriate to be utilized, and de
Posted 1 day ago
Responsible for responding to customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description 45% Ensures effective cus
Posted 1 day ago
SRC is responsible for the supervision and regulation of state member banks (SMBs), bank holding companies (BHCs), savings and loan holding companies (SLHCs), financial holding companies (FHCs), data service providers, trust companies and large and foreign banking organizations (LFBOs). Supervised financial organizations are located across the District and range in size and complexity from small c
Posted 1 day ago
Quality and Risk Management Coordinator Full Time Location Kentfield Hospital Kentfield, CA Come grow with Vibra Healthcare , where we manage from the bedside up every day. Join a strong, knowledgeable company that values each employee as an individual. Our expanding organization wants compassionate healthcare professionals like you to help us get our patients back to better. Kentfield Hospital i
Posted 2 days ago
The work of a ServiceAdvocate III is guided by instructions, established work routines and/or closesupervision. Incumbents are given somelatitude on deciding on how tasks and duties are completed based on changing worksituations, work flow, etc. and supervisory approval. Incumbents perform semi routine dutieswithin established systems and procedures. Essential Functions Review and adjudicate high
Posted 1 day ago
Responsibilities include but are not limited to Coordinate OPM OIG Audits Resolve OPM OIG Final Audits and ensure that recommendations are fully implemented Participate in Plan Control Performance Reviews (either complete an area within the audit program or review staff work papers for completed areas of the Program) Complete FEP Compliance activities related to auditing the Annual Accounting Stat
Posted 4 days ago
Grow with a leader! G4S Compliance & Investigations, the global leader in insurance mitigation claims, currently seeks flexible, energetic, and creative applicants for a part time SIU position in the San Luis Obispo, CA area. Interested candidates meeting the above requirements for this position should forward a cover letter and resume to G4S for review. For more information on G4S C&I please visi
Posted 1 day ago
Initiate claims notification to customer on same day as incident Document claim file with notes, updates and decision making process Collect, review and evaluate damage estimates Arrange and schedule field appraisals when estimates received require an independent review Work with our preferred body shops to complete vehicles repairs Verify body shop invoices agree with authorized repair, are appro
Posted 1 day ago
Sun Life Financial
- Scottsdale, AZ / Boise, ID / Salt Lake City, UT / 1 more...
You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues experts in their fields who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities t
Posted 1 day ago
Conduct loss control surveys on new and renewal business and provide loss control services to complex, large sized accounts, evaluating adequacy of hazard controls present and suggesting improvements where needed, and solicit new business form agents to support achievement of regional and business objectives Provide risk analysis and consultative services for complex, large accounts within assigne
Posted 1 day ago
Maple Life Financial
- Bethesda, MD
We are seeking a Case Manager with experience or interest in Life Insurance or related financial industries , to function as a liaison between agents and underwriters by reviewing new applications, following up on outstanding requirements, and engaging in ongoing communication with agents, vendors and clients. If you are organized, detail oriented and are a proactive thinker who takes initiative t
Posted 4 days ago
Investigate, evaluate, negotiate, and settle moderate difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned lines of business promptly and equitably under general supervision. Responsibilities Receives claim assignment, confirms policy coverages and directs acknowledgement of claims. Interprets and makes decisio
Posted 8 days ago
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