Initiate the Commercial Lines audit process gatheringinformation from insureds and agents. Serve as the point of contact and provide support for policyholders throughout the audit process. Review and consolidate policyholder's payroll, financial records, tax reporting and other ad hoc reports to determine final Workers Compensation auditable exposures. Confirm policyholde

Claims Representative III (Casualty Investigation/Auto) Job Locations US Remote ID 2024 1992 Category Claims Position Type Regular Remote/Hybrid Remote Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our g

Claims Representative III (Bodily Injury/Specialty) Job Locations US WI Madison ID 2024 2079 Category Claims Position Type Regular Remote/Hybrid Hybrid Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our g

Oversees complex litigation in the eastern half of the United States through supervision of outside counsel. Proactively manages cases to drive favorable results for the insured and/or the company. Actively participates in ADR processes and manages all facets of a lawsuit from inception to conclusion. All file types are managed and all venues within the eastern United Stat

Investigate and maintain highly complex property/casualty claims. Determine liability, secures information, reviews coverages, arranges appraisals, and settles claims. Demonstrate experience to perform all areas of claim adjustment activities with the highest degree of competency and independence. May specialize in liability, property or catastrophe claims. You will report

Provider Enrollment Analyst Job Locations US WI ID 2024 2088 Category Provider Relations Type Regular Full Time Overview Quartz is thrilled to offer opportunities for professional growth in our Provider Enrollment Department. The Provider Enrollment Analyst will build and maintains Practice Locations, Facilities, Practitioners and Contracts in both the Provider Database a

This position will be in be in our Middleton, WI office three days a week under our hybrid work model. What You'll Do Verify that our customers have coverage Investigate and gather information about claims by contacting all parties involved Accurately document all decisions, correspondences, reports, and discussions G ain experience in determining liability and setting res

Develop solid, collaborative business relationships and establish face to face interactions with providers, strategic healthcare organizations, physicians, hospitals, health systems, provider and/or hospital organizations, medical societies, hospital associations, and healthcare organization leaders in Wisconsin Assist with and collaborate on progress towards the developm

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family res

Gundersen Health System is looking for an experienced individual to help our Professional Coding and Reimbursement Team continue to succeed and advance! The Supervisor works under the direction of the Director to effectively accomplish the duties and responsibilities outlined in Gundersen Health System’s Supervisor Job Charter. Supervises the daily operations of the

Technical Claim Specialist Workers Compensation Job Locations US ID 20243385 Category Claim Type Regular Full Time Introduction Looking to join a vibrant organization that makes a difference? At Church Mutual, we Stand for Good Our work is powerful, inspiring and meaningful because we serve those who serve others. We specialize in insuring purpose driven organizations, le

This position is primarily responsible for the valuation of commercial property in the City, and for assisting with the valuation of taxable business personal property. Hiring Range $28.1916 $38.0591 DOQ Schedule Monday Friday, 8am 4 30pm Tentative Interview Dates TBD Tentative Start Date TBD Explore the City of Waukesha benefit information at City of Waukesha Benefit Gui

Workers Compensation Senior Claims Representative Job Locations US WI West Bend | US WI Waukesha | US IN Indianapolis | US MI Detroit ID 2024 2047 Category Claims Position Type Regular Remote/Hybrid Hybrid Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 consecutive years, including three years of being honored as number one! Join us at Wes

You will be a great fit for this role if You are highly engaged in innovative clinical practice and prioritize excellent patient care You are motivated and excited to lead a high performing team of clinically focused pharmacists You are flexible and work well in a fast paced environment You enjoy and can demonstrate independent decision making and problem solving skills Y

Investigate all non standard claim problems (25%) Investigates for COB and determine the primary payer (25%) Investigate and process adjustment requests (25%) Adjust claim payments resulting from duplicate payments, incorrect payee, etc. Recover expended funds for managed care plans System documentation of investigation results Training of Coordination of Benefits claim p