The Claims Examiner evaluates insurance claims to determine whether their validity and how much compensation should be paid to the policyholder. The Claims Examiner is responsible for reviewing all aspects of the claim, including reviewing policy coverage, damages, and supporting documentation provided by the policyholder. Roles & Responsibilities Review insurance claims

Putting People First in Pharmacy Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. W

The Commercial Lines Assistant Account Manager is responsible for assisting other members of the department with meeting the service needs of customers and performing essential functions that include processing changes, rating, making calls, and assuring correct information is input into the automation systems to achieve the quality and service standards developed by the

This position provides Rating & Underwriting services and support to the Sales team and is responsible for the production of rates for the 51+ markets. This position will support Rating & Underwriting services for Stop Loss products. Develops and issues proposal rates for group size 51+ and experience rated proposals. Develops and issues experience rated renewals for grou

The Claims Examiner evaluates insurance claims to determine whether their validity and how much compensation should be paid to the policyholder. The Claims Examiner is responsible for reviewing all aspects of the claim, including reviewing policy coverage, damages, and supporting documentation provided by the policyholder. Roles & Responsibilities Review insurance claims

HYBRID 2 3x in Mason Office. $2000.00 missing equipment fee is assessed , if equipment is not returned. Duration 06/30/2024 Temp to hire or extension Data Entry Test Scores required on Resumes. If not received, will decline resume. Hours M F/Full Time; 8 4 30 (30 Minute lunch) Hybrid 2x in office a week.. Must have adequate WFH space and follow all Client remote protocol.

Obtains insurance prior authorization for patient prescriptions, treatments, services, or procedures and re authorization for additional units including performing any retro authorization requests as allowed by payers; appeal prior authorization denials and help facilitate peer to peer reviews as needed. Appropriately document authorization details in the patient's medica

Receive all patient care reports (PCRs) for assigned clients and process in a timely manner Gather/find insurance information, and verify information in our files; verify insurance is valid for date of service Verify name, date of birth, and address for each patient, and doing the due diligence to find the aforementioned information if it not present. Perform other assign

As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisio

The Insurance Specialist is responsible for consulting with Clients on contractual insurance requirements via review of MSAs/contracts and conveying industry best practices in determining how to best reduce Client exposures. The Insurance Specialist will work in collaboration with the Insurance Verification team to deliver quick, high quality service and exceed Client exp

Provides underwriting technical support to renewal underwriters. Main responsibilities include assisting with renewal file preparation, endorsement requests, follow up with agents, binding process, and miscellaneous tasks. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust organization. The salary range for this

Drive implementation and consistent utilization of loss mitigation initiatives and practices. Review and investigate claims, assess losses and damages, and determine liability. Negotiate and process settlements and denials within assigned authority limits and in accordance with applicable policies, tariffs, contracts, bills of lading, and local regulations and conventions

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary Under supervision, this position is

Proactively identifies inadequacies and gaps in coverage Assists, or acts on behalf of, Producer with new and renewal business per agency workflows including, but not limited to, preparing new applications in agency management system, submitting applications to carriers & negotiating renewal terms with underwriters, obtaining information from clients when needed, and foll

The Commercial Assistant Account Manager is responsible for assisting other members of the department with meeting the service needs of customers and performing essential functions that include processing changes, rating, making calls, and assuring correct information is input into the automation systems to achieve the quality and service standards developed by the agency