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Blue Shield of CA
- El Dorado Hills, CA / Oakland, CA / Long Beach, CA / 3 more...
Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians . The Registered Nurse Case Manager will report to the FEP Department M
Posted 1 day ago
Work under normal supervision with an intermediate level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units. Resolve coverage questions, take statements and establish clear evaluation and resolution plans for claims. W ill earn a competitive salary of $62,281 $76,000 annually with annual bonus potential base
Posted 1 day ago
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 P
Posted 1 day ago
Oversee the management and auditing of all claims within assigned area of responsibility throughout the process from notice of loss to payment Communicate with agents, claimants, field staff and other key stakeholders around claim status, disputed claims, product documents, escalated questions and problems and general information requests Manage a field claims team by set
Posted 1 day ago
Distribute and direct losses and claim tracking for defined territory or agency base to support delivery of effective customer service and claim resolution and ensure team alignment with business goals Accurately document, process and transmit loss information in order to determine potential damages associated with difficult and complex claims Provide overflow support to
Posted 1 day ago
Distribute and direct losses and claim tracking for defined territory or agency base to support delivery of effective customer service and claim resolution and ensure team alignment with business goals Accurately document, process and transmit loss information in order to determine potential damages associated with difficult and complex claims Provide overflow support to
Posted 1 day ago
Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company crop insurance policies Ensure compliant and cost effective application of crop policies by leveraging knowledge of basic insurance statutes and regulations and complying with state and federal regulatory require
Posted 1 day ago
Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company crop insurance policies Ensure compliant and cost effective application of crop policies by leveraging knowledge of basic insurance statutes and regulations and complying with state and federal regulatory require
Posted 1 day ago
Provides technical expertise and work direction to a claim unit by reviewing and assigning claims to claim representatives. Ensures prompt and accurate file handling by prioritizing workloads and conducting file quality audits. Supervises and motivates assigned staff to provide quality file handling and settlement with superior customer service. This role will work out of
Posted 1 day ago
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
Posted 1 day ago
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
Posted 1 day ago
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
Posted 1 day ago
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
Posted 1 day ago
OF DUTIES Protect the fiduciary interests of the Corporation through collection efforts, and prompt investigation and administrative handling of personal injury and property damage claims brought by passengers, employees and others. ESSENTIAL FUNCTIONS Thoroughly investigates liability and damage aspects of accidents/incidents involving reports of personal injury and prope
Posted 2 days ago
It is the responsibility of the Member Service Specialist to uncover and deliver ways to (1) save or make money for the member; (2) save them time or provide a convenience; (3) provide peace of mind for the member; or (4) generally improve the member's financial knowledge. This will be accomplished by performing a variety of member service duties, including establishing m
Posted 2 days ago
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