Provides technical expertise for assigned product line(s) in the handling of complex, contestable, sensitive and large benefit amount claims. Primary Duties & Responsibilities Responsible for providing technical expertise to applicable product line benefits division in the handling of complex, contestable, sensitive and large benefit amount claims. This includes responsib

As a Fraud Support Representative, you will have the opportunity to create a difference in the lives of our customers every single day. You will use sound judgement to assess the risk level when reviewing accounts for possible fraudulent activity. You will also assist with investigations on fraud cases with direction from your Team Leader. Skills & Attributes Needed The f

Construction Safety & Risk Control Consultant Are you ready to bring top tier innovation to clients nationwide? Can you become the difference maker that leads to our client's success stories? If you answered yes to both of those questions Aon is looking for you to become part of setting the gold standard in client servicing! This opportunity is a virtual position with exp

Casualty Claims Representative Job Locations US WI West Bend ID 2024 2036 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 greatest asset. We h

of Responsibilities Manage a team of senior level claim specialists and/or supporting technical staff. Claims processed are primarily third party claims on our personal lines and commercial lines of business but could include all lines of business. Oversee the investigation and settlement of all claims, litigated and non litigated assigned to the team. Provide advice and d

Investigate and maintain commercial property claims, focused on residential structures. Determine liability, secure information, review coverages, arrange appraisals, and settle claims. You will report to a Manager. You will work in the field and handle moderately complex commercial property field claims typically within 1 2 hours of Madison/Milwaukee, WI. You must be loca

Company Cities and Villages Mutual Insurance Company Location Wauwatosa, WI Position Safety & Risk Management Specialist SERVICE FIRST. INSURANCE ALWAYS. Are you a Safety or Risk Management professional who loves to create that awareness and appreciation in others? Do you enjoy flexibility and variety in what you do each day? Cities & Villages Mutual Insurance Co. (CVMIC)

We are seeking an exceptional Principal Biostatistician with strong statistical and computational skills to participate in the discovery, development, validation, and post marketing support of genomic biomarker assays that help cancer patients and their physicians make better treatment decisions. This role will directly collaborate with internal and external thought leade

Providing cancer patients access to clinically actionable diagnostics that transform treatment decisions and outcomes is part of Exact Sciences guiding principles. Successful market access outcomes are fundamental to the achievement of Exact Science's mission and requires a high level of commitment, eager to overcome challenges and pave the way. The Senior Manager Market

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