Claims Specialist Administration 1265 John Q. Hammons Drive, 1265 John Q. Hammons Dr. , Madison, Wisconsin, United States of America Req #1830 Wednesday, April 24, 2024 Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER The Claims Specialist ensures the accurate entry of inpatient and outpatient claims per the data entry guidelines, and ensures the timel

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

Creating and maintaining provider demographic, billing, and network contract information within a database Audit provider loads for adherence to quality measurers and reporting standards Recommend methods to improve processes used by department You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on

Investigate and settle miscellaneous claims including license, probate, fidelity, and miscellaneous surety to meet contractual obligations and minimize company exposure. Investigate and determine liability of contract bonds claims for performance and labor and material payment bonds to resolve (and/or minimize) these at the lowest possible out of pocket cost to the compan

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

NO late nights - NO weekends and Air Conditioned Body Shop for your techs!

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Conducts moderate to complex subrogation investigations, evaluations, and communications to determine liability and recovery potential when third party responsibility has been identified. Determines recovery payments in accordance with assigned authority limit. Handles and/or assigns collection efforts to outside vendors such as attorney or collection agencies as appropria

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

Workers Compensation Senior Claims Representative Job Locations US WI West Bend | US WI Madison | US WI Appleton | US WI Waukesha | US NE Omaha | US NE Lincoln | US MO Kansas City | US MO Saint Louis | US Remote | US IA Des Moines ID 2024 2057 Category Claims Position Type Regular Remote/Hybrid Hybrid Company Overview Recognized as a Milwaukee Journal Sentinel Top Workpla

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

Casualty Claims Representative III 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 greatest asset. We hir

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

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

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