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

Investigate litigated claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information. Attend depositions, mediations and trials as needed. Analyze information, including depositions, expert reports, attorney evaluations, and medical reports, gained from discovery during litig

Senior Property Adjuster Requisition ID 2024 25252 Job Locations US GA Atlanta Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary Reviews and provides repair estimates for moderately complex to highly complex residential and commercial property claims by conducting thorough field investiga

The Medical Billing Payor Verification for Government Payors will work with payor portals and payors via tele phone communications to verify benefits, deductible and out of pocket amounts, primary, secondary, and tertiary payors. Problem solve and research and resolve coordination of benefits issues. Work as a team to meet team goals and deadlines. HOURS/WORK SCHEDULE Tra

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 Preference in filling vacancies is

You will be responsible for leading the automated testing efforts for the project. Your day to day activities will involve designing and implementing automated test scripts using the Automated Testing primary skill with advanced proficiency, as well as the Test Automation Framework secondary skill with advanced proficiency. You will also be responsible for test execution

Claims Specialist Workers Compensation Requisition ID 2024 25248 Job Locations US MN Minneapolis | US IL Lake Zurich Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Administers and resolves non complex short term claims of low monetary amounts, including medical only claims. Documents and monitors

Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. Description What You'll Do May perform any or all of the following in the enrollment of providers determines the acceptability of provider

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

Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits plan. The Service Authorization Specialist is responsible

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

Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. Job Description The Analytical Data Operations (ADO) division is Verisk/ISO's data refinery, ensuring that ISO's analytical eng

POPULATION SPECIFIC CARE No direct patient care. ESSENTIAL FUNCTIONS An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform. Focuses on insurance accounts identified as high risk by the department. Notifies insurance company of s

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

At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees. This position is eligible to work from home anywhere in the United States Essential Functions Reviews the cla