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Respond to crop claims by completing field inspections, communicating with involved parties, performing investigations, determining appropriate adjustments and administering insurance policies to ensure compliance with state and federal regulations. Primary responsibilities Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and
Posted Today
Under general direction this position will provide support to the claims department leadership team, trainer/auditors and systems team to ensure the departments compliance goals are met. Essential Functions Data enters and adjudicates internal and external claims on a timely basis in accordance with departmental policies, procedures and standards. Researches resubmitted or corrected claims and pen
Posted 1 day ago
Under general direction this position will provide support to the claims department leadership team, trainer/auditors and systems team to ensure the departments compliance goals are met. Essential Functions Data enters and adjudicates internal and external claims on a timely basis in accordance with departmental policies, procedures and standards. Researches resubmitted or corrected claims and pen
Posted 1 day ago
Processes corrections to claims accurately and in a timely manner. Assists with claim inquiries while maintaining production and quality standards in accordance with department processing standards of monitoring back outs greater than one year. Essential Functions Performs detailed research and reprocessing of AHCCCS, Medicare (Special Needs Plan) and commercial claims using a back out function in
Posted 1 day ago
Ability to prioritize and balance multiple demands and competing deadlines Physical Requirements and Work Environment Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse Office environment Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented p
Posted 2 days ago
Handle a steady volume of new referrals daily Understands concepts of coverage, policy interpretation and liability determination to analyze and move claims towards resolutions Research applicability of laws, regulations and other requirements to cases Ensure compliance with Health Insurance Portability and Accountability Act Validate claim liability, adjuster's contact information, claim status,
Posted 2 days ago
Limited work experience. Works on simple tasks using established procedures. Depends on others for guidance. Work is typically reviewed by others. Provides administrative support to a department or a member of management. May perform several of the following duties photocopying, scanning, compiling records, filing, tabulating, posting information / data entry, phone reception and mail distribution
Posted 2 days ago
Description Summary of Responsibilities Handle complex claims with minimal supervision and guidance from the manager. Utilize current Claims technology. Research and formulate a basis on which coverage decisions will be made, conduct thorough investigations, evaluate damages and liability. Negotiate settlements with insureds, claimants and attorneys. Responsibilities also include active file man
Posted 3 days ago
We are looking for a Claims Representative Casualty Adjuster to work out of our Chatsworth, CA office. As part of the Kemper auto claims team, you are part of the group that delivers on a promise to provide exceptional service to our customers who have experienced a recent insurance loss. Our Casualty Adjusters use the latest computer systems to conduct investigations on claims found to be caused
Posted 3 days ago
Atterro
- Ridgefield Park, NJ
1. Process Sales Deduction claims through Claim Hub 2. Maintain and analyze numerous Sales Deduction budgets for Regional Sales 3. Work with Sales in order to reduce monthly chargebacks 4. Analyze chargeback process and design a way to lessen number of deductions or process more efficiently so end number is reduced 5. Assist with special requests Performance Standards (How will duties be measured)
Posted 3 days ago
This position provides credible appraisals to internal and external clients by following the provisions of the Uniform Standards of Professional Appraisal Practice (USPAP) and maintains sales data and valuation systems. Supports both core markets and Agri Access review. Successful candidates will Apply approved appraisal practices and procedures to produce credible, reliable, and well supported va
Posted 3 days ago
Healthcare-Revenue Cycle Management
Posted 3 days ago
There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like UnitedHealth Group are driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here's where you come in. You'll use your strong customer service orie
Posted Today
Q.B.E North America
- Philadelphia, PA / Pittsburgh, PA
Respond to crop claims by completing field inspections, communicating with involved parties, performing investigations, determining appropriate adjustments and administering insurance policies to ensure compliance with state and federal regulations. Primary responsibilities Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and
Posted Today
Q.B.E North America
- Missoula, MT / Great Falls, MT
Deliver prompt and accurate claims service to policyholders and agents for both multi peril crop insurance (MPCI) and crop hail claims by completing field inspections, communicating with involved parties, performing investigations, determining appropriate adjustments and administering insurance policies to ensure compliance with state and federal regulations. Partner with Field Claims Manager to e
Posted Today
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