This position requires the ability to work independently researching and reviewing inquiries from members and providers. Also requires knowledge of benefit interpretation, claims reviews, CPT and ICD coding. Responsible for analyzing, researching, and managing appeal/grievance inventories from members and providers. Respond to inquiries using verbal and written forms of c

A Customer Service Professional position requiring creativity, empathy, interpersonal skills and a strong desire to assist customers. Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empathy and understanding and explains policy coverages and claims processes to customers. Authorizes payments in acc

The Technical Service Specialist under the leadership of the Team Leader, Claim Adjudication will support the process to increase the profitability of the company's finance and insurance (F&I) products and services provided to automobile dealers. The Technical Service Specialist will provide superior customer service to dealers, consumers, repair facilities, and other cus

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 insurance statutes and regulations and complying with state and federal regulatory requirements

Apply if looking for Flexibility and Financial Freedom

At Dearborn Group, 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 This Position Is Responsi

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

Claims Program Manager, Medical Stop Loss (Remote or Eatontown, NJ) Job Locations US NJ EATONTOWN | US NJ Remote | US FL Remote | US TX Remote Job ID 2023 3471 Category Claims Type Regular Division A&H Crum & Forster Company Overview Crum & Forster (C&F) Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance p

Come work at a place where we take pride in creating a workplace environment that values hard work, commitment, and growth . Job Description Education High School diploma or equivalent required Associate's degree in Business Administration or relevant field of study preferred Insurance adjuster license required Work Experiences 4+ years' claims experience working with wor

Provide executive level administrative support to the Internal Audit team. The position requires a dependable, detail oriented individual with the ability to work in a high paced environment while planning and scheduling tasks and ensuring efficient, accurate and timely completion. Will be required to Interact with all levels of management. Maintain the security of confid

Expedite and oversee administrative process of clients' insured claims as assigned within region, including but not limited to general liability, builders' risk, professional liability, pollution, and auto liability claims. Essential Duties & Key Responsibilities As directed by Claims Manager, report claims in timely manner to applicable insurance carriers, and gather per

This position supports the Risk Management Department in directing the worldwide Risk Management Property and Casualty insurance programs for asset protection and strategic advantage. Essential Duties and Responsibilities Manage process and performance to obtain optimal outcomes involving a claims portfolio of approximately 10 million of annual cash outflows, and other as

McKesson is an impact driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well being of you and those we serve we care. What you do at McKesson matters. We foster a culture where you can

Providence caregivers are not simply valued they're invaluable. Join our team and thrive in our culture of patient focused, whole person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Providence is calling a Senior Claims Insurance Manager Medical Profe

Behavioral Hospital of Bellaire is a freestanding, 122 bed facility specializing in general adult psych, adolescents, geriatric, and women's services. The hospital is located in southwest Houston serving the Houston and surrounding communities. Behavioral Hospital of Bellaire is conveniently located between the Galleria and Meyer land shopping districts, and is only minut