. Facilitates small claims county court proceedings and arranges for volunteers to mediate the cases to resolution. Schedules... Citizen Dispute Resolution Program. This position will be responsible for working with volunteer mediators and court...
and analysis of inpatient medical claims utilizing NYCHSRO/MedReview and payer specific systems, adjudication platforms, policies... institutional claims Proficient knowledge of Medicare and Medicaid billing & payment and coverage guidelines Strong experience...
Special Assets Department. As a manager, guides and motivates Commercial Resolutions Officers and the Claims Management Team... to exceed expectations for case management and resolution along with adherence to policies and procedures governing the...
stages Develop claims outliers, utilizing specialist skills and knowledge, including claims platform expertise on CSP... platform Effective data analysis of claims paid data to identify leads for investigation to find overpayments on C&S Key...
Job Category: Claims Job Description: Job Summary The Claims Specialist works on highly complex claim assignments... for exposure, and in the resolution and documentation of claims. Provide top-notch customer service through all interactions...
Job Category: Claims Job Description: Job Summary The Claims Specialist works on highly complex claim assignments... Quality Nimble Learning Technical Skills Account Management Claims Investigations Claims Adjustment Claims Resolution...
. The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine... to moderately complex claims from the investigation of the claim through resolution. This includes making decisions about liability...
Service Specialist I, II or Sr. depending on experience level* JOB SUMMARY/PURPOSE Investigates, evaluates and resolves... Liability claims in assigned geographical jurisdictions, while interacting daily with internal and external stakeholders...
. Please see our full list of Total Rewards . CapSpecialty is seeking a Senior Claims Specialist for our Surety division who... in organizing, prioritizing workload, multi-tasking and negotiating claims resolution. Ability to use basic software programs...
Specialist Claims - CH07DE We’re determined to make a difference and are proud to be an insurance company that goes... Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist, you will be responsible...
Service Specialist I, II or Sr. depending on experience level* JOB SUMMARY/PURPOSE Investigates, evaluates and resolves... Liability claims in assigned geographical jurisdictions, while interacting daily with internal and external stakeholders...
Position Summary The Senior Claims Advocacy Specialist is responsible for developing and implementing claim analysis... resolution outcomes. Serves as a subject matter expert on complex claims issues, providing guidance and support to the team...
involves processing new, pended, edited, and returned claims to ensure resolution and completion. The Claims Specialist... of care support. How you make a difference The Claims Specialist is responsible for the accurate and timely processing...
Claims Analysis and Remediation Specialist are the focal point of handling information about services patients receive... as identified and communicate resolution to customers Identify root cause of issues Development and documentation of processes...
in the area of construction defect with complex coverage and litigated claims. The Senior Claims Specialist role can.... Responsibilities: In this role, the Construction Defect claims professional investigates, evaluates, negotiates, and resolves...
Specialist Claims - CH07DE We’re determined to make a difference and are proud to be an insurance company that goes... others accomplish theirs, too. Join our team as we help shape the future. As a Claims Specialist, you will be responsible for handling...
Description Liberty Mutual has an immediate opening for a Complex Claims Specialist to join our Miscellaneous Medical... Miscellaneous Medical Facilities (MMF) Professional Liability expertise. With minimal supervision, the Complex Claims Specialist...
Guarantees. This position is essential in collecting, documenting, and ensuring the timely resolution of claims. The specialist... Specialist is a key role, serving as the primary contact for field associates filing client claims under POM & Accuracy...
JOB DESCRIPTION The Compliance Specialist is responsible for ensuring regulatory compliance with Nevada Workers...' Compensation requirements, with knowledge of California regulations considered an asset. Reporting to the Claims Vice President...
JOB DESCRIPTION The AGL Claims Specialist: Under the direction of the Claims Team Leader, investigates and settles... claims promptly, equitably and within established best practices guidelines. Duties may include but are not limited...