Claims Review and Compliance Manager

Insurance Claims InvestigatorEstimate Salary: $70,000 - $100,000 per yearJob Description:We are seeking a highly skilled Insurance Claims Investigator to join our team at Allied Universal Compliance and Investigations. As an Insurance Claims Investigator, you will be responsible for investigating suspected fraudulent insurance claims and gathering...

Key Responsibilities:Conduct thorough medical reviews, analyzing patient data and medical records.Collaborate with healthcare professionals to ensure accurate and efficient claim processing.Maintain up-to-date knowledge of medical guidelines, policies, and procedures.Develop and implement effective solutions to improve claim processing efficiency and...

Role OverviewAs a Commercial Liability Claims Reviewer, you will play a vital role in ensuring the accuracy and timeliness of claims processing at AmTrust Financial. Your responsibilities will include conducting regular audits of claim files, providing feedback on audit results, and collaborating with claim teams to implement corrective action plans. To...

**Company Overview**CITON Claims Solutions, LLC is a premier provider of claim management and administration services for insurance companies. Our team of experts specializes in efficient and innovative solutions tailored to meet each client's unique needs.We are committed to delivering unparalleled value and peace of mind to our clients through seamless...

Job Description">We are seeking a highly skilled Claims Investigator - Anti-Fraud Expert to join our Special Investigations Unit (SIU). The successful candidate will be responsible for investigating suspected fraudulent insurance claims, utilizing their expertise in insurance policies and fraud detection techniques.The Successful Candidate">">Must possess a...

Job SummaryThe Claims Manager position at Orion180 Group Inc. is a key role in our company's success, overseeing insurance claims related to property damage and first-party liability. This senior-level position requires strong leadership skills, excellent communication abilities, and a deep understanding of insurance regulations and policies.Key...

Job RequirementsWe are seeking an experienced Bilingual Auto Claims Adjuster to join our team. The ideal candidate will have a valid Adjuster license in their resident state and a valid license for the state of Texas. The role involves investigating, evaluating, negotiating, and settling standard and non-standard auto liability claims.Key...

**About the Role**We are seeking an experienced Claims Manager to join our team at CITON Claims Solutions, LLC. As a Claims Manager, you will be responsible for overseeing our insurance claims related to property damage and first party liability. This role requires strong leadership and communication skills, as well as the ability to work under pressure and...

Job OverviewThe role of an Auto Liability Claims Specialist at PRIORIS Claims Management Solutions involves investigating, evaluating, negotiating, and settling standard and non-standard auto liability claims. The ideal candidate will have a strong understanding of policy and contract coverage, as well as exceptional communication skills.Key...

The Claims Manager role at Orion180 is a challenging opportunity for an experienced professional to oversee insurance claims related to property damage and first-party liability.As the Claims Manager, you will be responsible for managing a team of claims adjusters, ensuring compliance with regulations and company policies, and maintaining relationships with...

Job Description:Orion180 seeks a skilled Claims Manager to lead our insurance claims efforts. This role requires a deep understanding of property damage and first-party liability, as well as the ability to manage a team of claims adjusters.Responsibilities include reviewing claims, determining coverage, negotiating settlements, and ensuring compliance with...

About the RoleThis position plays a critical role in maintaining the integrity and efficiency of the claims process, ensuring that customers receive accurate and timely service. As a Commercial Liability Lines Reviewer, you will be responsible for reviewing claim files to ensure compliance with company standards and regulatory requirements.Analyze Data:...

Job Title: Commercial Property Claims RepresentativeAbout CompanyRisk Theory, LLC is a leading provider of custom-tailored Third-Party Administration (TPA) programs. Our mission is to grow our independent agency and assist as many clients as possible by mitigating risk.Compensation:$80,000 - $125,000 yearlyJob Description:We are seeking an experienced Claims...

About the RoleThis is an exciting opportunity to work as a Medical Liability Claims Manager with our team at Jobot. In this role, you will develop and implement robust defense strategies to ensure favorable outcomes for our clients. You will also conduct comprehensive legal research and analysis to strengthen case strategies, draft, review, and negotiate...

Company OverviewAllied Universal Compliance and Investigations is a global leader in insurance claim investigation services. We provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators.We are committed to innovation and excellence, making a significant impact in the insurance industry.

Job Summary:We are seeking a highly skilled Insurance Claims Analyst to join our team in a part-time capacity. As an experienced claims processor, you will play a crucial role in processing and adjudicating health, dental, and vision insurance claims.Responsibilities:Process and review claims for accuracy and completenessAnalyze claim documentation to ensure...

At Warranty Processing Company, Inc., we are seeking an experienced Automotive Warranty Claims Specialist to join our team.Job SummaryThis role is responsible for reviewing warranty paperwork to ensure proper documentation and verifying compliance with dealer and manufacturer criteria.The ideal candidate will have a minimum of 3 years of experience in...

Job SummaryThe ideal candidate for this role is a highly experienced claims adjuster with a strong background in workers' compensation claims management. The Senior Workers Compensation Claims Adjuster will be responsible for handling a caseload of complex claims, collaborating with the team to promote injured worker recovery, and ensuring compliance with...

Senior Claims Management Analyst Job DescriptionA Senior Claims Management Analyst will oversee complex claims, ensuring timely and accurate resolutions.Responsibilities:

Job OverviewThe RPC Company is seeking a highly skilled Financial Claims Specialist to join our team in Dallas. This role offers a unique opportunity to utilize your expertise in healthcare revenue cycle management, medical insurance, and claim processing.About the Job:We are looking for an experienced professional with a strong background in health...