Senior Claims Representative 1770

Medicare Senior Claims ExaminerDescription:This position is responsible for: researching, correcting and responding to all D-SNP pended claims as well the review of Audit reports in a timely manner; determining whether a claim should be paid (in accordance with the policies and procedures) and maintaining correspondence for document procedure /medical/CPT/...

Description Duties and Responsibilities:Directly handle, manage and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims.Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim,...

Primary DetailsTime Type: Full timeWorker Type: EmployeeTitle:Senior Claims Adjuster - CropThe Opportunity:The purpose of this role is to provide efficient and precise claims services to policyholders and agents through field inspections, communication with stakeholders, investigations, adjustments, and policy administration while ensuring adherence to...

Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts. Specializing in employee benefits, workers' compensation, loss control, financial services, and property & liability, Keenan is committed to delivering innovative solutions that protect and empower the communities we serve.As part...

DescriptionReady to grow your career in a role that makes a meaningful impact? Liberty Mutual is hiring Workers' Compensation Claims Specialists in our West Region to help injured workers navigate the claims process and return to work with confidence.We're hiring across multiple levels—Associate Claims Specialist, Claims Specialist I, Claims Specialist II,...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as...

REPORTS TOAssistant Manager, Claims & AppealsCONTACTS AND RELATIONSHIPSThe position interfaces with department management, department employees, and employees from other departments. The position also requires contact with participants and their families, business managers, other insurance companies, and healthcare providers (e.g. doctors and...

About the Positions We're seeking Contract and Claims Managers to support large, heavy-civil infrastructure programs—including highways, roads, bridges, transit (including rail and bus), and airport projects delivered through both traditional and alternative methods. You'll safeguard the owner's commercial interests, steer change order negotiations, and...

DescriptionAs a Senior Collections Representative, you will oversee a designated portfolio of inpatient and outpatient claims to maximize collection outcomes. In this role, you will conduct thorough and strategic account reviews, lead efforts to resolve reimbursement discrepancies with third-party payers, and implement proactive follow-up strategies to...

DescriptionPosition Overview:We are seeking an experienced Excess and Surplus Homeowners Claims Manager to lead and develop and oversee our California property claims operations. This role operates under the direction of the VP of Claims and is responsible for building key elements of the California claims program, managing day-to-day claims handling,...