1. Manage a high volume of healthcare claims thoroughly to maximize savings opportunities on each claim within the established department production standards and individual goals by contacting provider on all assigned claims and presenting a proposal while maintaining high quality standards. Perform provider research to provide support for desired savings Address counter

The Appeals Analyst is responsible for monitoring and tracking the status of appeals as they relate to Allied's Cost Containment program. The position involves reviewing appeals for appropriateness, documenting the claim specifics into the current software and routing documentation to business partners for review/resolution. ESSENTIAL FUNCTIONS Independently review and an

AXIS is seeking a Senior Claims Specialist Excess Claims to join our North America Claims team and will report to the Claims Manager. Under limited direction, the candidate should act as highest level individual contributor directly reviewing excess casualty claims to determine nature of loss, coverage provided, and scope of claim and to make recommendation regarding sett

Workers Compensation Claims Adjuster II Job Locations US IL Chicago Requisition ID 2024 16731 Category Claims Workers Compensation Position Type Regular Full Time Overview AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers Compensation Claims Adjuster II The Workers' Compensation Claims Adjuster II is responsible f

The Claims Operations Supervisor will be responsible for various facets of the Refund, Prompt Pay and Disability departments, including inventory management of responsible departments. Provide guidance and direction to team members, as well as implement workflows, as needed. Act as the primary contact for handling and prioritizing any questions and issues from other depar

Under limited direction, acts as highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim and to make recommendation regarding settlement/disposition of claims. Develop and maintain relationships with internal and external partners. Ideal candidates located near existing AXIS offices for hybrid work

The Claims Operations Supervisor is responsible for various facets of the Refund, Prompt Pay and Disability departments, including inventory management of responsible departments. Provide guidance and direction to team members, as well as implement workflows, as needed. Act as the primary contact for handling and prioritizing any questions and issues from other department

CAT Adjuster Requisition ID 2022 20849 Job Locations US GA Peachtree Corners | US TX AUSTIN | US GA Atlanta | US IL Chicago | US AZ Phoenix | US TX Allen Position Type Commissioned Hourly Category Claims Business Unit CSS_Platform Solutions Position Summary Under minimal to intermediate direction, resolves claims by determining coverage, investigating and evaluating losse

Provide organisational and administrative support to Claims Managers, specifically Assist the Claims Managers by preparing documentation to help them evaluate and report on specific claims. Where necessary, produce and maintain spreadsheets, bordereaux and databases to enhance data presentation, analysis, and storage. Liaise with service providers, brokers and other stake

Claims Adjuster Associate Chicago Office Job Locations US IL Chicago Requisition ID 2024 16567 Category Claims Workers Compensation Position Type Regular Full Time Overview Join AmTrust Insurance for our Workers' Compensation Claims Training Program! In this program, you will learn how to evaluate, negotiate, and resolve a Workers' Compensation Claim. This is a 6 month pr

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Will be primary claims department trainer. In this role you will use independent judgment and knowledge to determine training needs and perform all aspects of training for the Claim Department. Training will include policies, procedures, and QicLink system training for new hires as well as experienced staff. ESSENTIAL FUNCTIONS Work closely with the Audit Team and departm

This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been processed accurately. The incumbent will employ data mining and coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB ROLES AND RESPONSIBILITIES 1. Achieve measured production, quality, an

The Allied Advocate Quality and Training Specialist will be responsible for ensuring the continued quality of department workflows and processes and continuing training and development of best practices. ESSENTIAL FUNCTIONS Work closely with the individual teams and department leadership to determine ongoing training needs. Design and assist in developing training materia

Claim Manager I Casualty The Auto Club Group What you will do The Auto Club Group is seeking prospective Casualty Claim Manager I who willmanage the daily operations and administer policies and procedures within our Casualty Claim unit. In this position, you will have the opportunity to Perform specialized claims functions within assigned region such as organizing and man