The Senior Claims Examiner will manage a caseload of insurance claims pending under a moderate to low level of supervision. Job functions include the following Analyzing insurance claims to determine applicable coverage; Analyzing claims to determine the extent of insured's or insurer's liability; Reviewing and evaluating damages and determining strategies for resolution.

Enter bid bond requests and complete Contract Bond Requests (CBRs). Follow up with agent for any out of line items or missing information. Obtain approvals from Home Office or underwriter. Enter new bond submissions into computer profile. Follow up with agent for missing information. Order credit reports on new submissions and on an annual basis. Review and report any def

Homeward is a technology enabled healthcare provider delivering quality, affordable and comprehensive care to those who don't have it. Starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapid

Milliman's Seattle Health Practice is looking for actuarial analysts to work with consulting actuaries in the development and use actuarial models for various purposes, including pricing and forecasting. This position provides excellent opportunities for professional growth in the healthcare actuarial field. We provide extensive on the job training in consulting skills an

The Authorization Specialist is responsible for daily oversight of authorization request and approvals requiring interface with internal and external persons/entities and any other activities related to reimbursement for services for ABH, CFS, or Crisis programs. Performs regular updates and verification of insurance coverage. Other regular work duties may also involve me

Digitech is seeking a Claims Specialist (Insurance Biller) to work claims after they've been submitted to insurance carriers. This position requires an individual who demonstrates strong follow through, close attention to detail, and the ability to multi task. The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri anim Health Services, Cardio

Obtains insurance prior authorization for patient prescriptions, treatments, services, or procedures and re authorization for additional units including performing any retro authorization requests as allowed by payers; appeal prior authorization denials and help facilitate peer to peer reviews as needed. Appropriately document authorization details in the patient's medica

We're looking for a Dispute Resolver Intern to join our Dispute Team in Bridgewater, NJ. Working for Signify means being creative and adaptive. Our culture of continuous learning and commitment to diversity and inclusion creates an environment that allows you to build your skills and career. Together, we're transforming our industry. As the world leader in lighting, we're

The Personal Lines Customer Service Representative assists customers/members in completing changes to their existing Personal Lines Insurance policy over the phone by completing necessary documents and performing data entry. This position provides specific, accurate and timely information to members regarding Personal Lines of Insurance and is responsible for educating me

Your Job INVISTA is seeking an experienced Senior Accounting Analyst to join our CFO organization in Wichita, KS. A successful candidate is highly motivated, self driven, and has a passion for driving continuous improvement and transformation. They should have an advanced understanding of accounting concepts, excellent critical and economic thinking, and strong communicat

Drive implementation and consistent utilization of loss mitigation initiatives and practices. Review and investigate claims, assess losses and damages, and determine liability. Negotiate and process settlements and denials within assigned authority limits and in accordance with applicable policies, tariffs, contracts, bills of lading, and local regulations and conventions

Data Analyst Enterprise Solutions Job Locations US WI ID 2023 2025 Category Data Warehouse & Data Analysis Type Regular Full Time Overview Are you ready to make a significant impact in the world of healthcare? Do you have a passion for problem solving and a desire to drive meaningful change in the industry? If so, we invite you to join our dynamic Data Warehouse Team as a

Underwriting Assistant, K&K E&A K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports and events. With a 70 year history of excellence, clients across the US and Canada choose K&K for our unique insurance products and expert claims resolution. As part of an industry leading team, you will help empower r

Our Prior Authorization team is growing! We are expanding this centralized department and are in need of adding an additional person. The Prior Authorization Specialist contacts insurance companies on behalf of patients to obtain prior authorizations for prescriptions, tests and procedures. Serves as a patient advocate and functions as a liaison between the patient and pa

The Client Executive Manager will lead their team of professionals towards achieving retention and upsell targets within Tax Workflow Mid Market segment. The CE Manager will direct their team by focusing on priority touchpoints, leveraging sales enablement tools, and sales process, to generate opportunities to facilitate conversations that reinforce the value of current T