Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictio

Are you going to be one of the key persons to define future powertrain s that contribute to the global GHG reduction roadmap ? Are you passionate about commercial trucks and have experience with how they are engineered and used? If so, then a career in PACCAR's Global Powertrain Division as a Property Owner is for you! Within a new team of highly talented engineers, you w

Provides leadership to the proposal technical team and project team upon award of a contract Identifies differentiating factors concerning approach, design, and constructability during bid, proposal and execution phases Coordinates meetings between potential clients and individual internal specialists Provides EPC Project Management support to the Business Development gro

Be aware of, understand, and effectively carry out all delegated health, safety, and environmental responsibilities. Actively promote a health and safety culture to achieve targets of no lost time injuries or environmental incidents; all incidents are reported and accurately recorded, and all persons are suitably trained or supervised in their work. Key advisor to the Reg

Job Description Summary At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of what we do best protecting and restoring their dreams when they need us most. We're using our expertise, technology and new ways of working to reinvent one of America's largest industries creati

At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of what we do best protecting and restoring their dreams when they need us most. We're using our expertise, technology and new ways of working to reinvent one of America's largest industries creating positive impact that

Accelerate your career at RXO. RXO is a leading provider of transportation solutions. With cutting edge technology at the center, we're revolutionizing the industry with our massive network and commitment to finding solutions for every challenge. We create more efficient ways for shippers and carriers to transport goods across North America. Compensation range for this ro

Claims Adjuster III Job Locations US PA TBD Requisition ID 2024 16354 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 Claims Adjuster II WC . The adjuster is responsible for the prompt and efficient examination, investigation, settlement or de

Claims Adjuster II Job Locations US NH Nashua Requisition ID 2024 16759 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 Claims Adjuster II WC. The adjuster is responsible for the prompt and efficient examination, investigation, settlement or d

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. Applicants must be eligible to begin work on the date of hire. Applicants must be currently authorized to work in the United States on a full time basis. ARKANSAS BLUE CROSS BLUE SHIELD will NOT sponsor applicants for work visas in this position. Arkansas Blue Cross is only seeking

Prepare, process and maintain new member or group enrollments Respond to member eligibility or group questions and verify enrollment status Reconcile eligibility discrepancies, analyze transactional data and submit retroactive eligibility changes Research errors by comparing enrollment error reports against system information along with records from the Center for Medicar

Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer Processes all types of medical claims and adjusts medical disputed claims (Professional and Facility) according to department, contract, and regulatory requirements

Assist in end to end behavioral health provider claims and help enhance call quality Assist in efforts to enhance ease of use of online provider portal and future services enhancements Contribute to design and implementation of programs that build / nurture positive relationships between the health plan, providers and practice managers Support development and management o

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions P

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions