Surety Claims Counsel Job Locations US United States Requisition ID 2024 16620 Category Claims Specialty Lines Position Type Regular Full Time Overview Provides effective claims handling, serving as decision maker on the more complex contract and commercial Surety matters and multi project defaults. Works with head of Surety claim in establishing priorities, driving chang

include Liability Incident Reporting Evaluation Coordinate with operations on accident reporting, video review and follow up investigation Manage escalation of Critical Incident Reports Claim Coordination and Operations Support Review TPA files for proper set up, coding and diary Conference calls with claim adjusters for ongoing strategies Reserve/settlement authority with

include, but are not limited to Opening, stamping, reviewing, and assigning mail to appropriate claim folders Reporting claims to insurers when appropriate Responding to TPA emails regarding intake inquiries Downloading video and putting in corresponding claim folders Fielding phone calls and voicemails and responding to accordingly or directing to the appropriate person t

The essential duties and responsibilities (including but not limited to) Directs the daily operation of the revenue cycle liaison department to ensure client satisfaction. Ensures that daily, weekly, and monthly liaison functions are performed. Demonstrates thorough understanding of and oversees all aspects of liaison functions, to include monitoring and interpreting reve

Subrogation Adjuster Commercial Property Job Locations US United States Requisition ID 2024 16392 Category Claims General Liability Position Type Regular Full Time Overview The Commercial Property Subrogation Adjuster II is responsible for prompt and independent review of subrogation claims through effective coverage analysis, investigation, evaluation, negotiation and in

Our health system is broken, and it's a huge problem. Costs are rising out of control while the patient experience gets worse. At Sana, we're passionate about fixing this problem by bringing accessible and affordable health plans to small and medium businesses. We've built an innovative team with top talent from across the health insurance and tech industries to create en

JOIN OUR TEAM!!! Are you looking to be one of the team? To be part of the family and not just another number? Are you looking for a positive work environment where teamwork and diversity are key? We value your contributions. Every role in our hospital has an impact on each of our patients. We work hard to make sure our employees love their work here. Many have been with u

Senior Claims Examiner Liability Requisition ID 2024 25204 Job Locations US TX Dallas Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary GREAT WORK FROM HOME OPPORTUNITY! Monthly Performance Bonus! Generous Employee Referral Bonus Program! Candidates must have experience in managing Auto BI and Litig

Additional Information The Member Advocate will serve as a Liaison between the Members and Cook Children's Health Plan (CCHP). The Member Advocate will help Members and their Legally Authorized Representatives (LARs) navigate through the complexities of the healthcare system. The Member Advocate will guide and educate Members on their benefits, Member Rights & Responsibil

Bachelor's or Associate's degree preferred or equivalent business/industry experience Insurance industry designation(s)/certification(s) preferred Demonstrated proficiency with Microsoft Office products and claims related software programs including Xactimate and XactAnalysis. Strong communication skills Experience in conflict resolution and problem solving Working knowle

The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must understand (1) the procedures bi

Provide executive level administrative support to the Internal Audit team. The position requires a dependable, detail oriented individual with the ability to work in a high paced environment while planning and scheduling tasks and ensuring efficient, accurate and timely completion. Will be required to Interact with all levels of management. Maintain the security of confid

Promptly respond to customer inquiries Take detailed notes with regards to warranty issues Verify warranty status and coverage by examining records, and explain provision and exclusions Develop, write and process warranties with accuracy Handle warranty requests in compliance with both company standards and legal requirements Develop accurate estimates and explain estimat

Claim Examiner Workers Compensation Requisition ID 2024 25201 Job Locations US TX Dallas Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Investigate, evaluate, negotiate, and settle moderate difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitab

TMC Bonham Hospital is a 25 bed critical access hospital that includes both primary care and specialty physicians. The Critical Access Hospital, offering both inpatient and outpatient services along with 24 hour emergency services. The Critical Access Hospital (CAH) Program was established to assure access to healthcare services for rural residents. The program provides r