Overview: American Foods Group, LLC is searching for a Claims Analyst to join our accounting team in Green Bay, WI.... As our Claims Analyst, you will be involved in the processing of customer claims and refused product. This includes, but not limited...
Overview: MBP is looking for Claims Analyst/Lead Claims Analyst/Senior Claims Analyst * in Tampa, FL, Raleigh, NC..., or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims...
but saving them. Together. The Configuration Analyst, specializing in claim editing software, is responsible for configuring... system edits, and rules and workflows to ensure efficient claims processing. This role will work closely with stakeholders...
, and we provide equal opportunity to participate and grow. Job Description Job Summary: The Claims Analyst will investigate... Escalate to assigned Variance Analyst any claims not resolved within 25 days and any high dollar amount Understand end to end...
and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every... Job Duties: Obtain all state insurance adjuster licenses Obtain the AIC (Associate in Claims) or other insurance designation...
at any time based on leader discretion and/or business need. The Opportunity Appraise and/or adjust physical damage... and mechanical claims within an assigned territory and key point or other assigned location for the various Ally Insurance / Dealer...
Job Summary: Investigate, evaluate, and resolve claims made against the Company’s behavioral health and psychiatry... program business including psychiatrists, psychologists and other behavioral health care providers liability. Engage...
and business services that will leverage economies of scale across provider types and geographies and will lead the effort... with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving...
position within our Claims Operations team, with a specialized focus on Bordereaux Management. The ideal candidate... to collaborate effectively with cross-functional teams to drive process improvements and enhance claims management efficiency...
and value inside and outside the exam room for all patients. Job Description As a Claims Analysts you will play a key role... in Guidehealth’s expansion and growth. You will be responsible for the adjudication of claims that require high level review...
-to-day work. About the role As an operations member for claims, you will be working with claims reports for all the... to learn reinsurance, line of business, procedures and guidelines that support our operation work quality. About the team...
ceded and assumed reinsurance claims. Works within specific limits of authority. Utilizing policies and guidelines, reviews..., and financial reconciliation skills. This role works closely with other internal business units, including Reinsurance Accounting...
with the systems department to create edits/audits and other related changes for the claims system. Maintains and monitors... existing edits/audits and requests all maintenance for the claims system. Position requires specific area knowledge and may...
Summary Researches and resolves escalated, complex, and high profile claims issues. Serves as POC (point of contact...) with various professional and facility/hospital providers in the research and resolution of all claims issues. May assist...
Business Services Group (BSG) Claims team supports the claims operations of the Commercial Lines division at C&F. We strive... strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and risk...
or escalation from upper management pertaining to denied, rejected or underpaid claims for services rendered by participating... and non-participating independent physicians, groups, vendors and ancillaries for EP Lines of Business. Qualifications...
outcomes of requests for payment to ensure timely identification of additional actions needed. Reconciles and updates business.... Must be able to formulate and write formal business communications. Intermediate knowledge of Microsoft Word and Excel...
Business Services Group (BSG) Claims team supports the claims operations of the Commercial Lines division at C&F. We strive... strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and risk...
. This role will be responsible for ensuring that business operating procedures are followed and work with branch management... with their branches to discuss status of cases &claims Ensure all vaults/inventories are in balance daily and escalate to the VA team...
Perform as a QA or BA to test Claims specifically for Bluecard business review and recommend modification to existing... configurations. Identifies research and resolves inaccuracies and inconsistencies in the business rules as they impact claims...