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CLAIMS REPRESENTATIVE

Reviews medical claims submitted with and without prior authorization to attach medical records.. Engages with claims and clinical claims review functions to discuss trends identified.. Works with clinical claims review function t...

CompanyAdecco
AddressEl Segundo, CA
CategoryRetail
Salary$20.00/Hour
Job typeContract/Temporary
Date Posted 5 days ago See detail

Claims Representative

Adecco

El Segundo, CA

$20.00/Hour

Reviews medical claims submitted with and without prior authorization to attach medical records.. Engages with claims and clinical claims review functions to discuss trends identified.. Works with clinical claims review function t...

Auto Physical Damage Claim Representative (Auto Claim Rep I)

The Travelers Companies, Inc.

Orlando, FL

$51,000 - $84,200 a year

Customer Contacts/Experience: Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follows-through...

Claims Representative, Property Desk Adjuster (US Remote)

Swyfft

Kansas City, MO

$56.8K - $71.9K a year

This position is a 100% remote U.S. based opportunity that can be based in one of the following states only: AL, AZ, CT, DE, FL, GA, KY, LA, MA, MO, NC, NJ, NY, OH, OR, PA, SC, TN, TX, UT, VA, WA, WI.. Investigate, analyze, and de...

Auto Claim Representative

The Travelers Companies, Inc.

Houston, TX

$51,000 - $84,200 a year

Customer Contacts/Experience: Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follows-through...

Claims Representative, Operations

Exl Services

Remote

$20 - $24 an hour

Accountable for identifying, investigating, evaluating, obtaining and utilizing critical information required to accurately and objectively adjudicate claims. Verbally communicate and correspond with outside customers to convey cl...

Claim Representative II

Emergent Holdings

Scottsdale, AZ

$100,000 a year

Adjust a caseload of assigned files in accordance with company policies and procedures. Maintain an active diary on caseload. Each file requires a plan of action. Adhere to assigned authority limits for reserving and payments (inc...

Claim Representative II

Af Group

Scottsdale, AZ

Adjust a caseload of assigned files in accordance with company policies and procedures. Maintain an active diary on caseload. Each file requires a plan of action. Adhere to assigned authority limits for reserving and payments (inc...

ESIS Senior Claims Representative, WC (Hybrid)

Combined Insurance

Phoenix, AZ

$71K - $89.9K a year

Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policys obligation to the insured depending on the line of busin...

Commercial Property Claim Representative

The Hartford

Scottsdale, AZ

$62,560 - $93,840 a year

Investigating Commercial Property (CP) claims to determine coverage, damages, and subrogation/salvage. Handling of personal property damage and time element losses with policyholders and their representatives Consistently provide...

Occupational Health Patient Financial Services Claims Representative Hybrid

Banner Health

Mesa, AZ

Primary City/State:Mesa, ArizonaDepartment Name:Business Office-Occ MedWork Shift:DayJob Category:Revenue CycleYou will work on a Patient Financial Services (PFS) Department responsible for the timely and accurate billing and coll...

Associate Claims Representative, Property Desk Adjuster (US Remote)

Swyfft

Houston, TX

You come to us with 2+ years of insurance experience in a role involving interpretation of policy provisions. Experience with desk adjusting property claims is a plus. You are currently licensed or eligible for licensing as an adj...

Claims Representative, Property Desk Adjuster (US Remote)

Swyfft

Houston, TX

Understanding valued policy states and knowledge of which perils apply and when tendering limits is appropriate. You are currently licensed or eligible for licensing as an adjuster in the states of: TX, FL, CA, NY, and AL (we can...

Claims Representative - Workers Compensation

Bcforward

North Bend, WA

To analyze reported lower-level Workers Compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. Adjusts medical-only claims and minor lost-t...

Customer Claims Representative

Bcforward

Westminster, CO

).We are seeking a dedicated and skilled contract Intermediate-Level Customer Claims Representative to join our dynamic and global shared services team. * Problem Solving: Analyze complex situations and find creative solutions to...

Medical Insurance Claims Representative

Hca Healthcare

Denver, CO

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Claims Representative Sr - Subrogation (Property)

Sentry Insurance

Davenport, IA

Investigate moderate to complex property claims.. Verify the nature and extent of the loss, directs the preservation of evidence and identify resources for specific activities to properly investigate claims.. Provides pertinent ba...

Claims Representative Sr - Subrogation (Property)

Sentry Insurance

Stevens Point, WI

Investigate moderate to complex property claims.. Verify the nature and extent of the loss, directs the preservation of evidence and identify resources for specific activities to properly investigate claims.. Provides pertinent ba...

Worker's Compensation Claims Representative - REMOTE

Ryder System

Alpharetta, GA

$70,000 - $75,000 a year

Investigates and adjusts claims, as well as directs outside defense counsel, independent adjusters, experts, and other vendors in the claim-handling processes. Supervises outside vendors retained for investigations, cost containme...

Outside Property Claim Representative Trainee- Milwaukee, WI

The Travelers Companies, Inc.

Brookfield, WI

$46,900 - $77,400 a year

Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training m...

Claim Representative, Auto FPM Investigator

The Travelers Companies, Inc.

Morristown, NJ

$57,500 - $94,900 a year

Investigation/Evaluation: Create and manage ongoing medical investigation strategy. Obtain relevant facts necessary to continually evaluate medical billing and treatment patterns to identify and deter fraudulent billing. This may...

Claims Representative - Indianapolis, IN

Federated Mutual Insurance Company

Indianapolis, IN

$60,100 - $73,500 a year

Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way. Explain policy coverage to policyholders and third parties. Complete thorough investigations...

Claims Representative - North Richland Hill, TX

Federated Mutual Insurance Company

North Richland Hills, TX

$60,100 - $73,500 a year

Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way. Explain policy coverage to policyholders and third parties. Complete thorough investigations...

Claims Customer Service Representative

Alphaforce Technology Solutions

Elgin, IL

$17.50 an hour

Assigns new claims to the appropriate claims handler.. Enters verbal and written application information that meets both the internal and external customers' requirements accurately into the appropriate system.. Contacts the cust...

Claims Service Representative 3 - Casualty

American Automobile Association

Long Beach, CA

Investigation, evaluation and negotiation of claims in compliance with established company technical and customer service Best Practices. Employs discretion and independent judgment to ensure compliance with state and federal law,...

Associate Claims Customer Care Center Representative

American Family Insurance

Madison, WI

We review and apply coverage, assign services, interpret estimates and adjuster notes, and process payments. Demonstrate experience resolving issues and requests by phone, email, and chat, which includes adhering to a schedule and...

Sales Representative/Claims Manager - Full-time

Express Employment Professionals

Denver, CO

$26.00 per hour

Effectively communicate with clients, i.e.: providing updates and information on ongoing cases. Manage inbound calls from interested leads, ensuring a high level of service and engagement. Regularly reach out to warm leads on a we...