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

Expedite and oversee administrative process of clients' insured claims as assigned within region, including but not limited to general liability, builders' risk, professional liability, pollution, and auto liability claims. Essential Duties & Key Responsibilities As directed by Claims Manager, report claims in timely manner to applicable insurance carriers, and gather per

Claims Adjuster Associate Dallas Office Job Locations US TX Dallas Requisition ID 2024 16876 Category Claims Workers Compensation Position Type Regular Full Time Overview Join AmTrust Insurance for our Workers' Compensation Claims Training Program! In this program, you will learn how to evaluate, negotiate, and resolve a Workers' Compensation Claim. This is a 6 month prog

The Audit Coordinator will work collaboratively to coordinate and schedule premium audits directly with Policyholder's for members of the Key Account Team (KAT) and Virtual Audit Team (VAT). The Audit Coordinator will be responsible for contacting clients to schedule audits, answer questions regarding the audit process and timeline, and assist with ensuring appropriate re

Senior Claims Examiner Workers Compensation Requisition ID 2024 24938 Job Locations US TX Dallas | US Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary GREAT WORK FROM HOME OPPORTUNITY! Offers Monthly Performance Incentive! Generous Employee Referral Bonus Program! Candidates must have experience in

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

Job Purpose The position is responsible for the business analysis and process design/implementation for one or more end to end processes within SDO; documenting the detailed end to end process including its technological underpinnings; supporting operational process owners to modify, monitor, continually improve, and standardize in scope processes to achieve best in class

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

The Account Specialist, Insurance Follow Up & Denials Management is responsible for initial contact regarding outstanding claims for Cook Childrens Physician Network providers. Primary duties include; Claims workqueue management, navigating payor websites, contacting claim representatives to determine the status of outstanding insurance claims, initiation of the appeals p

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

At Alcon, we are driven by the meaningful work we do to help people see brilliantly. We innovate boldly, champion progress, and act with speed as the global leader in eye care. Here, you'll be recognized for your commitment and contributions and see your career like never before. Together, we go above and beyond to make an impact in the lives of our patients and customers

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Processing of appraisal requests from various commercial lending groups and the Special Assets Group. Creating detailed Requests for Proposals (RFP's) to procure bids on each assignment from eligible vendors within established SLA's. Contractually engaging the selected vendor within established SLA's. Monitoring the progress through appraisal completion/delivery, while ad

This position is responsible for constructing forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required Or available data elements. May provide consultation to users and lead cross functional teams to address business issues. Produces datasets an

Under the leadership of Patient Financial Services (PFS) management, the Account Specialist II is responsible for accounts receivable through claim follow up, cash collection, and denial management for services rendered by Cook Childrens Medical Center (CCMC). This positon requires extensive knowledge of Federal, State, and payor regulations, reimbursement methodologies,