The claims auditor will be responsible for coordinating and completing audits as well as compiling and reporting results and trends accurately, appropriately, and timely. ESSENTIAL FUNCTIONS Logging/Tracking all Claims/Tasks to be audited Audit for accuracy as well as workflow compliance; Release of appropriate claims using established workflows Assist with all audit prog

Senior Claims Operations Analyst Requisition ID 2024 25152 Job Locations US IL Lake Zurich Position Type Regular Full Time Category Finance & Accounting Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Under the general direction of the Claims Data Operations Manager, the Senior Claims Analyst provides a variety of critical operational support s

BASIC FUNCTION 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. Produ

Manage claims and litigation for hospital members, insured physicians and physician groups Presuit evaluation of claims including investigation, medical record review, liability analysis, expert retention and discussion with insureds and clients Retention and supervision of outside defense counsel for claims in litigation Responsible for case strategy and implementation a

Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company crop insurance policies Ensure compliant and cost effective application of crop policies by leveraging knowledge of basic insurance statutes and regulations and complying with state and federal regulatory require

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This is a hybrid opportunity that w

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

Interested In Joining AAA... W ill earn a competitive salary of $54,643 $79,000 annually with annual bonus potential based on performance. This position is currently able to work remotely from a home office location for day to day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is sub

AXIS is seeking a Senior Claims Specialist Excess Claims to join our North America Claims team and will report to the Claims Manager. Under limited direction, the candidate should act as highest level individual contributor directly reviewing excess casualty claims to determine nature of loss, coverage provided, and scope of claim and to make recommendation regarding sett

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

The Claims Operations Supervisor will be responsible for various facets of the Refund, Prompt Pay and Disability departments, including inventory management of responsible departments. Provide guidance and direction to team members, as well as implement workflows, as needed. Act as the primary contact for handling and prioritizing any questions and issues from other depar

Workers Compensation Claims Adjuster II Job Locations US IL Chicago Requisition ID 2024 16731 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 Workers Compensation Claims Adjuster II The Workers' Compensation Claims Adjuster II is responsible f

The Claims Negotiator will work with medical Providers to negotiate balances outstanding on member's claims. Responsibilities include managing multiple claims cases, interfacing with internal staff and external Providers to understand and negotiate claims balances. Documentation and follow up to ensure all aspects of the negotiation are completed in accordance with the he

Position Highlights Position Insurance Pre Authorization Representative Location 4201 Winfield Rd, Warrenville IL Full Time 40 hours per week Hours M F, 8 00AM to 4 30PM Required Travel No What you will do Prepares referrals/FMLA/disability forms per payer criteria for designated providers ensuring timely response to requests and meets established turnaround time. Prepare

The Claims Operations Supervisor is responsible for various facets of the Refund, Prompt Pay and Disability departments, including inventory management of responsible departments. Provide guidance and direction to team members, as well as implement workflows, as needed. Act as the primary contact for handling and prioritizing any questions and issues from other department